2020-08-14T12:03:16-07:00 2019-09-30 135565207 KPMG LLP Two Financial Center 60 South St Boston MA 02111 990 2018-10-01 050258806 Emma Pendleton Bradley Hospital EMMA 4014321000 1011 Veterans Memorial Parkway East Providence RI 02915 Mary A Wakefield Treasurer 2020-08-14 true Tara D'Agostino P01245482 6179881000 2018 2020-09-23 17:36:50Z Henry T Sachs III MD 95687923 false false X www.lifespan.org X 1957 RI As a member hospital in the Lifespan health system, Emma Pendleton Bradley Hospital (EPBH) is committed to its mission: Delivering health with care. 17 13 1037 128 0 2076419 1103599 72803664 77589047 2267238 2282932 2766057 3250228 79913378 84225806 900 3250 0 48322240 50597713 0 307805 28531802 30912164 76854942 81513127 3058436 2712679 126967712 126722131 35201166 36250883 91766546 90471248 X As a member hospital in the Lifespan health system, EPBH is committed to its mission: Delivering health with care. false false 58033505 3250 71587981 EPBH provides inpatient treatment for children ages 2 to 18 years suffering from serious behavioral disorders and/or developmental conditions such as mental retardation or autism who are in need of stabilization, assessment, and treatment for suicidal, destructive, self-injurious, or other dangerous or aggressive behaviors. EPBH also offers residential treatment providing intensive, family-centered services to children with emotional and behavioral problems which prevent them from living safely at home. (See also Schedule O) 8071222 7180222 The Bradley Hasbro Children's Research Center is devoted to the study and treatment of children at risk for serious mental disorders and behavior processes that support the intergenerational transmission of illness. The research areas are broad and include: Child and Adolescent Psychiatric Disorders, Pediatric Behavioral Health, Biological Basis of Psychiatric Disorders, Prevention and Early Intervention, Health Services Research, Pediatric Mood, Imaging & Neurodevelopment, Developmental Disorders Genetics Research, and Neuroplasticity/Autism Disorders. Included in total program expenses and revenue are approximately $600,000 of research grants from for-profit organizations that are not reported in Schedule H. 2255058 2073389 Home-based intensive behavioral treatment is for children who have been diagnosed with Autism Spectrum Disorder (ASD) or have varying degrees of chronic behavior disorders that, if left untreated, would worsen and require more intensive treatment, including psychiatric hospitalization or out-of-home residential placement. Staff members visit a family's home and deliver clinical services to the child on a one-on-one basis. The treatment plan is family-oriented, as it includes all family members in the treatment process. (See also Schedule O) 68359785 true true false false false false false true false true true false true true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 71 0 true 1037 true false false false false false false false false 0 false false false false false false false false false false false false X 17 13 true false false false true true true true true false false true true true true true true true true false RI X Mary A Wakefield 4014447093 593 Eddy Street Providence RI 02903 X Lawrence A Aubin Sr Chair 2.50 12.50 X X 0 0 0 Timothy J Babineau MD Trustee 2.00 38.00 X 0 1928054 318064 Emanuel Barrows Trustee 0.60 3.00 X 0 0 0 Roger N Begin Trustee 0.25 6.75 X 0 0 0 Peter Capodilupo Vice Chair 0.10 3.90 X X 0 0 0 Sarah T Dowling Trustee 0.25 4.75 X 0 0 0 Jonathan D Fain Trustee 0.25 2.00 X 0 0 0 Edward D Feldstein Esq Trustee 0.50 9.00 X 0 0 0 Ziya L Gokaslan MD Trustee 0.50 43.50 X 0 1482390 43334 Michael L Hanna Trustee 0.50 5.80 X 0 0 0 Pamela A Harrop MD Trustee 0.00 6.00 X 0 0 0 Alan H Litwin Vice Chair 0.50 10.00 X X 0 0 0 Joseph J MarcAurele Trustee 0.00 2.50 X 0 0 0 Steven Pare Trustee 2.00 10.50 X 0 0 0 Lawrence B Sadwin Trustee 4.25 10.10 X 0 0 0 Shivan Subramaniam Trustee 0.25 5.25 X 0 0 0 Jane Williams MD Trustee 0.20 3.60 X 0 0 0 Paul J Adler Secretary 2.50 37.50 X 0 551087 106582 Henry T Sachs III MD Pres. & CMO 25.00 15.00 X 382713 0 69501 Mary A Wakefield Treasurer 2.50 37.50 X 0 939142 101891 Daniel J Wall Pres.-thru 6/19 28.00 12.00 X 0 468766 34006 Vareen C O'Keefe-Domaleski RN Chief Nursing Officer 40.00 0.00 X 237482 0 30077 Mary A Carskadon PhD Physician 40.00 0.00 X 187882 0 19957 Lisa Mollo BSN MA RN NE-BC Dir. CADD 40.00 0.00 X 170617 0 33718 Margaret Paccione PhD Dir. Behav. Ed. 40.00 0.00 X 155477 0 31764 Ronald Seifer PhD Physician 40.00 0.00 X 199649 0 29605 Carolyn K Welch PharmD Physician 40.00 0.00 X 153028 0 28886 Dale F Radka MD Physician 0.00 40.00 X 0 343310 43510 1486848 5712749 890895 27 true true false Aramark Services Inc PO Box 978839 Dallas TX 75397 Food Service 833446 Brown University PO Box 1911 Providence RI 02912 Shared Chair 700899 Butler Hospital 350 Duncan Drive Providence RI 02906 Residency Rotations 451101 AMN Healthcare Inc 2735 Collection Center Drive Chicago IL 60693 Staffing 115648 Dorcas International 645 Elmwood Avenue Providence RI 02907 Interpreter Services 114503 5 1091216 12383 1103599 All other 622210 1420071 1420071 Inpatient Routine 622210 43962957 43962957 Partial Hospitalization 622210 13888384 13888384 Research 541700 7180222 7180222 Residential 623220 11137413 11137413 77589047 1672216 1672216 0 0 0 12070516 2317 11462117 608399 2317 610716 2317 608399 0 0 0 Grant Indirect Rev/Other 622210 1341669 1341669 Joint Program Revenue 621300 1908559 1908559 3250228 84225806 80841592 2280615 X 3250 3250 0 0 0 724126 724126 0 38190402 37091394 1099008 1932472 1869275 63197 7077204 6906425 170779 2673509 2588732 84777 0 0 0 0 0 84482 84482 8717301 8713089 4212 19261 19261 2182036 1857115 324921 0 0 1571647 1154599 417048 176075 171679 4396 0 151951 129180 22771 640395 640395 0 3017613 3017613 717910 717910 Purchased services 8959255 2094626 6864629 Other expenses 3927105 3879796 47309 Provision for Bad Debts 439328 439328 Fundraising expenses 307805 307805 0 81513127 68359785 12845537 307805 3194129 2871468 0 967278 891954 7789848 10505538 0 0 0 189335 250856 2360560 2647861 75276639 37365234 39435696 37911405 11311852 11541158 5089938 4387371 21854211 21854211 0 34774865 33860309 126967712 126722131 4635314 4747819 21725243 20019742 8840609 11483322 35201166 36250883 X 29527474 29152285 7172159 7274960 55066913 54044003 91766546 90471248 126967712 126722131 X 2712679 -4007977 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8140 X false 71532423 8706364 -680240 9479067 70079480 68789160 7684105 3607791 8548633 71532423 64900265 7347959 4894415 8353479 68789160 63691354 7490796 1927021 8208906 64900265 68998044 6436278 -2826151 8926817 63681354 0.14400 0.77100 0.08500 true true true 4000 4000 53281858 23151777 30130081 20494059 14142457 6351602 1496722 71000 1425722 37911405 Commodities-Various 235664 F Limited Ptr'ships held inside Pool 1151134 F 21854211 Deferred Financing Costs 128987 Donated Art 8140 Interest in NA of Bradley Foundation 1387362 Participation in HBCS Net Assets 39080 33860309 Accrued Pension Liability 6565100 Health Care Benefit Self-insurance 974831 Intercompany Liabilities 3315438 Lease Payable 427610 Other Long-term Liabilities 125613 Third Party-Payor Settlements 74730 11483322 X Part III, Line 4: Description of organization's collections and how it furthers its purpose. EPBH's collection of artwork consists of paintings, a sculpture, and a vase. The works of art are displayed throughout EPBH for the viewing pleasure of patients, visitors, and employees. Part V, Line 4: Intended uses of the endowment fund. EPBH's endowment funds consist of both donor-restricted endowment funds and funds designated by EPBH to function as endowments. EPBH receives support from various irrevocable trusts within its endowment funds, most notably The Helen Bradley Trust and The George L. Bradley Trust (the Trusts), which were established under the wills of the late Helen and George L. Bradley. At September 30, 2019, the market value of the Trusts was approximately $32.1 million (not including land and the original Laufer Building in East Providence, Rhode Island where EPBH is located). As a result of a court order in 2007, the Trusts were authorized to make annual distributions to EPBH based on the trailing twelve-quarter average fair market value of the Trusts' investment assets in amounts equal to 7% of the average market value of the Trusts in 2007, decreasing by one-quarter of one percent per year to 4.5% in 2017 and beyond.Two of the largest temporarily restricted funds held by EPBH support the Pedi-MIND (Pediatric Mood, Imaging, & Neurodevelopment) Program and research for bipolar disorder, including equipment needs. The goal of the Pedi-MIND Program is to identify biological and behavioral markers of psychiatric illness in children and adolescents in order to improve diagnosis, treatment, and prevention of these conditions.Another large fund supports the operations and capital needs of EPBH's Compass Residential Program, which provides comprehensive mental health services guided by Dialectical Behavior Therapy for adolescents who are struggling with severe mood problems and/or behavior dysregulations. EPBH provides outpatient treatment for patients with co-occurring substance addiction and mental health disorders.Finally, the OCD Intensive Program Fund provides funding for the needs of EPBH's intensive program for children with obsessive compulsive disorders. Part X : FIN48 Footnote EPBH and its affiliate, Lifespan School Solutions, Inc., are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from Federal income taxes pursuant to Section 501(a) of the Code. EPBH recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. EPBH did not recognize the effect of any income tax positions in either 2019 or 2018. true true true X true X true true false false true true 43395 11677 31718 0.00040 43206080 39008150 4197930 0.05180 43249475 39019827 4229648 0.05220 260037 19487 240550 0.00300 2882582 290000 2592582 0.03200 2410077 1062187 1347890 0.01660 7485745 6594745 891000 0.01100 15662 15662 0.00020 13054103 7966419 5087684 0.06280 56303578 46986246 9317332 0.11500 true 209516 X true true 1 1 Emma Pendleton BradleyHospital 1011 Veterans Memorial Pkwy East Providence RI 02915 https://www.bradleyhospital.or HOS00123 X X X Emma Pendleton BradleyHospital 1 false false true X X X X X X X X X X 19 true true false true X See Schedule H, Part V, Section C X true 19 true See Schedule H, Part V, Section C false false true X 200.0000 300.0000 X X X X X X true true X X X X true X See Schedule H, Part V, Section C X See Schedule H, Part V, Section C X Sched. H, Part V, Section C X X X X X X X true X false X X X X true X false false Facility: Emma Pendleton BradleyHospital - Part V, Section B, Line 3j Part V, Line 3e- The significant needs identified in EPBH's 9/30/2019 CHNA have been prioritized in order of significant needs of the community, as determined by the organization. Facility: Emma Pendleton BradleyHospital - Part V, Section B, Line 5 The CHNA process involved the integration of information from a range of data sources to identify the significant health needs of the community served by EPBH, prioritize those needs, and identify resources, facilities and programs to address the prioritized needs. Both qualitative primary data and secondary quantitative data were gathered to identify the significant health needs of the community.The primary data sources included community health forums, key informant interviews, and individual surveys. Secondary data sources included national and local publications of state-specific data. These sources varied in sample size, method of data collection and measures reported, but all are publicly available sources, and in each case, the most recent publicly accessible data was presented. The data sources are described in more detail below.Community Health ForumsQualitative data was collected through Community Health Forums (CHFs) to solicit input from individuals representing the broad interests and perspectives of the community. Participants in the CHFs included members of the medically underserved, low-income, and minority populations in the EPBH service area.Community forums are a standard qualitative social science data collection method, used in community-based or participatory action research. Six CHFs were held between May 22 and June 14, 2019 across the EPBH service area. Participants were recruited using social media, posted flyers, email, and word of mouth. Locations were selected to be easily accessible to the public and hospital patients, and forums were held at various times of the day on weekdays and weekends. EPBH forums were held at a communith health center, a senior center, an elementary school, a parent support organization, a public library, and at EPBH. At each forum, a meal was provided, along with child care and interpretation if requested in advance. All CHFs were open to the public and participants were fully engaged throughout the 90-minute discussions.A representative of EPBH served as a hospital liaison to help plan and facilitate the CHFs. The EPBH liaison was a critical link between the Lifespan Community Health Institute (LCHI) as the coordinating body, the expertise and resources within EPBH, and the Community Liaisons described below.An important and unique component of the CHFs was the involvement of Community Liaisons. Three people representing the diverse populations served by EPBH were hired as consultants to assist with the CHNA. These Community liaisons helped plan the CHFs, recruited participants, and co-facilitated the forums. All Community Liaisons were chosen through a competitive selection process and completed a two-hour training prior to leading the CHFs. The training included project planning tips, role-playing activities, conflict management strategies, and logistical expectations. Community Liaisons were responsible for identifying an accessible venue for each forum, selecting a food vendor and menu that would be appealing to the target audience, and co-facilitating the discussion at the CHF with their hospital liaison.Each CHF was two hours in duration and followed a similar format that began with a meal, followed by a 90-minute discussion, co-facilitated by the hospital and Community Liaison. The discussion generated consensus on the participants health concerns, their prioritization of those concerns, and their ideas for how EPBH could respond to those concerns. Discussion began with a brief presentation of EPBHs 2016 CHNA priorities and examples of activities EPBH has performed in response. Participants were invited to share their reactions to what was presented as well as their current health concerns. The input gathered during the CHFs was assessed qualitatively to extract themes and quantitatively to determine the frequency with which those themes were cited. Community Liaisons also met with the LCHI and the hospital liaison to debrief the forums and offer their interpretation of the findings to ensure all input was captured and that priorities were appropriately ranked.Hiring, training, and empowering community members to serve as Community Liaisons in the CHNA process enriched the quantity and quality of community input. It also allowed EPBH to build relationships with communities that might not otherwise have become aware of or engaged in the needs assessment process.Individual SurveysTo broaden the reach of community input, surveys were distributed and collected by LCHI staff at events they attended in May and June 2019, such as the annual Pride Festival. The surveys addressed the same questions as the CHFs. Two individual surveys were received for EPBH.Key Informant InterviewsThe director of the LCHI identified public health and health policy leaders who could inform the 2019 CHNA process and had knowledge, information, or expertise about the community that EPBH serves. Key informant interviews were conducted with state leaders to supplement the other quantitative and qualitative data collected. Key informants include the: Acting Chief of Staff, Executive Office of Health and Human Services, State of Rhode Island and Policy Director, Rhode Island Childrens Cabinet Director of Policy, Planning, and Research, Executive Office of Health and Human Services, State of Rhode Island Director, Health Equity Institute and Special Needs Director, Rhode Island Department of Health Physician Lead, Health Equity Institute, Rhode Island Department of HealthWhen crafting the EPBH implementation strategy, EPBH reflected upon the key themes that emerged from these conversations. The statewide priorities and recommendations of the key informants included: incorporate health equity targets; generate and monitor data on health disparities, especially by race, ethnicity and income; build strategies that incorporate the social determinants of health; go beyond individual interventions to family/household level interventions; make investments in early childhood; consider co-morbidities, especially between behavioral health and chronic diseases; confront racism and bias to improve care; provide personalized care; be sensitive to misalignments within healthcare; and continue to address substance misuse and behavioral health conditions.To ensure representation from a broad cross-section of the community, CHF's were held in the following locations:- Blackstone Valley Neighborhood Health Center, 39 East Avenue, Pawtucket, RI 02860; - Park Holm Senior Center, 1 Parkholm Road, Newport, RI 02840;- Emma Pendleton Bradley Hospital, 1011 Veterans Memorial Parkway, East Providence, RI 02915;- Parent Support Network of Rhode Island, 535 Centerville Road, Suite 202, Warwick, RI 02886;- Bradley School South County, 4781 Tower Hill Road, South Kingstown, RI 02879;- Woonsocket Harris Public Library, 303 Clinton Street, Woonsocket, RI 02895. Facility: Emma Pendleton BradleyHospital - Part V, Section B, Line 6a Newport HospitalRhode Island HospitalThe Miriam Hospital Facility: Emma Pendleton BradleyHospital - Part V, Section B, Line 11 EPBH's Community Health Needs Assessment issued for the fiscal year ended September 30, 2019 identified four significant health issue areas requiring a further implementation strategy. Those significant health issue areas include: (1) access to services in clinical and community settings; (2) systems of care; (3) outreach and education; and (4) substance abuse prevention. The implementation strategy to address those significant health needs outlined between October 1, 2019 - September 30, 2022 is available at: https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/EPBH-CHNA-Implementation-Plan.pdfDuring the fiscal year ended September 30, 2019, EPBH implemented the specific actions listed below in order to address the significant community health needs outlined in its CHNA dated September 30, 2016.ACCESS TO SERVICES IN CLINICAL AND COMMUNITY SETTINGS- Offering a co-occurring substance abuse and psychiatric disorders clinic at the Adolescent Healthcare Center, located in the Coro Center in Providence, Rhode Island. EPBH opened a co-occurring partial hospitalization program in October 2017 and has experienced steady growth in census. During FY 2018 EPBH served an average daily census of three children and in FY 2019, that figure has increased to nearly seven children per day;- EPBH will assure the quality of the Gateway Child and Family Therapeutic Outreach program, which provides education to families, schools, teachers, and nurses in best practices around therapeutic outreach. EPBH provides clinical supervision and quality oversight by doctorate-level clinicians including psychologists, a psychiatrist, and social workers. This represents an effort to streamline care coordination and improve quality across the continuum of Lifespan services and systems. The program serves over 1,400 clients and provides over 2,700 outpatient visits annually. Services include individual and family therapy, parent training in behavior management, and medication management;-Explore expansion of the home-based Intensive Behavioral Treatment (IBT) program. IBT provides innovative treatment services for children with autism, helping young patients to learn and grow, and assisting their families in managing the multitude of stressors associated with the disorder. This program previously served fifteen families per year with intensive services for ten to twenty hours per week. EPBH has doubled that program capacity to serve up to thirty families per year;- The Autism Project (TAP), an affiliate of Gateway, has launched Project IDENTIFY, a program designed to improve Rhode Island's system of care integration for children and youth who have an Autism Spectrum Disorder (ASD). TAP helps facilitate a collaboration of parents, providers, and community members who provide quality support, training, and programming that is accessible to children and adults with an ASD. TAP was awarded a three-year grant for $1.26 million, covering the period from September 2016 through August 2019, from the Health Resources and Service Administration to launch Project IDENTIFY in partnership with EPBH. TAP's Family Support Specialists and Community Engagement staff, with multilingual capacity, have been engaged by 1,151 parents, 154 grandparents/guardians, and 449 professionals. TAP's staff have provided support to families, met with families one-on-one, provided aid in navigating resources, and made over 2,000 support calls;- Continue to provide free community lectures and conferences, such as Parenting Matters and Temas Familiares, on topics related to substance abuse prevention, treatment, and mental health. FY 2019 activity was as follows: *Parenting Matters Workshop on 3/23/19 (196 participants);*Temas Familiares Conference on 5/4/19 (42 participants);*"Working with Grieving Children, Teens, and Families" lecture on June 11, 2019; and*"Cultural Considerations when Working with the Latinx Population" lecture on July 9, 2019;EMERGENCY DEPARTMENT EVALUATION- Continue to offer Crisis Service at EPBH to evaluate children within 48 hours of contacting the hospital. EPBH continues to evaluate children within 48 hours through its Access Center. This service helps to stabilize crises and refers children and their families to appropriate, less intensive services. Children and their families are seen by a multidisciplinary team, which includes a child/adolescent psychiatrist, a senior clinical psychologist, and several trainees. Outpatient evaluation and treatment for youth are also available for families who have transitioned from a more intensive service at EPBH. For the period between October 1, 2016 and September 30, 2019, the Access Center averaged 150 evaluations per month;-Continue to provide the "Kids Link RI" hotline for children in emotional crisis. In 2016, "Kids Link RI" became available 24 hours a day, seven days a week, for children suffering from behavioral problems or psychiatric illness. This hotline connects parents and caregivers to childrens mental health services in Rhode Island and helps families determine the best place to go for treatment. With this confidential hotline, parents and caregivers can dial a toll-free number and be connected with emergency service clinicians or receive direction about the appropriate next step for managing their crisis. The service is free and available to all families. Evaluations for children are offered at EPBH and Gateway locations. Improvements to the "Kids Link RI" service will increase the accessibility of real-time psychiatric consultation for caregivers, families, and medical professionals, reducing unnecessary wait times and improving continuity of care. During FY 2018, EPBH staff achieved a 100% increase from the previous year of Kids Link urgent phone contacts, totaling 5,574 calls during the year. Similar call volume occurred during FY 2019 as well;- Provide Psychiatric Emergency Services (PES) at Hasbro Children's Hospital (HCH), the pediatric division of Rhode Island Hospital. EPBH, with HCH, will provide emergency psychiatric evaluation and crisis management for adolescents and children with linkages to treatment programs for needed follow-up care. The HCH PES works closely with EPBH and Gateway to create linkages to community-based treatment, striving to provide efficient, quality care in the least restrictive environment possible. Through August 31, 2019, EPBH provided 1,431 evaluations at EPBH's Access Center and 648 evaluations at HCH.TRANSITION SERVICES FOR CHILDREN WHO AGE OUT OF PEDIATRIC CARE- EPBH will continue to increase community and patient outreach related to making resources available to families whose children are transitioning from pediatric to adult care. EPBH will also ensure that available resources are current and accessible. This includes the Parents Guide to Mental Health. During FY 2018 EPBH established the Pediatric Psychiatry Resources Network (PediPRN) which continued during FY 2019, a free telephone service that provides real-time consultation services staffed by EPBH child psychiatrists for all pediatric primary care providers in Rhode Island. PediPRN responded to approximately 400 requests for consultation during FY 2019. Facility: Emma Pendleton BradleyHospital - Part V, Section B, Line 16j An abbreviated version of EPBH's Financial Assistance Policy is posted in various admitting and outpatient areas of EPBH. Additionally, registration personnel refer uninsured and/or low-income patients to Patient Financial Counselors to discuss the policy and/or answer any questions they might have. Facility: Emma Pendleton BradleyHospital - Part V, Section B, Line 22d EPBH uses the prospective method in determining amounts generally billed. Internal Revenue Code Section 501(r) defines the prospective method as the amount that Medicare or Medicaid would reimburse EPBH for billed care (including both the amount that would be reimbursed by Medicare or Medicaid and the amount the beneficiary would be personally responsible for paying in the form of copayments, coinsurance, and deductibles) if the patient was a Medicare fee-for-service beneficiary or a Medicaid beneficiary.EPBH did not treat any Medicare patients during FY 2019. Therefore, Medicaid reimbursement rates are most applicable when calculating amounts generally billed using the prospective method. Bradley Research Center 1 Hoppin Street Providence RI 02903 Research Facility Hill House Proprietary Exeter RI 02911 Residential Program Exeter House Proprietary North Providence RI 02911 Residential Program Heritage House Proprietary Warwick RI 02888 Residential Program Rumford House Proprietary East Providence RI 02916 Residential Program Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) EPBH uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test.The financial screening process at EPBH is intended to define probable eligibility for public assistance (Medicaid or Community Free Care ("CFS")) for those patients who do not have the means to pay for hospital services rendered, as follows:1. Upon patient indication of an inability to pay required monies, the patient is offered the financial screening option to determine eligibility for public assistance (Medicaid, CFS).2. The application for CFS is completed and includes information relative to income, expense, and other available resources, and requires proof of such information which may include:- most recently filed Federal income tax return and any supporting W-2 form(s)- copies of most recent savings and/or checking account statements- two most recently received payroll check stubs3. If the patient's financial situation falls within the guidelines for eligibility for Medicaid or CFS, the appropriate application process is completed. (Assistance to complete such applications is available from the Patient Financial Advocates (PFA) Office at EPBH.)4. Uninsured patients receive an automatic deduction at EPBH equal to the amount calculated using the prospective method, referred to as amounts generally billed.5. Eligibility for CFS above amounts generally billed is provided for those applicants whose family gross income is at or below twice the Federal Poverty Guidelines, with a sliding scale for individuals up to three times the poverty level in effect at the time of application. Full charity care applicants with assets worth more than $9,400 for an individual (or $14,100 for a family) may not qualify for care without charge, but may qualify for discounted care. While the maximum 100% discount may not be available to all charity care applicants based on the results of their asset test, all uninsured patients who receive care are eligible for, at a minimum, a charity care discount equal to or more favorable than Amounts Generally Billed (AGB), which is the maximum amount EPBH would bill a patient qualifying for assistance under EPBH's Financial Assistance Policy (FAP). 6. For patients who qualify for less than 100% of the financial assistance program, a payment schedule is determined and agreed upon (discussed further below). Payment arrangements are established prior to service for non-urgent care. 7. In either case, the final results of the financial screening are recorded in the comments section of EPBH's billing system.Requests for Payment Arrangements:Patient Financial Advocates (PFA) will qualify patients that are receiving non-urgent, medically indicated procedures prior to services. The PFA will request 75% to 100% of estimated charges (net of the AGB discount) if the balance is under $5,000 and 50% to 100% of estimated charges (net of the AGB discount) if the estimated bill equals or exceeds $5,000.Patients who do not qualify for total or partial CFS, but who have difficulty in paying their bills after services are rendered, may request to enroll in a payment plan. Eligibility for the payment plan includes the following guidelines:1. Immediate payment in full will result in financial hardship to the patient or the patient's family.2. Deposit of one-half of the estimated total bill is requested prior to admission.3. The minimum monthly payment of $50.00.4. The maximum length of the payment plan is twenty-four months.The Customer Service staff will set up the payment plan using the above guidelines as well as complete the necessary information on the "Payment Agreement" form and mail to the patient for signature. Account documentation will be done online. The pre-collect agency will be sent a copy of the payment agreement and all forms will be scanned into the PFS Optical Imaging System. Part I, Line 6a - Related Organization Community Benefit Report The community benefit report for all Lifespan affiliated hospitals (EPBH, The Miriam Hospital, Rhode Island Hospital, and Newport Hospital) is maintained by Lifespan Corporation and included in Lifespan's annual report. The annual report for the year ended September 30, 2019 is available at the following link. https://issuu.com/lifespanmc/docs/ls-annual-report-2019-200602?fr=sMjliMTEzOTMwNDMPlease see pages 5 and 29-30 of the Lifespan Annual Report for community benefit information. Part I, Line 7 - Explanation of Costing Methodology EPBH's costing methodology used to calculate the amounts reported in Part I, Line 7 is as follows:a) Financial assistance at cost- involves utilization of a ratio derived from dividing patient costs, as defined, by patient charges, as defined, and applying that percentage to total charity care charges.Patient costs reported in the cost accounting system are calculated based on Medicare principles of reimbursement by reducing total operating expenses (as calculated per Form 990 requirements) by items such as bad debt expense, the cost of medical education, internally funded research, subsidized health services, community services, charitable contributions, and other operating revenue. Patient costs are then divided by patient charges to determine a ratio of cost to charges (RCC). This RCC is applied as the costing methodology for determining charity care expense.e) Community health improvement services and community benefit operations- Community benefit operations expense is recorded as direct expenses incurred as reported by EPBH's Community Health Services Department. Revenue received for these services is reported as direct offsetting revenue. f) Health professions education- Health professions education expenses represent direct costs related to amounts associated with resident and intern programs utilized at EPBH. g) Subsidized health services- Subsidized health services' community benefit expense is determined by EPBH's internally developed allocation model based on the general ledger whereby overhead costs are applied to all direct care departments using a historically determined basis. This expense is adjusted to remove all related bad debt, Medicaid, and charity costs already reported in the applicable sections of Line 7. Net patient service revenue is recorded as amounts received from various payer types related to these services.h) Research- EPBH conducts extensive medical research focused on child and adolescent mental health concerns and brain science. For all internal and external research conducted, the costs associated with these activities are calculated by combining the direct and indirect costs as calculated by EPBH's internally derived methodology. Revenue received for these services is reported as direct offsetting revenue. i) Cash and in-kind contributions for community benefit- Expenses for cash and in-kind community benefit contributions are incurred by EPBH, including an allocation of contributions made by Lifespan Corporation on EPBH's behalf. Part I, Line 7, Column F - Explanation of Bad Debt Expense The calculation of percentages disclosed for Schedule H, Part I, Line 7, column (f) "percent of total expense", does not include bad debt expense. Form 990, Part IX, Line 25 includes provision for bad debts of $439,328. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The amount reported as bad debt expense is determined by applying the ratio of cost to charges (RCC) to the total charges written off to bad debt. The RCC rate is determined using data from EPBH's cost accounting system and is adjusted for medical education, internally funded research, subsidized health services, community services, and charitable contributions. Discounts and payments are applied to patient accounts before such account balances are transferred to bad debt. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit Accounts pending transfer to bad debt are reviewed by EPBH's patient advocate staff to determine qualification for financial assistance under EPBH's policy. Accounts with insufficient information to determine eligibility are assigned a separate identifying code. These accounts are ultimately transferred to bad debt if the appropriate qualifying documentation is not received. During the year ended September 30, 2019, there was no bad debt attributable to patients whose eligibility for financial assistance could not be determined. Part III, Line 4 - Bad Debt Expense Due to the adoption of ASU No. 2014-09 - Revenue From Contracts With Customers (Topic 606), bad debt expense is no longer reported in the audited financial statements as a separate line item, but rather is treated as a price concession. Please see the following audited financial statement footnote which describes this pronouncement.Accounting Pronouncements Adopted - Footnote 3(b) from the audited financial statements.Adoption of Topic 606EPBHs adoption of the ASU did not materially change the timing or amount of revenue recognized. However, the ASU requires that patient service revenue be presented in the statement of operations and changes in net assets at the transaction price, i.e., net of any provision for bad debts. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients EPBH does not bill for the excess of charges over agreed upon reimbursement amounts from third-party payors. Rather, such differences are recorded as a reduction of revenue through contractual adjustments. Collection efforts are focused on copayments, deductibles, and amounts denied by insurers. After all collection attempts are exhausted, any remaining balances, including any copayments and deductibles, are written off as bad debts. EPBH classifies its bad debts as uncompensated care. This does not apply to Medicaid, however, as there are no associated copayments or deductibles for this payor.EPBH generally does not require collateral or other security in extending credit to patients; however, it routinely obtains assignment of patients' benefits payable under their health insurance programs, plans, or policies, primarily Medicaid. Uninsured patients are offered Community Free Service and/or payment plan options.Lifespan's Patient Financial Services Department (PFS) has the responsibility for communicating and administering collection policies and procedures to all patient accounts. PFS engages the services of various pre-collect agencies as necessary. The following are highlights of the overall collection effort:* If a patient presents for admission who is not insured, staff assists the family with a Medicaid application.* If the patient is ineligible for Medicaid, a financial screening is performed to determine status of qualification for charity care.* If the patient does not qualify for charity care, PFS or the pre-collect agency attempts at least four contacts with the responsible party within the first 120 days.* If the third-party carrier denies in writing any responsibility for payment, arrangements regarding an extended payment plan are discussed with the patient's guardian. Part VI, Line 2 - Needs Assessment EPBH is the nation's first children's psychiatric hospital, providing services for children and adolescents not only from Rhode Island, but also from all over the country. EPBH is designated as a major teaching affiliate for The Warren Alpert Medical School of Brown University, with a focus in areas of child and adolescent psychiatric treatment.In recent years, EPBH has increased the number of physicians on staff in response to a heightened demand for outpatient services.As a psychiatric and behavioral health center, EPBH offers specialized services for children and adolescents. Such care begins with an evaluation designed to meet the unique needs of each child and family. This initial assessment provides an understanding of the problem, identifies the child's needs, and determines the best and least restrictive treatment approach. Once a child is admitted, a treatment plan is tailored to the child's needs.EPBH actively participates with community mental health centers and the Rhode Island Department of Health to understand the mental health needs of children and families in Rhode Island and its surrounding communities. EPBH is also a participant in Kids Count", which is a publicly funded agency that uses questionnaires with pediatricians, schools, and other providers to identify the mental health needs of the population that it serves. In addition, EPBH staff work collaboratively with administration and staff at various schools throughout the State of Rhode Island. There is a multidisciplinary team at each school site, led by a clinical psychologist. This team guides the treatment and education plan for each student. Each classroom is staffed by a teacher certified in special education and a classroom behavior specialist, both professionals with degrees in their fields.EPBH respects the roles of parents/guardians as partners in their child's care. EPBH's Family Liaison Program helps parents with questions, problems, or special concerns regarding their child's treatment by appointment or via telephone. The Family Liaison Program sponsors support groups and educational meetings on a regular schedule. Notices are posted in EPBH's main lobby, outpatient waiting room, and at the various unit entrances.The RI State Certificate of Need program requires a focused study of need for all projects over $5.25 million, which is an important part of the program development process across Lifespan. Part VI, Line 3 - Patient Education of Eligibility for Assistance EPBH provides each patient with a "Patient and Family Information" booklet which includes information on patient rights and responsibilities. There is also multilingual signage in EPBH's main lobby and waiting area which provides information on financial aid contacts. The Registration Department meets with the patient's family at the outset of care to discuss eligibility for assistance, which is also summarized on EPBH's website. Part VI, Line 4 - Community Information EPBH, whose primary location is in East Providence, Rhode Island, is a 70-bed, nonprofit teaching hospital with university affiliation providing for the psychiatric treatment of adolescents and children, including some with severe developmental disabilities. EPBH operates several major programs including acute, partial hospitalization, residential, and outpatient. EPBH also operates five other secondary sites which furnish residential and research services. EPBH is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). EPBH currently participates as a provider in Rhode Island Medicaid, various out-of-state Medicaid programs, and the State of Rhode Island's Department of Children, Youth and Families programs, as well as providing care for patients covered by private health insurers. EPBH is also a member of the formerly-named Voluntary Hospitals of America, Inc., which has partnered with UHC Alliance NewCo, Inc. to become Vizient, Inc., the largest member-owned health care company in the United States.In 1969, EPBH and certain other Rhode Island hospitals entered into an affiliation agreement to participate jointly in various clinical training programs and research activities with The Warren Alpert Medical School of Brown University (Brown). In 2010, Brown named Rhode Island Hospital its Principal Teaching Hospital. EPBH and The Miriam Hospital continue to be designated as major teaching affiliates. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. EPBH participates in the Child and Adolescent Psychiatry Fellowship as well as the Triple Board Residency Program (Pediatrics/Psychiatry/Child and Adolescent Psychiatry).EPBH has a diverse service area which is not defined solely by a contiguous geographic grouping of municipalities. The combined service area of EPBH includes all of the cities and towns in Rhode Island and the neighboring states of New England. EPBH, which receives referrals from all regions of the United States, has established itself as the national center for training and research in child and adolescent psychiatry. Part VI, Line 5 - Promotion of Community Health EPBH is governed by a Board of Trustees, which is composed of leaders of the local community elected by Lifespan Corporation. EPBH's purpose is to be staffed, equipped, and ready to serve the pediatric health needs of the community and its people from all walks of life. EPBH works collaboratively with physicians, its employees, other health care organizations, and the community to create a measurably healthier community through the provision of high quality, cost-effective, customer-focused health care services in an environment that promotes patient safety. EPBH monitors the healthcare needs of its service area to ensure alignment of its resources with its mission. EPBH measures the results of the programs and services it provides based on the value added to the community as well as the financial health of each program and its impact on EPBH. EPBH is organized and operated for the benefit of the community it serves. Part VI, Line 6 - Affilated Health Care System Lifespan's mission is: Delivering health with care. Lifespan is an academically based healthcare system at the forefront of medical care, continually engaging in research that will lead to medical breakthroughs. Lifespan affiliates provide comprehensive inpatient and outpatient medical, surgical, and psychiatric services for adults and children. Lifespan and its affiliates employ approximately 15,000 people. The Lifespan system has approximately 3,500 physicians on the medical staffs of its affiliated hospitals, operates 1,165 licensed beds in four hospital complexes, and in 2019 generated approximately $2.4 billion in total operating revenue. By each of these measures, Lifespan is Rhode Island's largest health system, serving a population of over 1.0 million. Three of its hospital members, Rhode Island Hospital (RIH), The Miriam Hospital (TMH), and Emma Pendleton Bradley Hospital (EPBH), are teaching affiliates of The Warren Alpert Medical School of Brown University, with 77 percent of the residents and fellows in this program based at RIH, TMH, and EPBH.Lifespan is a Rhode Island nonprofit corporation that is community-based and community-governed. As a nonprofit organization, Lifespan is run by a voluntary Board of Directors who are community representatives. Lifespan and all of its nonprofit hospital affiliates have received written notification from the Internal Revenue Service that they have been recognized as being organized and operated as entities described in Internal Revenue Code (IRC) Section 501(c)(3) and are generally exempt from income taxes under IRC Section 501(a).As of September 30, 2019, Lifespan Corporation employed approximately 1,150 full-time and part-time personnel, most of whom are located in Providence, Rhode Island. Lifespan Corporation provides support services to its affiliates, such as information services, risk management, legal, communications and public affairs, fundraising, facility development, strategic planning, internal audit/compliance, human resources, finance, payor contracting, and investment management, for which each affiliate is charged a fee equivalent to the costs incurred by Lifespan in providing these services.CORPORATE AUTHORITY AND ROLELifespan Corporation has no members and is governed by its Board of Directors. The Board has responsibility for planning, directing, and establishing policies intended to assure the development and delivery of quality health services, professional education, and biomedical research on an integrated, cost-effective basis. The Board's powers include the power to set accounting policies for its affiliates, approve all managed care agreements, negotiate, develop, and approve affiliations with other institutions for educational and research purposes, and approve human resource plans, executive compensation, and benefits for system affiliates. The bylaws of EPBH confer certain reserved powers upon Lifespan to provide it with the means of effective oversight, coordination, and support of the system. Powers specifically reserved to Lifespan as sole member of EPBH include: to approve the amendment of the Articles of Incorporation and Bylaws and other Charter documents; to develop and approve strategic plans; to approve capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness.For a complete listing of affiliated members of Lifespan's integrated healthcare delivery system please refer to Schedule R. Part VI, Line 7 - States Filing of Community Benefit Report RI Part VI - Additional Information Form 990, Schedule H, Part V, Line 7a: The website which makes EPBH's CHNA report widely available is located at the following URL:https://www.lifespan.org/sites/default/files/lifespan-files/documents/centers/lifespan-community-health/9-30-2019-EPBH-CHNA.pdfForm 990, Schedule H, Part V, Line 10a: The URL to view EPBH's most recently adopted implementation strategy is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/EPBH-CHNA-Implementation-Plan.pdfForm 990, Schedule H, Part V, Line 16a: The URL to view and download EPBH's Financial Assistance Policy application form is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/pfs/financial-assistance-policy-en_052020.pdfForm 990, Schedule H, Part V, Line 16b: The URL to view and download EPBH's Financial Assistance Policy application form is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/pfs/cfs-english_051920.pdfForm 990, Schedule H, Part V, Line 16c: The URL to view EPBH's plain language summary of the Financial Assistance Policy is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/pfs/Lifespan-Financial-Assistance-Summary_052020.pdf X true true X X X X X false true false false false false false true false false Carolyn K Welch PharmD Physician 151932 1096 7323 21563 181914 Dale F Radka MD Physician 328328 10391 4591 15498 28012 386820 Daniel J Wall Pres.-thru 6/19 344760 38481 85525 15340 18666 502772 Henry T Sachs III MD Pres. & CMO 303370 36159 43184 46509 22992 452214 31452 Lisa Mollo BSN MA RN NE-BC Dir. CADD 162979 5718 1920 7823 25895 204335 Margaret Paccione PhD Dir. Behav. Ed. 143412 5323 6742 6979 24785 187241 Mary A Carskadon PhD Physician 179941 6002 1939 8543 11414 207839 Mary A Wakefield Treasurer 704974 96500 137668 83352 18539 1041033 104077 Paul J Adler Secretary 441391 50000 59696 82536 24046 657669 27861 Ronald Seifer PhD Physician 191393 6849 1407 8981 20624 229254 Timothy J Babineau MD Trustee 1287694 245234 395126 288958 29106 2246118 301810 Vareen C O'Keefe-Domaleski RN Chief Nursing Officer 188170 17136 32176 8987 21090 267559 Ziya L Gokaslan MD Trustee 1342488 135000 4902 16500 26834 1525724 Part I, Line 1a: Relevant information in regards to selections on 1a. Tax Indemnification and Grossed Up Payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan physicians and executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after-tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii). Part I, Line 7: Non-Fixed payments not listed above Certain physicians and executives participate in incentive compensation plans arranged through individual contractual agreements which stipulate non-fixed payments based on meeting criteria comprised of various quality and productivity markers. A RIHEBC Series 2016 521300173 762244FP1 2016-08-11 24032741 Refund 2009 Bond false false true A 956670 24032741 176876 23855865 2016 true true true true A false false false true true false false true A false true false false false false false true A false Part VI Schedule K, Part I, Line A(f):On August 11, 2016, the Rhode Island Health and Educational Building Corporation (RIHEBC) issued, on behalf of the Lifespan Obligated Group, which consists of EPBH, Rhode Island Hospital, The Miriam Hospital, Rhode Island Hospital Foundation, and The Miriam Hospital Foundation, $265,470,000 of tax-exempt fixed rate serial and term bonds (the 2016 Bonds) used for the purpose of refunding existing bonds issued to the Lifespan Obligated Group, as well as to pay certain expenses of issuance with respect to the 2016 Bonds. The portion of the 2016 Bonds' proceeds allocable to EPBH is $24,032,741. For purposes of EPBH, the 2016 issuance resulted in the complete refinancing of its RIHEBC Series 2009A Bonds. Schedule K, Part I, Line 3:The bond proceeds listed in line 3 differ from the bond issue price disclosed per IRS Form 8038 due to the fact that EPBH is part of the Lifespan Obligated Group previously mentioned in Part I, line A(f). Of the $308,112,067 disclosed in Form 8038, EPBH was allocated $24,032,741 of the total issuance. Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Timothy J. Babineau, MD, President & CEO, and Mary A. Wakefield, Treasurer/EVP/CFO, are board members of VNA Technicare, Inc. (VNA), a related for-profit corporation. Dr. Babineau is a director and Ms. Wakefield is an officer of VNA. Additionally, Ms. Wakefield and Paul J. Adler, Secretary, are board members of Lifespan MSO, Inc. (MSO) and Lifespan Risk Services, Inc. (LRS), separate related for-profit organizations. Mr. Adler is a director of MSO and LRS while Ms. Wakefield is an officer of those two organizations. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lifespan is the sole corporate member of EPBH. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Effective October 23, 2012, the Board of Directors of Lifespan and the Boards of Trustees of Rhode Island Hospital, The Miriam Hospital, Newport Health Care Corporation, Newport Hospital, and EPBH approved a restructuring of their governance. The restructuring has increased governance effectiveness and has streamlined governance operation, as well as provided a single strategic perspective for the Lifespan system hospitals. Pursuant to the restructuring, the bylaws of each of the affiliates were amended such that the composition of the boards of trustees of each of the hospitals and Newport Health Care Corporation is defined as those persons serving from time to time as the directors of Lifespan. As a result, the Boards of each entity are comprised of the same individuals. The Board of each entity retains its responsibilities and authorities notwithstanding the revision in its composition. The Board of Directors of Lifespan consists of not less than fourteen nor more than thirty-one directors, including the President and CEO of Lifespan, who serves ex-officio with vote.Additionally, the bylaws of EPBH confer certain reserved powers upon Lifespan to provide it with the means of effective oversight, coordination, and support of the system. Powers reserved to Lifespan include: to elect and remove EPBH trustees and to approve the election of and to remove certain officers. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The EPBH Board is comprised of the same individuals who serve on the Lifespan Board. Lifespan has the responsibility for planning, directing, and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Lifespan, in addition to those noted above, include: to approve amendment of the Articles of Incorporation and Bylaws and other charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness. Form 990, Part VI, Line 11b: Form 990 Review Process The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Executive Vice President & Chief Financial Officer (EVP/CFO) and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP (KPMG). The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit and reviewed by the Corporate Services Tax Compliance Manager, the Director of Finance, and the Vice President of Finance - Corporate Services. The Form 990 is forwarded to KPMG for further review. KPMG provides the Tax Compliance Manager with any recommended changes which are reviewed, and if agreed upon, are incorporated into the return. The draft Form 990 is then provided to the EVP/CFO for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form, along with a video presentation detailing form highlights, are posted to EPBH's Board of Trustees' website portal in advance of the next Board meeting, at which all questions and concerns of the members of the Board are addressed by the EVP/CFO and incorporated into the Form 990 when appropriate. Once the Form 990 is complete and ready to be filed, the members of the Board are notified via email that a copy of the final version of the Form 990 is accessible through the same password-protected website portal. The EVP/CFO is authorized to file the Form 990. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lifespan and the Lifespan Obligated Group, which consists of EPBH, Rhode Island Hospital, The Miriam Hospital, Rhode Island Hospital Foundation, and The Miriam Hospital Foundation, currently make their annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification, LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. In addition, copies of EPBH's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Lifespan EVP/CFO, either in person or by mail. Other Changes In Net Assets Or Fund Balances - Other Increases Increase in Interest in BHF Net Assets = $88053 Other Changes In Net Assets Or Fund Balances - Other Decreases Inter-affiliate net asset transfer = -$742000 Other Changes In Net Assets Or Fund Balances - Other Decreases Net unrealized gains or losses on investments = -$1419530 Other Changes In Net Assets Or Fund Balances - Other Decreases Pension funded status adjustment = -$1934500 Form 990, Part III, Line 4a: EPBH provides inpatient treatment for children ages 2 to 18 years suffering from serious behavioral disorders and/or developmental conditions such as mental retardation or autism who are in need of stabilization, assessment, and treatment for suicidal, destructive, self-injurious, or other dangerous or aggressive behaviors.Residential treatment provides intensive, family-centered services to children with emotional and behavioral problems which prevent them from living safely at home.EPBH's partial programs furnish treatment alternatives to inpatient hospitalization or traditional outpatient services for children from infancy to adolescence with serious emotional, behavioral, eating, sleeping, anxiety, or obsessive-compulsive disorders, as well as relationship problems or a wide variety of other mental health issues co-occuring with substance use issues.The Center for Autism and Developmental Disabilities (CADD) has a highly specialized day program for children and adolescents who have autism or developmental disabilities with co-existing emotional and/or behavioral disorders. Form 990, Part III, Line 4c: Home-based intensive behavioral treatment is for children who have been diagnosed with Autism Spectrum Disorder (ASD) or have varying degrees of chronic behavior disorders that, if left untreated, would worsen and require more intensive treatment, including psychiatric hospitalization or out-of-home residential placement. Staff members visit a family's home and deliver clinical services to the child on a one-on-one basis. The treatment plan is family-oriented, as it includes all family members in the treatment process. The Mindful Teen Program, a six-month outpatient treatment program for adolescents who display signs of suicidality, nonsuicidal self-injury, or other self-destructive behaviors, offers dialectical behavior therapy for adolescents (DBT-A), an empirically validated treatment designed to help eliminate life-threatening and self-destructive behaviors by developing alternative skills to manage emotions and tolerate distress.EPBH also offers a hospital diversion program to children and adolescents with mental retardation. Those admitted to this home-based program present with chronic mild to moderate behavior disorders that, if left untreated, would worsen and require more intensive treatment, including hospitalization or residential placement. This service, which is also a resource for children recently discharged from EPBH, is used as a preventive measure against the future need for an out-of-home placement.EPBH's outpatient treatment programs are administered by a multidisciplinary staff of psychiatrists, psychologists, nurses, and qualified trainees, who provide comprehensive mental health evaluation and treatment to children, adolescents, and families for a wide range of clinical conditions. Patients may be treated with a variety of modalities including individual, group and family therapy, and psychopharmacologic management. Treatment is often coordinated with other agencies such as mental health centers, schools, or community-based organizations. Form 990, Part VI, Section A, Line 1b: *Lawrence A. Aubin, Sr., Chair, is the owner of Lawrence Investments, LLC, with which Lifespan entered into a ten-year operating lease of certain health care facilities in July 2015. During fiscal year 2019, Lifespan paid rent to Lawrence Investments, LLC under the terms of this lease. Terms of the rent expense related to this lease have been made at fair market value.*Pamela A. Harrop, MD, Trustee, is the President of Medical Associates of Rhode Island, Inc. (MARI). Lifespan and MARI participate in a shared savings program with various medical insurance carriers. During fiscal year 2019, Lifespan paid MARI $157,592 as part of this shared savings program. Form 990, Part VI, Section B, Line 12c: Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including EPBH, and administered by Lifespan's Corporate Compliance Department as follows: Each designated person subject to Lifespan's conflict of interest policy is required to provide Lifespan with an initial disclosure statement and thereafter an annual statement attesting that: (i) the designated person has read and is familiar with this policy, and (ii) the designated person and, to the best of his/her knowledge, family members, have not in the past engaged in, are not presently engaging in, or plan to engage in, any activity which contravenes this policy.If, at any time during the course of employment or association, a designated person has reason to believe that an existing or contemplated activity may contravene this policy, the person shall submit a full written description of the activity to the Lifespan Compliance Officer or the Office of the General Counsel to seek a determination as to whether the contemplated activity does or does not contravene this policy. If the activity in question involves either the Chief Executive Officer, the Senior Vice President and General Counsel, or a Trustee, a full written disclosure must be made to, and a determination sought from, the Chairman of the Board of Directors of Lifespan Corporation.Annually, the Lifespan Compliance Officer shall review and report to the Lifespan Executive Corporate Compliance Committee and to the Lifespan Audit and Compliance Committee on the administration of this policy.Failure on the part of any designated person to comply with this policy, including failure to submit in a timely fashion the conflict of interest disclosure statement, will be grounds for removal from his/her position and/or termination of his/her employment with Lifespan. Form 990, Part VI, Section B, Lines 15 a&b: The following applies to Lifespan and all of its affiliates, including EPBH:EXECUTIVE COMPENSATIONLifespan's executive compensation philosophy balances appropriate stewardship of resources and the need to be competitive in recruiting and retaining talented individuals. It incorporates market-competitive and performance-related principles, and covers the President and CEO of Lifespan as well as other officers, senior management, and key employees. Lifespan's executive compensation program complies both with law and with contemporary ethical norms, and is administered consistent with the organization's tax-exempt status under Section 501(c)(3) of the Internal Revenue Code (IRC) and the avoidance of transactions subject to intermediate sanctions under Section 4958 of the IRC. Executive compensation is also administered consistent with Lifespan's Corporate Compliance Policy on Excess Benefit Transactions.The Compensation Committee of the Lifespan Corporation Board of Directors (the Committee), comprised of disinterested Lifespan Board members, is responsible for diligent oversight of executive compensation to ensure compliance with IRC requirements. Its duties include:* Approving eligibility for participation in the executive compensation program * Approving changes in compensation for existing executive participants * Approving guidelines, such as salary ranges and contract terms, on appropriate levels of compensation for other key employees* Approving new, and modifying or terminating existing, executive compensation plans including, but not limited to, annual incentive and executive benefit plans* Approving performance objectives associated with Lifespan's annual incentive plan, including measuring points, and using audited actual performance relative to these objectives as a precondition to approving the payment of any awards under the plan* Authorizing periodic performance benchmark studies to be conducted for purposes of assessing Lifespan's performance within the healthcare industry and the degree to which total remuneration levels at Lifespan are generally commensurate with Lifespan performance relative to healthcare industry performance* Conducting an annual performance review of Lifespan's Chief Executive Officer. The Chair of the Committee conducts and documents this review, based on his/her observations and interpretation of feedback from members of the Board of Directors.* Selecting and engaging qualified, independent, third-party compensation valuation consultants that the Committee charges with rendering opinions with respect to the reasonableness and comparability of compensation as well as the comparative organizations against which compensation is assessed, in accordance with relevant sections of the IRC and Lifespan's executive compensation philosophy. Lifespan's Chief Executive Officer works closely with the Committee to make recommendations on the above topics and keep the Committee informed about contemplated compensation changes for executives and other key employees, as well as candidates for these roles. The CEO also provides periodic updates to the Committee regarding Lifespan's performance relative to compensation-related performance objectives. The Committee's deliberations and actions are documented in minutes prepared for each meeting.PROCESS FOR DETERMINING COMPENSATION Valuation of Total Cash and Total Remuneration: No less frequently than annually, the Committee receives and reviews a total cash compensation valuation of all existing executive compensation program participants prepared by its independent compensation consultant. Annually, the Committee also receives and reviews a total remuneration valuation of all existing executive compensation participants. Base Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her assessment of individual performance or other pertinent information, for the Committee's consideration.New Participants in Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, certain members of the Lifespan CEO's Council work with the Committee's independent compensation consultant or rely on information previously provided by the consultant to establish a range of reasonable cash compensation within which recruitment is expected to conclude through acceptance of a reasonable compensation offer. ALC dba HSR 249 Roosevelt Avenue Pawtucket RI 02860 050442015 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Bayberry Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 204590384 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Bradley Hospital Foundation 167 Point Street Providence RI 02903 050500688 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Capital City Community Centers Inc 249 Roosevelt Avenue Pawtucket RI 02860 050259090 Daycare Services RI 501(c)(3) 7 Gateway Healthcare Inc false Families Reaching Into Each New Day Inc 249 Roosevelt Avenue Pawtucket RI 02860 050504841 Bereavement Services for Children RI 501(c)(3) 7 Gateway Healthcare Inc false Gateway Healthcare Inc 249 Roosevelt Avenue Pawtucket RI 02860 050309043 Subst. Abuse & Psych.Health Care Svcs RI 501(c)(3) 10 Lifespan Corporation false Hospital Properties Inc 167 Point Street Providence RI 02903 222869743 Property Management RI 501(c)(4) N/A Lifespan Corporation false JM Apartments Inc 249 Roosevelt Avenue Pawtucket RI 02860 050435537 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Lifespan Corporation 167 Point Street Providence RI 02903 222861978 Holding Company/ Mgmnt Services RI 501(c)(3) 12(II) NA false Lifespan Diversified Services Inc 167 Point Street Providence RI 02903 050258935 Holding Company/ Mgmnt Services RI 501(c)(3) 10 Lifespan Corporation false Lifespan Foundation 167 Point Street Providence RI 02903 050493219 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Lifespan of Massachusetts Inc c/o Archstone Law 57 Wells Ave Newton MA 02459 043408517 Holding Company MA 501(c)(3) 12(I) Lifespan Corporation false Lifespan Physician Group Inc 167 Point Street Providence RI 02903 050389801 Health Care Services RI 501(c)(3) 10 Lifespan Corporation false Lifespan School Solutions Inc 140 Broadway Providence RI 02903 464910847 Education Services RI 501(c)(3) 2 Emma Pendleton Bradley Hospital true LJR Corporation 249 Roosevelt Avenue Pawtucket RI 02860 030508346 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Mill River Community Housing Corporation 249 Roosevelt Avenue Pawtucket RI 02860 050427152 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Newport Health Care Corporation 11 Friendship Street Newport RI 02840 222535537 Holding Company/ Mgmnt Services RI 501(c)(3) 7 Lifespan Corporation false Newport Health Property Management Inc 11 Friendship Street Newport RI 02840 222335539 Property Management RI 501(c)(3) 12(I) Newport Health Care Corporation false Newport Hospital 11 Friendship Street Newport RI 02840 050258914 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Newport Hospital Foundation Inc 11 Friendship Street Newport RI 02840 222535533 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false NHCC Medical Associates Inc 11 Friendship Street Newport RI 02840 050472268 Health Care Services RI 501(c)(3) 10 Lifespan Corporation false Obed Apartments Inc 249 Roosevelt Avenue Pawtucket RI 02860 050422771 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Pathways Inc 249 Roosevelt Avenue Pawtucket RI 02860 050393004 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Rhode Island Hospital 593 Eddy Street Providence RI 02903 050258954 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Rhode Island Hospital Foundation 167 Point Street Providence RI 02903 050468736 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false RIH Ventures 593 Eddy Street Providence RI 02903 050448686 Parking Facilities/ Phlebotomy Services RI 501(c)(3) 10 Lifespan Corporation false Shore Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 050504003 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false The Autism Project 1516 Atwood Avenue Johnston RI 02919 050512037 Services for Children with Autism RI 501(c)(3) 10 Gateway Healthcare Inc false The Miriam Hospital 164 Summit Avenue Providence RI 02906 050258905 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false The Miriam Hospital Foundation 167 Point Street Providence RI 02903 050377502 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false TLR Realty 249 Roosevelt Avenue Pawtucket RI 02860 043742771 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Wentworth Corporation 249 Roosevelt Avenue Pawtucket RI 02860 050488520 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Westerly Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 611439766 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false RI Sound Enterprises Insurance Co Ltd 65 Front Street Hamilton BD HM 12 Offshore Insurance Captive BD N/A NA false Lifespan Health Alliance LLC 167 Point Street Providence RI 02903 812732225 Account. Care Org. RI N/A false false Lifespan MSO Inc 167 Point Street Providence RI 02903 050508717 Mgmnt Svcs RI Lifespan Corp C corp false Lifespan Risk Services 167 Point Street Providence RI 02903 050459767 Risk Mgmnt RI Lifespan Corp C corp false VNA Technicare Inc 200 Corliss Street Providence RI 02904 050472710 DME Sales RI The Miriam Hospital C corp false CRUT 2 c/o Bank of America PO Box 830269 Dallas TX 75283 Philanthropic CT N/A Trust 1330547 51860161 1.00000 true CRUT 2 c/o Bank of America PO Box 830269 Dallas TX 75283 Philanthropic RI N/A Trust 70475 2122842 1.00000 true false true true false false false false false false false true true true true true true true true true Lifespan School Solutions Inc s 2968009 Fair Value CRUT 2 c 1330547 Fair Value CRUT 2 c 70475 Fair Value