2011-08-12T18:38:20-05:00 2010-09-30 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2009-10-01 050258937 WOMEN & INFANTS HOSPITAL of RI WOME 4012741122 101 Dudley Street Providence RI 02905 Debra M Paul 2011-08-09 8642425740 2009 2016-02-24 21:20:13Z Constance A Howes 101 Dudley Street Providence RI 02905 409991259 false X www.womenandinfants.org X 1884 RI Women & Infants Hospital is committed to improving health and well being of women and infants and to providing essential services regardless of ability to pay. 20 14 3356 450 12214529 23421985 24012903 325965093 349744265 1370055 880836 37970105 33004454 388727238 407642458 416394 1173314 0 229478114 252334147 0 727023 143403096 146107923 373297604 399615384 15429634 8027074 314967967 315905776 163709015 159900266 151258952 156005510 WOMEN AND INFANTS HOSPITAL, A TEACHING HOSPITAL OF THE WARREN ALPERT SCHOOL OF MEDICINE AT BROWN UNIVERSITY, IS COMMITTED TO IMPROVING HEALTH AND WELL BEING OF WOMEN AND INFANTS AND TO PROVIDING ESSENTIAL SERVICES REGARDLESS OF ABILITY TO PAY. false false 354340390 873314 370322259 THE HOSPITAL IS THE REGIONAL CENTER FOR WOMEN AND INFANTS HEALTHCARE IN RHODE ISLAND AND ENVIRONS, PROVIDING CARE IN THE AREAS OF OBSTETRICS, NEONATAL INTENSIVE CARE, REPRODUCTIVE ENDOCRINOLOGY, MATERNAL FETAL MEDICINE AND GYNECOLOGY. 354340390 true true false true false false false false true true false true false false true true false false true false true true false true false false false false false false true true true false false false true true true false false true 343 0 true 3356 true true true true CJ false false false true true false false false 20 14 false true false false true true true true true false false true true true true true true true true false MA X Debra M Paul CPA MBA 4012741122 101 Dudley Street Providence RI 02905 ROGER N BEGIN 5.0 X X 0 0 0 KATHLEEN COTE BOWLING MD 5.0 X 6200 0 0 LISA G CHURCHVILLE 5.0 X 0 0 0 SHARON CONRAD-WELLS 5.0 X 0 0 0 MARGARET D FARRELL ESQ 5.0 X X 0 0 0 JUSTICE ROBERT G FLANDERSJRRET 5.0 X X 0 0 0 WILLIAM F HATFIELD 5.0 X 0 0 0 RAMON MARTINEZ 5.0 X 0 0 0 GINA RAIMONDO 5.0 X 0 0 0 CYNTHIA S REED 5.0 X X 0 0 0 ANNE SZOSTAK 5.0 X 0 0 0 JOHN R GALVIN 5.0 X 0 0 0 LINDA MCGOLDRICK 5.0 X 0 0 0 TERRANCE CAHILLMD 5.0 X 11200 0 0 SANTINA L SIENA MD 5.0 X 6350 0 0 FRED A BROSCO MD 5.0 X 0 0 0 JOANNA M CAIN MD 60.0 X 568582 0 42534 JAMES F PADBURY MD 60.0 X 669523 0 84414 LEVI C ADAMS 5.0 X 0 0 0 THOMAS P DIMEO 5.0 X 0 0 0 BENJAMIN P HARRIS III 5.0 X 0 0 0 STANLEY LIVINGSTON JR 5.0 X 0 0 0 HOWARD MERRIMAN JR 5.0 X 0 0 0 KATHRYN M PARSONS 5.0 X 0 0 0 HARRIS N ROSEN 5.0 X 0 0 0 JEAN K SEAMAN 5.0 X 0 0 0 WALTER C TILLINGHAST 5.0 X 0 0 0 ROBINSON C TROWBRIDGE 5.0 X 0 0 0 DOUGLAS L JACOBS 5.0 X X 0 0 0 KATHERINE F MCKENZIE 5.0 X X 0 0 0 CONSTANCE A HOWES JD FACHE 60.0 X 710439 0 145996 MARK MARCANTANO 60.0 X 50000 0 0 DEBRA M PAUL CPA MBA 60.0 X 444030 0 82792 DANIEL MICHAUD 60.0 X 240638 0 26093 KAREN DAVIE 60.0 X 357210 0 33143 PAULA GILLETTE 60.0 X 298443 0 60929 PATRICE DIMARIO 60.0 X 354107 0 105259 ELIAS NEUJAHR 60.0 X 195162 0 20798 JAMES WATKINS 60.0 X 194074 0 21504 CORNELIUS GRANAI MD 60.0 X 654944 0 8663 RAYMOND POWRIE MD 60.0 X 418682 0 65960 JOHN M SUTHERLAND III 60.0 X 571356 0 130421 THOMAS R COURAGE 60.0 X 610467 0 106638 GAIL COSTA 60.0 X 384161 0 106166 MAYBELLE KERNAN 60.0 X 430505 0 94881 JOSEPH RODA 60.0 X 154173 0 12574 THOMAS HUGHES 60.0 X 166871 0 13897 WILLIAM LAWRENCE MD 60.0 X 562714 0 12037 KAREN ROSENE-MONTELLA MD 60.0 X 481326 0 2005 DOMENIC DELMONICO 60.0 X 440894 0 83893 RICHARD MOORE MD 60.0 X 432542 0 8865 SANDRA CARSON MD 60.0 X 416384 0 8431 DEMOSTHENES ARGYS 60.0 X 291889 0 24544 JANET SCHIPPER 60.0 X 214823 0 54489 10337689 0 1356926 268 true true false Purity Services 405 Myrtle Street NEW BEDFORD MA 02746 Linen & laundry sVCS 1036602 University Surgical Associates 200 Metro Center WARWICK RI 02886 Professional sVCS 796730 Now Delivery PO Box 6945 PROVIDENCE RI 02940 Lab courier services 778727 Mayo Collaborative Services PO Box 4100 ROCHESTER MN 55903 Lab services 730253 Haggman Inc PO Box 1491 MANCHESTER MA 01944 Adver/marketING SVCS 571308 23 15457 13740591 10256855 525495 24012903 PATIENT SERVICE REVENUE 622310 349744265 349744265 349744265 748031 748031 0 101624 101624 1852963 558809 1731306 547661 121657 11148 132805 132805 281765 15457 69834 211931 211931 0 0 PROFESSIONAL REVENUE (PART B) 812900 18469244 18469244 SEND IN LAB REVENUE 621500 12214529 12214529 CONTRACT REVENUE 900099 1791360 1791360 215766 215766 32690899 407642458 370322259 12214529 1092767 650000 650000 0 523314 523314 0 8513148 3380843 4796718 335587 0 181624846 162971968 18498072 154806 9321844 8389660 932184 39100277 35190249 3910028 13774032 12396629 1377403 0 649771 649771 32755 32755 81507 81507 0 0 16214944 13944852 2270092 366633 315304 51329 30697750 26359083 4297685 40982 11293586 9712484 1581102 0 9340429 8032769 1307660 0 0 779588 666058 109142 4388 205603 176819 28784 0 15184124 13058347 2125777 12422838 10683641 1739197 RESEARCH 16279824 16279824 STATE LICENSURE FEE 15824541 15824541 PROVISION FOR BAD DEBT 8104361 8104361 HEALTHCARE SERVICES 4258363 4258363 ALL OTHER EXPENSES 4371306 3721281 458765 191260 399615384 354640390 44247971 727023 37604444 39303617 4069519 2032438 40441068 40115463 148919 138110 477060 403170 1781431 2110279 328636693 172147186 155994365 156489507 58936109 59409044 1247454 1267329 14267598 14636819 314967967 315905776 40684352 42452311 2650000 0 5025756 4788187 115348907 112659768 163709015 159900266 X 119532267 125746286 27736449 26207031 3990236 4052193 151258952 156005510 314967967 315905776 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 81507 81507 false false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, 1I THE HOSPITAL PAID $40,719 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) FOR MEMBERSHIP DUES, OF WHICH 24.42% OR $9,944 WAS 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 CARE SAFETY NET AND IMPROVING CARE, AFFORDABILITY AND COVERAGE. THE AHA'S 2010 ADVOCACY CAN BE VIEWED AT THEIR WEBSITE WWW.AHA.ORG. THE HOSPITAL PAID $60,000 TO MAYFORTH GROUP, LLC FOR PROFESSIONAL BUSINESS, LOBBYING AND CONSULTING SERVICES. THE HOSPITAL PAID $11,563 TO SAFETY NET HOSPITAL PHARMACEUTICAL ACCESS FOR 2010 DUES ASSESSMENT. 7156790 61410 702455 36809 7883846 6785603 91305 306023 26141 7156790 0.00000 1.00000 0.00000 false false 3254245 3254245 185420448 76060577 109359871 7023116 3398447 3624669 130550183 92688162 37862021 2388701 2388701 156489507 0 Due to affiliates 52518501 Estmated 3rd party payor settlements 25387063 Pension payable 12501472 Deferred compensation 1889422 Capital lease obligations 911842 Reserve for losses 17451468 Other liabilities 2000000 112659768 ENDOWMENT USE SCHEDULE D, PART V THE HOSPITAL'S ENDOWMENT CONSISTS OF NUMEROUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THESE PURPOSES INCLUDE HEALTHCARE SERVICES, RESEARCH, INDIGENT CARE, AND EDUCATION. THE HOSPITAL'S ENDOWMENT CONSISTS SOLELY OF DONOR-RESTRICTED ENDOWMENT FUNDS. THE HOSPITAL CLASSIFIES AS PERMANENTLY RESTRICTED NET ASSETS (A) THE ORIGINAL VALUE OF GIFTS DONATED TO THE PERMANENT ENDOWMENT, (B) THE ORIGINAL VALUE OF SUBSEQUENT GIFTS TO THE PERMANENT ENDOWMENT, (C) ACCUMULATIONS TO THE PERMANENT ENDOWMENT MADE IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE ACCUMULATION IS ADDED TO THE FUND. THE REMAINING PORTION OF THE DONOR-RESTRICTED ENDOWMENT FUND THAT IS NOT CLASSIFIED IN PERMANENTLY RESTRICTED NET ASSETS IS CLASSIFIED AS TEMPORARILY RESTRICTED NET ASSETS UNTIL THOSE AMOUNTS ARE APPROPRIATED FOR EXPENDITURE. FIN 48/ASC 740 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 20, 2010 AND CONCLUDED THAT THE ESTIMATED LIABILITY WAS NOT MATERIAL TO CNE'S FINANCIAL STATEMENTS. true East Asia and the Pacific 1 7 Grantmaking 82671 Sub-Saharan Africa 1 4 Grantmaking 11523 South America 2 4 Grantmaking 44800 North America 3 6 Grantmaking 156720 Europe/Iceland/Greenland 5 14 Grantmaking 201000 Middle East and North Africa 1 2 Grantmaking 26600 Central America and the Caribbean 0 0 Program Services Self Insurance 11767680 13 37 12290994 East Asia/Pacific SUBCONTRACT 82671 Sub-Saharan Africa SUBCONTRACT 11523 South America SUBCONTRACT 33600 South America SUBCONTRACT 11200 North America SUBCONTRACT 120960 North America SUBCONTRACT 18460 North America SUBCONTRACT 17300 Europe/Iceland/Greenland SUBCONTRACT 31920 Europe/Iceland/Greenland SUBCONTRACT 30240 Europe/Iceland/Greenland SUBCONTRACT 50080 Europe/Iceland/Greenland SUBCONTRACT 70280 Europe/Iceland/Greenland SUBCONTRACT 8400 Europe/Iceland/Greenland SUBCONTRACT 7000 Middle East/North Africa SUBCONTRACT 26600 0 14 Organization's Procedures for Monitoring Use of Grant Funds Outside the US Schedule F, Part IV PART I, LINE 2 - FOR INTERNATIONAL SUBCONTRACTS: (1) ANNUAL REQUESTS ARE MADE FOR AUDIT CERTIFICATION; (2) ANNUAL REQUESTS ARE MADE FOR MOST UP-TO-DATE POLICIES AND PROCEDURES MANUAL; (3) INVOICES ARE REVIEWED AND APPROVED BY PRINCIPAL INVESTIGATOR'S OFFICE AS WELL AS BY THE GRANT MANAGEMENT OFFICE. PART I, LINE 3 - INVOICES ARE REVIEWED/APPROVED BY BOTH PRINCIPAL IINVESTIGATOR'S OFFICE AS WELL AS BY GRANT MANAGEMENT PRIOR TO PROCESSING PAYMENT. EXPENSES ARE COMPARED TO APPROVED BUDGET. EXPENSES ARE RECONCILED TO BACKUP DOCUMENTATION. PART III, COLUMN C - NOT APPLICABLE. BIKE RIDE 43291 43291 283 670 SWIM AMERICA 253931 15457 238474 27128 41753 0 297222 15457 281765 27411 42423 69834 211931 true true X true X true X true true false false 6510937 3132618 3378319 0.00860 104236592 99816856 4419736 0.01130 110747529 102949474 7798055 0.01990 876782 0 876782 0.00220 18926969 121790 18805179 0.04810 15419494 14557450 862044 0.00220 11819 0 11819 35235064 14679240 20555824 0.05250 145982593 117628714 28353879 0.07240 true 3173195 9523772 13659950 -4136178 X true true Women & Infants Hospital of Rhode Island

101 Dudley Street Providence RI 02905

X X X Women & Infants Hospital

200 Chestnut Street Providence RI 02905

X Women & Infants Hospital

200 Toll Gate Rd Suite 101 Warwick RI 02886

LAB DRAWING STATION Women & Infants Hospital

134 Thurbers Avenue Providence RI 02905

X HOSPITAL DEPARTMENTS (AUDIOLOGY, PROJECT LINK, ETC.) Women & Infants Hospital

One Randall Square Providence RI 02904

LAB DRAWING STATION Women & Infants Hospital

247 Roosevelt Avenue Pawtucket RI 02860

LAB DRAWING STATION Women & Infants Hospital

38 Amaral Street East Providence RI 02915

LAB DRAWING STATION Women & Infants Hospital

2213 Mendon Road Woonsocket RI 02895

LAB DRAWING STATION Women & Infants Hospital

407 East Avenue Pawtucket RI 02860

LAB DRAWING STATION Women & Infants Hospital

18 Imperial Place Suite 2G Providence RI 02903

LAB DRAWING STATION Women & Infants Hospital

11 Wells Street Westerly RI 02891

lab drawing station Women & Infants Hospital

1 Blackstone Place Providence RI 02903

MEDICAL Women & Infants Hospital

695 Eddy Street Providence RI 02903

MEDICAL UROGYNECOLOGY AND LAB DRAWING STATION Women & Infants Hospital

725 Reservoir Avenue Cranston RI 02920

Lab drawing station Women & Infants Hospital

215 Toll Gate Road Warwick RI 02886

Lab drawing station Women & Infants Hospital

2 Dudley Street Providence RI 02905

MEDICAL OFFICE BUILDING Women & Infants Hospital

49 South County Commons Way Wakefield RI 02879

MEDICAL OFFICE BUILDING AND HEALTH EDUCATION Women & Infants Hospital

367 New Boston Road Fall River MA 02724

MEDICAL/PHYSICIAN OFFICES Women & Infants Hospital

235 Plain Street Providence RI 02905

lab drawing station Women & Infants Hospital

2358 South County Trail 2 East Greenwich RI 02818

LAB DRAWING STATION Women & Infants Hospital

50 Holden Street Providence RI 02908

X HOSPITAL DEPARTMENT BROWN CENTER- CHILDREN AT RISK Women & Infants Hospital

750 Washington Street 36 Boston MA 02111

X IVF TUFT SUITE Women & Infants Hospital

79 Plain Street Providence RI 02903

Medical Women & Infants Hospital

17 Cocasset Street Foxboro MA 02035

PHYSICIAN PRACTICE Women & Infants Hospital

900 Warren Avenue East Providence RI 02914

LAB DRAWING STATION Women & Infants Hospital

107 Fairhaven Road Mattapoisett MA 02739

PHYSICIAN PRACTICE Women & Infants Hospital

1407 South County Trail East Greenwich RI 02818

lab drawing station Women & Infants Hospital

1637 Mineral Spring Avenue North Providence RI 02904

lab drawing station Women & Infants Hospital

90 Plain Street Providence RI 02903

X MEDICAL PRACTICES Women & Infants Hospital

45 Main Street Wareham MA 02740

physician practice Women & Infants Hospital

333 Valley Road Middletown RI 02842

alternative care office Women & Infants Hospital

101 Plain Street Providence RI 02903

MEDICAL OFFICE Women & Infants Hospital

100 Dudley Street Providence RI 02905

X PHYSICIAN'S OFFICE Women & Infants Hospital

1050 Main St Unit A B East Greenwich RI 02818

MEDICAL OFFICE BUILDING AND HEALTH EDUCATION Women & Infants Hospital

2168 Diamond Hill Road Woonsocket RI 02895

MEDICAL OFFICE BUILDING AND HEALTH EDUCATION Women & Infants Hospital

2220 Gar Highway Swansea MA 02777

MEDICAL OFFICE BUILDING Women & Infants Hospital

6 Whipple Street North Attleboro MA 02760

MEDICAL OFFICE BUILDING AND HEALTH EDUCATION Women & Infants Hospital

70 Elm Street Providence RI 02905

HOSPITAL LABORATORY IF APPLICABLE, DESCRIBE THE INCOME-BASED CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. N/A - WOMEN & INFANTS HOSPITAL OF RHODE ISLAND USES THE FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. NOT APPLICABLE - WOMEN & INFANTS HOSPITAL OF RHODE ISLAND DOES NOT PREPARE AN ANNUAL COMMUNITY BENEFIT REPORT. PROVIDE AN EXPLANATION OF THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. A COST-TO-CHARGE RATIO WAS USED, THE SOURCE BEING THE MEDICARE COST REPORT FOR FY 2010, ADJUSTED FOR CERTAIN COSTS WHICH ARE PARTICULAR TO MEDICARE COST REPORTING, BUT NOT APPROPRIATE FOR PART 1, LINE 7, I.E., REMOVING THE REASONABLE COST EQUIVALENT FOR PHYSICIAN SERVICES IN W/S A-8-2, REMOVING THE RELATED PARTY COSTS (OTHER THAN HOME OFFICE), ALLOWING THE FULL PENSION EXPENSE, ETC. WORKSHEET 2, "RATIO OF PATIENT CARE COST-TO-CHARGES" WAS USED TO COMPLETE THE COST-TO-CHARGE RATIO USED IN PART 1, LINE 7. 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. WOMEN & INFANTS HOSPITAL OF RHODE ISLAND INCLUDED SHORTFALLS FROM DIRECT PROGRAMS COSTS AND ALLOCATED OVERHEAD, LESS ANY REIMBURSEMENT FOR ITS PSYCHIATRIC AND HOSPITALISTS SERVICES. 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. $8,104,361. 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. LINE 4 - (D) DESCRIBE THE RATIONALE, IF ANY, FOR INCLUDING ANY PORTION OF BAD DEBT AS COMMUNITY BENEFIT. N/A WOMEN & INFANTS HOSPITAL OF RHODE ISLAND, CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) FOR YEARS ENDED SEPTEMBER 30, 2009 AND 2008. IN ADDITION TO THE COST OF CHARITY CARE AND OTHER COMMUNITY SERVICE PROGRAMS, THE HOSPITAL PROVIDED $8,104,361 AND $6,890,996 FOR UNCOLLECTIBLE PATIENT ACCOUNTS DURING THE YEARS ENDED SEPTEMBER 30, 2009 AND 2008, RESPECTIVELY. 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. 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. WOMEN & INFANTS HOSPITAL OF RHODE ISLAND DOES NOT PURSUE COLLECTION FOR THOSE PATIENTS WHO QUALIFY FOR 100% FINANCIAL ASSISTANCE. 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 HARDSHIPS. NOT APPLICABLE PART VI, LINE 2: Women & Infants Hospital, a teaching hospital of The Warren Alpert Medical School of Brown University, is committed to improving the health and well being of women and infants and to providing our essential services regardless of ability to pay. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY. A NOTICE OF FINANCIAL AID APPEARS ON ALL STATEMENTS SENT TO PATIENTS. IT IS ALSO 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). UNINSURED AND UNDERINSURED PATIENTS ARE COUNSELED AT THE POINT OF SERVICE OR DURING THE BILLING PROCESS ABOUT ANY FEDERAL, STATE OR LOCAL PROGRAMS THAT THEY MAY BE ELIGIBLE FOR, AND ASSISTANCE WITH APPLICATIONS IS ALSO PROVIDED. PART VI, LINE 4: WOMEN & INFANTS HOSPITAL OF RHODE ISLAND SERVES THE HEALTH CARE NEEDS OF WOMEN AND NEWBORNS IN RHODE ISLAND, SOUTHEASTERN MASSACHUSETTS AND EASTERN CONNECTICUT. TO BEST SERVE THE NEEDS OF THESE INDIVIDUALS, THE HOSPITAL OPERATES MEDICAL OFFICE BUILDINGS IN EAST GREENWICH, SOUTH COUNTY AND WOONSOCKET, RI, AND NORTH ATTLEBORO AND SWANSEA, MA. IN ADDITION, HOSPITAL SERVICE LINES AND PHYSICIANS TREAT PATIENTS IN NORWICH AND NEW LONDON, CT, AND ATTLEBORO, FALL RIVER, FOXBORO, NEW BEDFORD, MA AND OTHER SOUTHEASTERN MA COMMUNITIES. NOT APPLICABLE PART VI, LINE 6: WOMEN & INFANTS HOSPITAL PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES THROUGH THE FOLLOWING PROGRAMS THAT ADDRESS COMMUNITY INITIATIVES SET BY THE RHODE ISLAND DEPARTMENT OF HEALTH HEALTHY RHODE ISLANDERS 2010 LEADING HEALTH INDICATORS: WOMEN & INFANTS HOSPITAL PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES THROUGH THE FOLLOWING PROGRAMS THAT ADDRESS COMMUNITY INITIATIVES SET BY THE RHODE ISLAND DEPARTMENT OF HEALTH HEALTHY RHODE ISLANDERS 2010 LEADING HEALTH INDICATORS: OBJECTIVE 4: SUBSTANCE ABUSE OBJECTIVE 5: RESPONSIBLE SEXUAL BEHAVIOR OBJECTIVE 6: MENTAL HEALTH OBJECTIVE 7: INJURY AND VIOLENCE OBJECTIVE 9: IMMUNIZATION OBJECTIVE 10: ACCESS TO HEALTH CARE UNCOMPENSATED CARE WOMEN & INFANTS PROVIDES UNCOMPENSATED CARE TO WOMEN AND NEWBORNS IN THE COMMUNITY IN NEED OF HEALTH CARE. COMMUNITY PARTNERSHIPS WOMEN & INFANTS IS ENGAGED WITH THE FOLLOWING ORGANIZATIONS IN A VARIETY OF WAYS INCLUDING SUPPORTING COMMUNITY EDUCATION AND AWARENESS PROGRAMS, PROVIDING SPACE FOR MEETINGS OR CONFERENCES, AND PARTICIPATING ON VARIOUS BOARDS AND COMMITTEES WORKING TO IMPROVE THE HEALTH OF THE COMMUNITY: ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION CHILDREN'S FRIEND AND SERVICE CHISPA DAY ONE E.W. FLYNN MODEL ELEMENTARY SCHOOL HEALTHY MOTHERS, HEALTHY BABIES KIDSCOUNT MARCH OF DIMES MEETING STREET SCHOOL NATIONAL ASSOCIATION OF SOCIAL WORKERS OCEAN STATE ADULT IMMUNIZATION COALITION PARTNERSHIP TO REDUCE CANCER PROGRESSO LATINO PROVIDENCE RONALD MCDONALD HOUSE RHODE ISLAND ASSOCIATION FOR CARDIAC CHILDREN RHODE ISLAND DEPARTMENT OF HEALTH RHODE ISLAND DEPARTMENT OF HEALTH OFFICE OF MINORITY HEALTH RHODE ISLAND DEPARTMENT OF CHILDREN, YOUTH AND FAMILIES (DCYF) RHODE ISLAND BLOOD CENTER RHODE ISLAND OSTEOPOROSIS COALITION RHODE ISLAND PARENTING INFORMATION NETWORK RHODE ISLAND NETWORK OF CARE FOR BEHAVIORAL HEALTH RHODE ISLAND COUNCIL ON ALCOHOLISM AND OTHER DRUG ADDICTION RHODE ISLAND STATE NURSES ASSOCIATION WOMEN'S HEALTH COUNCIL UNITED WAY URBAN LEAGUE RESEARCH AND ACADEMIC EDUCATION AS A MAJOR TEACHING AND RESEARCH FACILITY AFFILIATED WITH THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, WOMEN & INFANTS CONDUCTS CUTTING-EDGE RESEARCH ON A WIDE VARIETY OF HEALTH CARE CONCERNS AFFECTING WOMEN AND