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ObjectId: 201402259349302805 - Submission: 2014-08-13
TIN: 22-2885807
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
Attach to Form 990.
See separate instructions.
OMB No. 1545-0047
20
12
Open to Public Inspection
Name of the organization
WOMEN & INFANTS CORPORATION
Employer identification number
22-2885807
Part I
Identification of Disregarded Entities
(Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
(Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
BUTLER HOSPITAL
345 BLACKSTONE BLVD
PROVIDENCE
,
RI
02906
05-0258812
HEALTHCARE
RI
501(C)(3)
HOSPITAL
CNE
No
(2)
CARE NEW ENGLAND HEALTH SYSTEM
45 WILLARD AVENUE
PROVIDENCE
,
RI
02905
05-0490997
HEALTHCARE
RI
501(C)(3)
509(A)(3)
N/A
No
(3)
HEALTHTOUCH INC
51 HEALTH LANE
WARWICK
,
RI
02886
05-0514949
HEALTHCARE
RI
501(C)(3)
509(A)(2)
KCVNA
No
(4)
KENT HOSPITAL FOUNDATION
455 TOLL GATE ROAD
WARWICK
,
RI
02886
05-0514640
SUPPORT ORG
RI
501(C)(3)
509(A)(3)
KCMH
No
(5)
KENT COUNTY MEMORIAL HOSPITAL
455 TOLL GATE ROAD
WARWICK
,
RI
02886
05-0258896
HEALTHCARE
RI
501(C)(3)
HOSPITAL
CNE
No
(6)
KENT COUNTY VNA DBA VNA OF CNE
51 HEALTH LANE
WARWICK
,
RI
02886
05-0242659
HEALTHCARE
RI
501(C)(3)
509(A)(2)
CNE
No
(7)
WIH FACULTY PHYSICIANS INC
67 BRIGHAM STREET
NEW BEDFORD
,
MA
02740
04-3579432
HEALTHCARE
MA
501(C)(3)
509(A)(2)
WIH
No
(8)
WOMAN & INFANTS DEVELOPMENT FOUNDATION
300 RICHMOND STREET
PROVIDENCE
,
RI
02903
22-2885815
HEALTHCARE
RI
501(C)(3)
509(A)(3)
WIC
Yes
(9)
WOMAN & INFANTS HOSPITAL OF RHODE ISLAND
300 RICHMOND STREET
PROVIDENCE
,
RI
02903
05-0258937
HEALTHCARE
RI
501(C)(3)
HOSPITAL
WIC
Yes
(10)
BUTLER HOSPITAL FOUNDATION
345 BLACKSTONE BLVD
PROVIDENCE
,
RI
02906
45-4530540
SUPPORT ORG
RI
501(C)(3)
509(A)(2)
BH
No
(11)
SOUTHEASTERN HEALTHCARE SYSTEM INC
111 BREWSTER STREET
PAWTUCKET
,
RI
02860
06-1476858
HEALTHCARE
RI
501(C)(3)
509(A)(3)
CNE
No
(12)
THE MEMORIAL HOSPITAL
111 BREWSTER STREET
PAWTUCKET
,
RI
02860
05-0259004
HEALTHCARE
RI
501(C)(3)
HOSPITAL
SEHCS
No
(13)
BLACKSTONE HEALTH INC
420 MAIN STREET
PAWTUCKET
,
RI
02860
05-0457007
HEALTHCARE
RI
501(C)(3)
509(A)(1)
SEHCS
No
(14)
SHS VENTURES INC
111 BREWSTER STREET
PAWTUCKET
,
RI
02860
05-0510341
HEALTHCARE
RI
501(C)(3)
509(A)(2)
TMH
No
(15)
THE MEMORIAL HOSPITAL FOUNDATION
111 BREWSTER STREET
PAWTUCKET
,
RI
02860
46-3246618
HEALTHCARE
RI
501(C)(3)
509(A)(3)
TMH
No
(16)
VNA OF CARE NEW ENGLAND FOUNDATION
51 HEALTH LANE
WARWICK
,
RI
02860
46-2293974
SUPPORT ORG
RI
501(C)(3)
509(A)(3)
KCVNA
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Page 2
Schedule R (Form 990) 2012
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
(Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
(Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
W & I INDEMNITY LTD
23 LIME TREE BAY AVE PO BOX 1051 K
GRAND CAYMAN
,
CAYMAN ISLANDS
CJ
98-0159342
FINANCIAL VEHICLE
CJ
WIH
C
No
(2)
TOLL GATE INDEMNITY LTD
23 LIME TREE BAY AVE PO BOX 1051 K
GRAND CAYMAN
,
CAYMAN ISLANDS
CJ
34-2028514
FINANCIAL VEHICLE
CJ
KCMH
C
No
(3)
BOULEVARD MEDICAL CONDO ASSOCIATION
111 BREWSTER STREET
PAWTUCKET
,
RI
02860
05-0497862
REAL ESTATE
RI
N/A
C
No
(4)
PRIMARY CARE CENTER OF NEW ENGLAND INC
111 BREWSTER STREET
PAWTUCKET
,
RI
02860
05-0423957
HEALTHCARE SERVICES
RI
N/A
C
No
Schedule R (Form 990) 2012
Page 3
Schedule R (Form 990) 2012
Page
3
Part V
Transactions With Related Organizations
(Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest
(ii)
annuities
(iii)
royalties or
(iv)
rent from a controlled entity
.
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1a
Yes
b
Gift, grant, or capital contribution to related organization(s)
.
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1b
No
c
Gift, grant, or capital contribution from related organization(s)
.
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1c
No
d
Loans or loan guarantees to or for related organization(s)
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1d
No
e
Loans or loan guarantees by related organization(s)
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1e
No
f
Dividends from related organization(s)
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1f
No
g
Sale of assets to related organization(s)
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1g
No
h
Purchase of assets from related organization(s)
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1h
No
i
Exchange of assets with related organization(s)
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1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
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1j
Yes
k
Lease of facilities, equipment, or other assets from related organization(s)
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1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
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1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
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1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
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1n
No
o
Sharing of paid employees with related organization(s)
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1o
No
p
Reimbursement paid to related organization(s) for expenses
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1p
No
q
Reimbursement paid by related organization(s) for expenses
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1q
No
r
Other transfer of cash or property to related organization(s)
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1r
No
s
Other transfer of cash or property from related organization(s)
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1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND (RENT)
A
618,810
COST
(2)
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND (ACCOUNTING SERVICES)
L
73,690
COST
Schedule R (Form 990) 2012
Page 4
Schedule R (Form 990) 2012
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
(Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2012
Page 5
Schedule R (Form 990) 2012
Page
5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier
Return Reference
Explanation
Additional Data
Software ID:
Software Version: