efile Public Visual Render
ObjectId: 202202239349301765 - Submission: 2022-08-11
TIN: 05-0258812
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
20
Open to Public Inspection
Name of the organization
BUTLER HOSPITAL
Employer identification number
05-0258812
Part I
Identification of Disregarded Entities.
Complete if the organization answered "Yes" on 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
(1)
CARRIAGE HOUSE LLC
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
20-8277056
RENTAL ESTATE
RI
712,173
2,673,501
BH
(2)
BUTLER HOSPITAL ALLIED MEDICAL SVCS LLC
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
45-3034297
HEALTHCARE
RI
0
0
BH
Part II
Identification of Related Tax-Exempt Organizations.
Complete if the organization answered "Yes" on 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)
BLACKSTONE HEALTH INC
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0427007
HEALTHCARE
RI
501(C)(3)
509(A)(1)
KCVNA
No
(2)
BUTLER HOSPITAL FOUNDATION
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
45-4530540
SUPPORT ORG
RI
501(C)(3)
509(A)(3)
BH
Yes
(3)
CARE NEW ENGLAND HEALTH SYSTEM
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0490997
HEALTHCARE
RI
501(C)(3)
509(A)(3)
NA
No
(4)
GRANDVIEW REALTY CORPORATION
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0384362
TITLE HLDG.
RI
501(C)(3)
509(A)(2)
TPC
No
(5)
GRANDVIEW SECOND CORPORATION
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
22-2812929
TITLE HLDG.
RI
501(C)(3)
509(A)(2)
TPC
No
(6)
HEALTHTOUCH INC
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0514949
HEALTHCARE
RI
501(C)(3)
509(A)(2)
KCVNA
No
(7)
KENT COUNTY MEMORIAL HOSPITAL
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0258896
HEALTHCARE
RI
501(C)(3)
HOSPITAL
CNE
No
(8)
KENT COUNTY VNA DBA VNA OF CNE
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0242659
HEALTHCARE
RI
501(C)(3)
509(A)(1)
CNE
No
(9)
KENT HOSPITAL FOUNDATION
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0514640
SUPPORT ORG
RI
501(C)(3)
509(A)(3)
KCMH
No
(10)
NASHUA STREET CORPORATION
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0509674
TITLE HLDG.
RI
501(C)(3)
509(A)(2)
TPC
No
(11)
SHS VENTURES INC
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0510341
HEALTHCARE
RI
501(C)(3)
509(A)(2)
TMH
No
(12)
SOUTHEASTERN HEALTHCARE SYSTEM INC
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
06-1476858
HEALTHCARE
RI
501(C)(3)
509(A)(3)
CNE
No
(13)
STANDARD REALTY INC
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
22-2479719
INACTIVE
RI
501(C)(3)
509(A)(2)
TPC
No
(14)
THE MEMORIAL HOSPITAL
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0259004
HEALTHCARE
RI
501(C)(3)
HOSPITAL
SEHCS
No
(15)
THE MEMORIAL HOSPITAL FOUNDATION
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
46-3246618
HEALTHCARE
RI
501(C)(3)
509(A)(3)
TMH
No
(16)
THE PROVIDENCE CENTER INC
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0316969
HEALTHCARE
RI
501(C)(3)
509(A)(2)
CNE
No
(17)
TPC SOCIAL VENTURES INC
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0441980
TRAINING
RI
501(C)(3)
509(A)(2)
TPC
No
(18)
VNA OF CARE NEW ENGLAND FOUNDATION
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
46-2293974
SUPPORT ORG
RI
501(C)(3)
509(A)(3)
KCVNA
No
(19)
WIH FACULTY PHYSICIANS INC
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
04-3579432
HEALTHCARE
MA
501(C)(3)
509(A)(2)
WIH
No
(20)
WILSON STREET APARTMENTS
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0520857
TITLE HLDG.
RI
501(C)(3)
509(A)(2)
TPC
No
(21)
WOMEN AND INFANTS CORPORATION
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
02-2885807
HEALTHCARE
RI
501(C)(3)
509(A)(3)
CNE
No
(22)
WOMEN AND INFANTS DEVELOPMENT FOUNDATION
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
22-2885815
HEALTHCARE
RI
501(C)(3)
509(A)(3)
WIC
No
(23)
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0258937
HEALTHCARE
RI
501(C)(3)
HOSPITAL
WIC
No
(24)
CARE NEW ENGLAND AMBULATORY SURGERY CTR
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
87-1378551
INACTIVE
RI
501(C)(3)
509(A)(2)
CNE
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Page 2
Schedule R (Form 990) 2020
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on 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" on 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)
TOLL GATE INDEMNITY LTD
23 LIME TREE BAY AVE PO BOX 1051
GRAND CAYMAN
KY1-11
CJ
34-2028514
FINANCIAL VEHICLE
CJ
NA
C CORP.
No
(2)
W & I INDEMNITY LTD
23 LIME TREE BAY AVE PO BOX 1051
GRAND CAYMAN
KY1-11
CJ
98-0159342
FINANCIAL VEHICLE
CJ
NA
C CORP.
No
(3)
BOULEVARD MEDICAL CONDO ASSOCIATION
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
05-0497862
REAL ESTATE
RI
NA
C CORP.
No
(4)
CONTINUUM BEHAVIORAL HEALTH INC
4 RICHMOND SQUARE 4TH FL
PROVIDENCE
,
RI
02906
46-2853067
HEALTHCARE SVCS.
RI
NA
C CORP.
No
Schedule R (Form 990) 2020
Page 3
Schedule R (Form 990) 2020
Page
3
Part V
Transactions With Related Organizations.
Complete if the organization answered "Yes" on 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
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
Yes
e
Loans or loan guarantees by related organization(s)
............................
1e
Yes
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
Yes
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
Yes
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
CARE NEW ENGLAND HEALTH SYSTEM
M
17,700,636
COST
Schedule R (Form 990) 2020
Page 4
Schedule R (Form 990) 2020
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on 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 sections 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) 2020
Page 5
Schedule R (Form 990) 2020
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference
Explanation
SCHEDULE R, PART V
THIS ORGANIZATION IS A MEMBER OF CARE NEW ENGLAND HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.
Schedule R (Form 990) 2020
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