NEWBORNS, INCLUDING PRE-TERM DELIVERY, GYNECOLOGIC CANCERS, INFERTILITY, THE DEVELOPMENT OF LOW BIRTH WEIGHT INFANTS, POSTPARTUM DEPRESSION, AND UTERINE PROLAPSE. THE GOALS OF THE RESEARCH ARE TO DISCOVER THE UNDERLYING CAUSES OF DISEASES AND CONDITIONS THAT AFFECT THESE POPULATIONS TO IMPROVE AND PROLONG THEIR LIVES. AS THE FLAGSHIP HOSPITAL FOR BROWN IN OBSTETRICS, GYNECOLOGY AND NEONATOLOGY, WOMEN & INFANTS PROVIDES EDUCATION AND TRAINING FOR MEDICAL STUDENTS AND RESIDENTS. THE HOSPITAL WELCOMES NEW FELLOWS EACH YEAR WHO SEEK HIGH-LEVEL TRAINING IN SPECIFIC AREAS OF INTEREST. IN ADDITION, THE HOSPITAL PROVIDES CLINICAL EDUCATION FOR NURSING, PHARMACY AND OTHER STUDENTS FROM SCHOOLS FROM ACROSS THE COUNTRY. PUBLIC AND PROFESSIONAL EDUCATION PROGRAMS WOMEN & INFANTS' LEADERSHIP BELIEVES COMMUNITY EDUCATION AND INFORMATION IS CRITICAL TO IMPROVING TREATMENT OUTCOMES THROUGH EARLY RECOGNITION OF A POSSIBLE PROBLEM. EACH YEAR, THE HOSPITAL SPONSORS PUBLIC AND PROFESSIONAL EDUCATION PROGRAMS ON SUCH TOPICS AS ONCOLOGY RESEARCH, NEWBORN AUDIOLOGY, BREAST CANCER, URINARY INCONTINENCE, AND PRETERM BIRTH. THE HOSPITAL ALSO PARTICIPATES IN ONGOING HEALTH EDUCATION ACTIVITIES OFFERED BY ITS CARE NEW ENGLAND PARTNERS. PATIENT AND FAMILY RESOURCE CENTER WOMEN & INFANTS OFFERS ACCESS TO FREE INFORMATION ON A VARIETY OF HEALTH TOPICS RELATED TO WOMEN AND NEWBORNS THROUGH ITS PATIENT AND FAMILY RESOURCE CENTER LOCATED IN THE HOSPITAL'S MAIN LOBBY. STAFF IN THE RESOURCE CENTER IS ABLE TO HELP WITH INTERNET SEARCHES ON A BANK OF COMPUTERS AS WELL. PATIENT EDUCATION CENTERS WITH A VAST AMOUNT OF RESOURCES FOR PATIENTS AND FAMILY MEMBERS ARE ALSO AVAILABLE IN THE HOSPITAL'S FIVE MEDICAL OFFICE BUILDINGS ACROSS SOUTHEASTERN NEW ENGLAND. SUPPORT GROUPS THE HOSPITAL PROVIDES A VARIETY OF FREE SUPPORT GROUPS TO MEMBERS OF THE COMMUNITY, INCLUDING THOSE FOR WOMEN WITH VARIOUS FORMS OF GYNECOLOGIC OR BREAST CANCER, WOMEN WHO HAVE TESTED POSITIVE FOR THE BRCA GENES THAT INDICATE A HIGHER RISK OF HAVING BREAST OR OVARIAN CANCER, COUPLES WHO HAVE EXPERIENCED A PREGNANCY LOSS, NEW PARENTS, AND WOMEN WITH CROHN'S DISEASE. INTERPRETER SERVICES WOMEN & INFANTS HAS AN EXTENSIVE LIST OF EMPLOYEES WHO SPEAK LANGUAGES OTHER THAN ENGLISH WHO CAN BE CALLED UPON TO PROVIDE FREE INTERPRETING SERVICES FOR PATIENTS AND THEIR FAMILY MEMBERS. THE HOSPITAL DESIGNATES TWO LEVELS OF INTERPRETERS - THOSE WHO CAN PROVIDE BASIC SERVICES AND OTHERS WHO HAVE BEEN TESTED AND APPROVED TO PROVIDE MEDICAL INTERPRETATION. WHEN INTERPRETERS ARE NOT AVAILABLE WITHIN THE HOSPITAL, WOMEN & INFANTS CAN PROVIDE THE SERVICE THROUGH THE AT&T LANGUAGE LINE. SIGN LANGUAGE INTERPRETERS ARE ALSO AVAILABLE. BOTH OF THESE SERVICES ARE ALSO FREE. 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, KENT AND WOMEN & INFANTS - 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 A 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 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 & INFANTS HOSPITAL - 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 CARE FOR NEW MOTHERS, THE ELDERLY AND THE TERMINALLY ILL. true BROWN UNIVERSITY CONTROLLERS OFC BOX J PROVIDENCE RI 02912 050258809 501(C)(3) 650000 SHARED PROGRAMS 1 0 Description of Organization's Procedures for Monitoring the Use of Grants FORM 990, SCHEDULE I, PART I, LINE 2 THE HOSPITAL PROVIDES FUNDS TO BROWN UNIVERSITY FOR SHARED PROGRAMS. SHARED CHAIR PROGRAM SUPPORT WAS $650,000 FOR FISCAL YEAR 2010. FORM 990, SCHEDULE I, PART I, LINE 2 EXPENSES ARE APPROVED BY THE PRESIDENT/CEO AND REVIEWED BY ACCOUNTING PRIOR TO PROCESSING PAYMENT. X true true X X X X false true false false false true true false false CONSTANCE A HOWES JD FACHE 482357 0 194976 0 33106 0 139642 0 6354 0 856435 0 34976 0 DEMOSTHENES ARGYS 140616 0 120463 0 30810 0 18031 0 6513 0 316433 0 12465 0 DEBRA M PAUL CPA MBA 282682 0 121523 0 39825 0 79324 0 3468 0 526822 0 0 0 DANIEL MICHAUD 177629 0 46579 0 16430 0 17612 0 8481 0 266731 0 0 0 KAREN DAVIE 215403 0 134536 0 7271 0 21526 0 11617 0 390353 0 0 0 PAULA GILLETTE 218012 0 58748 0 21683 0 50795 0 10134 0 359372 0 0 0 PATRICE DIMARIO 214657 0 115204 0 24246 0 94883 0 10376 0 459366 0 42148 0 ELIAS NEUJAHR 153047 0 40317 0 1798 0 10861 0 9937 0 215960 0 0 0 JAMES WATKINS 192556 0 0 0 1518 0 13240 0 8264 0 215578 0 0 0 WILLIAM LAWRENCE MD 424662 0 114771 0 23281 0 0 0 12037 0 574751 0 0 0 KAREN ROSENE-MONTELLA MD 423741 0 51255 0 6330 0 0 0 2005 0 483331 0 0 0 CORNELIUS GRANAI MD 544227 0 89852 0 20865 0 0 0 8663 0 663607 0 0 0 RAYMOND POWRIE MD 312982 0 82747 0 22953 0 58103 0 7857 0 484642 0 0 0 JANET SCHIPPER 192922 0 10620 0 11281 0 0 0 15528 0 230351 0 0 0 JOHN M SUTHERLAND III 388800 0 148277 0 34279 0 118991 0 11430 0 701777 0 26480 0 THOMAS R COURAGE 298120 0 271125 0 41222 0 95947 0 10691 0 717105 0 175315 0 DOMENIC DELMONICO 243771 0 176401 0 20722 0 75473 0 8420 0 524787 0 19207 0 GAIL COSTA 234885 0 117093 0 32183 0 98823 0 7343 0 490327 0 43722 0 MAYBELLE KERNAN 212271 0 195095 0 23139 0 85163 0 9718 0 525386 0 124378 0 JOANNA M CAIN MD 489707 0 56974 0 21901 0 30597 0 11937 0 611116 0 0 0 JAMES F PADBURY MD 381333 0 267182 0 21008 0 75128 0 9286 0 753937 0 222322 0 JOSEPH RODA 121881 0 26013 0 6279 0 10764 0 1810 0 166747 0 0 0 THOMAS HUGHES 146613 0 18739 0 1519 0 11022 0 2875 0 180768 0 0 0 RICHARD MOORE MD 374821 0 54559 0 3162 0 0 0 8865 0 441407 0 0 0 SANDRA CARSON MD 387667 0 24590 0 4127 0 0 0 8431 0 424815 0 0 0 Supplemental Compensation Information SCHEDULE J, PART I, LINE 1B PAYMENTS MADE TO SOCIAL CLUB FOR DUES ARE MADE IN ACCORDANCE WITH EMPLOYMENT CONTRACTS. SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THEIR TOTAL 2009 CONTRIBUTION TO THE NONQUALIFIED PLAN ARE REPORTED BELOW. THE SERP SPLIT DOLLAR AMOUNTS ARE INCLUDED IN THE INDIVIDUAL'S 2009 COMPENSATION, REPORTED IN THE OTHER REPORTABLE COMPENSATION COLUMN ON SCHEDULE J, PART II AND J-II. THE EXECUTIVE RETIREMENT STIPEND AMOUNTS ARE INCLUDED IN THE INDIVIDUAL'S 2009 COMPENSATION, REPORTED IN THE BONUS AND INCENTIVE COMPENSATION COLUMN. SERP SPLIT DOLLAR LIFE INSURANCE: GAIL COSTA - $3,766; THOMAS COURAGE - $6,673; PATRICE DIMARIO - $2,001; CONSTANCE HOWES - $4,649; MAYBELLE KERNAN - $2,516; JOHN SUTHERLAND - $2,820; EXECUTIVE RETIREMENT STIPEND: DEBRA PAUL - $51,140; KAREN DAVIE - $64,967; DOMENIC DELMONICO - $78,450; DEMOSTHENES ARGYS - $64,120. SCHEDULE J, PART I, LINE 6 COMPENSATION FOR CERTAIN INDIVIDUALS IS EARNED AND ACCRUED BASED ON BOTH SHORT AND LONG TERM INCENTIVE PROGRAMS. THE SHORT TERM INCENTIVE PROGRAM PROVIDES AN OPPURTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACHIEVMENT OF CRITICAL STRETCH GOALS THAT RECOGNIZE PERFORMANCE ABOVE EXPECTATIONS. THESE GOALS ARE MEASURED FOR EACH FISCAL PERIOD IN THE FOLLOWING CRITICAL AREAS: QUALITY, FINANCIAL, PATIENT SATISFACTION, AND INNOVATION & GROWTH. THE LONG-TERM INCENTIVE PROGRAM PROVIDES AN OPPURTUNITY 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 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, AND STRATEGIC OBJECTIVE. SCHEDULE J, PART VII DEFERRED COMPENSATION IS SUBJECT TO FORFEITURE BY THE INDIVIDUAL BASED ON THE PROVISIONS OF THE PLAN. SCHEDULE J, PART VII AND FORM 990, PART VII AMOUNTS REPORTED FOR INDIVIDUALS LISTED IN PART VII AND SCHEDULE J, PART II ARE BASED ON CALENDAR YEAR 2009 W-2 FORM DATA. Kathleen Cote Bowling MD Director 24178 Hospital leases space from false Kathleen Cote Bowling MD Director 19500 Leases space from Hospital false Fred Brosco MD Director 26422 Med practice leases space from false Lisa Churchville Director Mgr WJAR-carries hosp adverts false Margaret D Farrell Director 110443 partner in firm-legal services false Robert G Flanders Director 110443 partner in firm-legal services false William Hatfield Director 309887 ee of bank - holds hosp accts false Constance A Howes President/CEO 502897 spouse ptnr in firm-legal svcs false Debra M Paul Senior Vice President/CFO 10340 on committee CU-Leases space false Cynthia Reed Director 14149 spouse ptnr in firm-legal svcs false Cynthia Reed Director 2242993 DELTA DENTAL HOSP-INSURANCE false X 3 10400 other X 216795 other X 290000 cost/selling price X gift cards or certificates 33 8300 cost/selling price 0 false true true NONCASH GIFTS Schedule M, Part i, Question 30a The Hospital uses the services of Merrill Lynch for donations of stock. SUPPLEMENTAL INFORMATION FORM 990, PART VI, LINE 3 THE HOSPITAL UTILIZES THE SERVICES OF SODEXHO MARRIOTT FOR THE MANAGEMENT OF FOOD SERVICES AND HOUSEKEEPING. CORPORATE GOVERNANCE FORM 990, PART VI, QUESTION 6 CARE NEW ENGLAND HEALTH SYSTEM HAS CORPORATE GOVERNANCE OVER WOMEN & INFANTS HOSPITAL OF RHODE ISLAND AND IS THE SOLE CORPORATE MEMBER. MEMBERS/STOCKHOLDERS WHO MAY ELECT ONE OR MORE MEMBERS OF GOV BODY FORM 990, PART VI, QUESTION 7A ARTICLE II, BOARD OF TRUSTEES. SECTION1. COMPOSITION AND ELECTION OF THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES SHALL CONSIST OF THE PRESIDENT AND THE PRESIDENT OF THE MEDICAL STAFF, EX OFFICIOS, AND NOT LESS THAN EIGHT (8) NOR MORE THAN TWENTY-THREE (23) ELECTED TRUSTEES, ONE (1) TO BE ELECTED BY 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 (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 MEMBERS AND BEST ALLOW TRUSTEES WHOSE TERMS DO NOT EXPIRE AT SAID ANNUAL MEETING TO CONTINUE THIR 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 CLASSTO 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. APPROVAL BY MEMBERS, STOCKHOLDERS OR OTHER PERSONS FORM 990, PART VI, QUESTION 7B ARTICLE II RIGHTS OF CORPORATE MEMBER SECTION 2.01. RESERVED POWERS. NOTWITHSTANDING 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 B 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 AND THE CORPORATE FINANCE OFFICER CONDUCT THE INITIAL MANAGEMENT REVIEW. THE COMPLETED FORM 990 AND RESPECTIVE SCHEDULES (A THRU R EXCEPT SCHEDULE J) IS PRESENTED BY THE ASSOCIATE VICE PRESIDENT OF FINANCE TO THE FINANCE COMMITTEE FOR REVIEW AND COMMENT. THE COMPENSATION COMMITTEE REVIEWS SALARY AND OTHER COMPENSATION OF INDIVIDUALS DISCLOSED IN SCHEDULE J. 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 WIHRI HAS ADOPTED CNE'S CONFLICT OF INTEREST POLICY. 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 TRANSACTION OR ARRANGEMENT THAT INVOLVES 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 AND 15B WOMEN & INFANTS CORPORATION FOLLOWS THE WIH COMPENSATION COMMITTEE POLICY AS IT RELATES TO COMPENSATION REVIEW. THE BOARD OF TRUSTEES OF WOMEN & INFANTS HOSPITAL OF RHODE ISLAND (WIH) HAS A COMMITTEE OF TRUSTEES KNOWN AS THE WIH COMPENSATION COMMITTEE (THE COMMITTEE). THE COMMITTEE IS RESPONSIBLE FOR DISCHARGING THE BOARD'S RESPONSIBILITIES REGARDING THE TOTAL COMPENSATION PROGRAM FOR WIH EXECUTIVES AND KEY PHYSICIANS IN CONJUNCTION WITH THE WIH PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE COMMITTEE AT ALL TIMES CONDUCTS ITSELF FREE FROM EXECUTIVE MANAGEMENT IN ITS DECISION MAKING PROCESS EXCEPT WITH RESPECT TO DECISIONS RELATING TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER WHICH ARE MADE IN CONJUNCTION WITH THE CARE NEW ENGLAND CHIEF EXECUTIVE OFFICER. PURPOSE THE COMMITTEE'S PURPOSE IS TO ASSIST THE BOARD IN DEVELOPING AND IMPLEMENTING COMPENSATION STRATEGIES, POLICIES AND PLANS THAT WILL ENHANCE THE HOSPITAL'S ABILITY TO ATTRACT AND RETAIN SKILLED EXECUTIVE OFFICERS, PHYSICIANS, OFFICERS AND EMPLOYEES. DUTIES AND RESPONSIBILITIES EXECUTIVE AND KEY PHYSICIAN COMPENSATION: - REVIEW AND APPROVE GOALS AND OBJECTIVES FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (THE "CEO") OF THE HOSPITAL. SUCH REVIEW SHALL BE DONE IN CONJUNCTION WITH THE CEO OF CARE NEW ENGLAND (CNE). - MAKE A RECOMMENDATION AS TO THE COMPENSATION FOR THE CEO TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF CNE (THE "CNE COMPENSATION COMMITTEE") CONSIDERING THE PERFORMANCE BY THE CEO RELATIVE TO GOALS AND OBJECTIVES. - CONDUCT AN ANNUAL EVALUATION OF THE PERFORMANCE OF THE CEO, WHICH EVALUATION PROCESS SHALL INCLUDE AN OPPORTUNITY FOR INPUT BY INDIVIDUAL TRUSTEES. THE SUBSTANCE OF SUCH EVALUATION SHALL BE REPORTED TO THE BOARD. THE RECOMMENDATION OF THE COMMITTEE WITH RESPECT TO THE COMPENSATION AND BENEFITS OF THE CEO SHALL BE REPORTED TO THE BOARD SITTING IN EXECUTIVE SESSION, INCLUDING BOTH ELECTED AND EX-OFFICIO TRUSTEES, EXCEPT FOR THOSE TRUSTEES WHO ARE EMPLOYEES OF THE HOSPITAL. FOLLOWING PRESENTATION OF THE FOREGOING REPORT TO THE BOARD, FINAL DECISION REGARDING SUCH COMPENSATION AND BENEFITS SHALL BE MADE BY THE CEO OF CNE WHICH FINAL DECISION, IF AT VARIANCE FROM THE RECOMMENDATION OF THE COMMITTEE, SHALL BE MADE AFTER CONSULTATION WITH THE BOARD. - ASSIST THE BOARD BY PROVIDING OVERSIGHT REGARDING THE REASONABLENESS OF THE TOTAL COMPENSATION AND BENEFITS ARRANGEMENTS FOR SENIOR EXECUTIVES AND KEY PHYSICIANS IN CONJUNCTION WITH THE WIH PRESIDENT AND CHIEF EXECUTIVE OFFICER. - REVIEW ANY EXECUTIVE AND KEY PHYSICIAN COMPENSATION FOR COMPLIANCE WITH ALL LEGAL REQUIREMENTS RELATING TO COMPENSATION AND IN A MANNER THAT ALIGNS WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE "INTERMEDIATE SANCTIONS" REGULATIONS OF THE INTERNAL REVENUE SERVICE, AS SUCH MAY BE IN EFFECT FROM TIME TO TIME. SUCH REVIEW MAY INCLUDE, WITHOUT LIMITATION, COMPONENTS OF COMPENSATION SUCH AS STANDARD CONTRACT PROVISIONS, BASE SALARY, INCENTIVE PAYMENTS, BENEFITS AND SEVERANCE AGREEMENT IN CONJUNCTION WITH THE WIH PRESIDENT AND CHIEF EXECUTIVE OFFICER. COMPENSATION STRATEGY AND PLANS: - PERIODICALLY REVIEW THE COMPENSATION STRATEGY, PLANS AND PROGRAMS OF THE HOSPITAL AND CNE AS THEY RELATE TO EXECUTIVES AND KEY PHYSICIANS. PROVIDE GUIDANCE WITH RESPECT TO GENERAL COMPENSATION GOALS AND OPERATING PRINCIPLES RELATING TO HOSPITAL EMPLOYEES IN GENERAL. - PERIODICALLY REVIEW RELEVANT COMPARATIVE DATA TO ASSESS THE HOSPITAL'S COMPENSATION PRACTICES, INCLUDING SALARY LEVELS, IN COMPARISON TO COMPENSATION PRACTICES OF APPROPRIATE, COMPARABLE INSTITUTIONS THAT MAY BE DETERMINED FROM TIME TO TIME. - PERIODICALLY REVIEW ALL SIGNIFICANT BENEFIT PLANS THAT APPLY TO HOSPITAL EMPLOYEES GENERALLY. GENERAL - PERFORM ANY OTHER DUTIES AND RESPONSIBILITIES AS THE BOARD MAY DEEM NECESSARY, ADVISABLE OR APPROPRIATE FOR THE COMMITTEE TO PERFORM. - PERFORM SUCH OTHER DUTIES AND RESPONSIBILITIES AS THE COMMITTEE DEEMS APPROPRIATE TO CARRY OUT ITS PURPOSE AS PROVIDED IN ITS CHARTER. - REPORT ON A REGULAR BASIS, BUT NO LESS FREQUENTLY THAN ANNUALLY, TO THE BOARD. RESOURCES AND AUTHORITY OF THE COMMITTEE - THE COMMITTEE SHALL HAVE THE RESOURCES AND AUTHORITY APPROPRIATE TO DISCHARGE ITS DUTIES AND RESPONSIBILITIES, INCLUDING THE SOLE AUTHORITY TO SELECT, RETAIN, TERMINATE AND APPROVE THE ENGAGEMENT AND OTHER RETENTION TERMS OF SPECIAL COUNSEL OR OTHER EXPERTS OR CONSULTANTS, AS IT DEEMS APPROPRIATE. THE COMMITTEE MAY DELEGATE ITS FUNCTIONS TO OTHERS AS IT MAY DETERMINE FROM TIME TO TIME, AND MAY UTILIZE ANY OTHER RESOURCES IT DEEMS NECESSARY TO CARRY OUT ITS DUTIES AND RESPONSIBILITIES. MEMBERSHIP THE COMMITTEE WILL INCLUDE AT LEAST THREE (3) MEMBERS OF THE BOARD OF TRUSTEES OF THE HOSPITAL OR THE BOARD OF DIRECTORS OF THE CORPORATE MEMBER, ONE OF WHOM SHALL SERVE AS THE CHAIRMAN. IF THE CHAIRMAN OF THE BOARD IS NOT A MEMBER OF SAID COMMITTEE, SAID OFFICER MAY ATTEND MEETINGS OF THE COMMITTEE AS A GUEST. ALL MEMBERS OF THE COMMITTEE SHALL BE "INDEPENDENT", AS SAID TERM IS DEFINED BY RESOLUTION OR RESOLUTIONS ADOPTED FROM TIME TO TIME BY THE BOARD, AND AS SUCH RESOLUTIONS MAY BE AMENDED FROM TIME TO TIME. THE CHIEF EXECUTIVE OFFICER OF CARE NEW ENGLAND HEALTH SYSTEM ("CNE") MAY ALSO PARTICIPATE IN THE DELIBERATIONS OF SUCH COMMITTEE. ALL NOMINATIONS FOR COMMITTEE CHAIRS, VICE CHAIRS, CO-CHAIRS AND MEMBERS WILL BE PRESENTED TO THE GOVERNANCE & NOMINATING COMMITTEE FOR REVIEW AND APPROVAL. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 WOMEN & INFANTS' HOSPITAL OF RHODE ISLAND'S CORPORATE DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY MAIL UPON WRITTEN REQUEST. FINANCIAL STATEMENTS FORM 990, PART XI, QUESTION 2 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CARE NEW ENGLAND HEALTH SYSTEM & AFFILIATES ("CNE") CONSOLIDATED FINANCIAL STATEMENTS. THE CNE CONSOLIDATED STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT AND THE CONSOLIDATED AUDIT IS REVIEWED BY THE CARE NEW ENGLAND AUDIT COMMITTEE. BUSINESS TRANSACTIONS WITH INTERESTED PERSONS FORM 990, SCHEDULE L, PART IV LISA CHURCHVILLE IS THE DIRECTOR OF WOMEN & INFANTS HOSPITAL OF RHODE ISLAND AS WELL AS THE MANAGER OF WJAR-TV WHICH CARRIED HOSPITAL ADVERTISEMENTS. THE AMOUNT IS INDETERMINATE FOR PURPOSES OF SCHEDULE L, PART IV. W&I ANCILLARY SERVICES INC 300 RICHMOND STREET PROVIDENCE RI 02903 200222992 HEALTH CARE RI 0 0 WIHRI Butler Hospital 345 Blackstone Boulevard Providence RI 02906 050258812 HOSPITAL RI 501(c)(3) 3 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 Memorial Hospital 455 Toll Gate Road Warwick RI 02886 050258896 HOSPITAL RI 501(c)(3) 3 NA Kent County Visiting Nurse Assoc 51 Health Lane Warwick RI 02886 050242659 Visiting Nurs 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 CARE NEW ENGLAND HEALTH SYSTEM 45 WILLARD AVENUE PROVIDENCE RI 02905 050490997 HOLDING CO RI 501(c)(3) 11-TYPE III NA W&I INDEMNITY LTD 101 Dudley Street Providence RI 02905 980159342 INSURANCE CJ wih C 19631639 96116106 1.00000 TOLL GATE INDEMNITY LTD 23 LIME TREE BAY AVE PO BOX 1051 GRAND CAYMAN CAYMAN ISLAND CJ KY1-110 342028514 INSURANCE CJ KCMH C false false false false false false false false false true true false false true true true true false WOMEN & INFANTS CORPORATION (RENT) J 652431 WOMEN & INFANTS CORPORATION (ACCOUNTING SERVI N 66840 W&I INDEMNITY LTD (INSURANCE PREMIUMS PD) Q 11767680 BUTLER HOSPITAL N 479665 BUTLER HOSPITAL O 52560 BUTLER HOSPITAL P 487375 KENT COUNTY VNA DBA VNA OF CNE K 19905 KENT COUNTY VNA DBA VNA OF CNE P 54275 KENT COUNTY MEMORIAL HOSPITAL K 70315 KENT COUNTY MEMORIAL HOSPITAL N 90054 KENT COUNTY MEMORIAL HOSPITAL O 583026 KENT COUNTY MEMORIAL HOSPITAL J 18150 KENT COUNTY MEMORIAL HOSPITAL P 490084