LIFESPAN PHYSICIAN GROUP INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- LIFESPAN PHYSICIAN GROUP INC (EIN 05-0389801)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-15
- IRS object ID
- 201922279349300727
- Schema version
- 2017v2.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-15T05:43:01-07:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 Financial Center 60 South St | AddressLine1Txt |
| City | Boston | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050389801 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lifespan Physician Group Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LIFE | BusinessNameControlTxt |
| Phone | 4014443500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 167 Point Street | AddressLine1Txt |
| City | Providence | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mary A Wakefield | PersonNm |
| Person Title | EVP & CFO | PersonTitleTxt |
| Signature | 2019-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Tara D'Agostino | PreparerPersonNm |
| PTIN | P01245482 | PTIN |
| Phone | 6179881000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Steven Lampert MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 167 Point Street | AddressLine1Txt |
| City | Providence | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $201,970,536 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.lifespan.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | The mission of Lifespan Physician Group, Inc. (LPG) is to provide accountable patient-centered, high quality, efficient, value-based, and innovative care to serve the health care needs of the communities in Rhode Island and elsewhere.(continued in Schedule O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1084 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $189,742,614 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $201,905,024 | CYProgramServiceRevenueAmt |
| PY Investment Income | $32,226 | PYInvestmentIncomeAmt |
| CY Investment Income | $65,512 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,199 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $189,776,039 | PYTotalRevenueAmt |
| CY Total Revenue | $201,970,536 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $16,161 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $154,917,086 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $169,829,933 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,858,953 | PYOtherExpensesAmt |
| CY Other Expenses | $32,124,442 | CYOtherExpensesAmt |
| PY Total Expenses | $189,776,039 | PYTotalExpensesAmt |
| CY Total Expenses | $201,970,536 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,647,532 | TotalAssetsBOYAmt |
| Total Assets EOY | $27,956,305 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,091,932 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,146,705 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,444,400 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,190,400 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LPG was organized to provide accountable patient-centered, high quality, efficient, value-based, and innovative care to serve the health care needs of the communities in Rhode Island and elsewhere. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $39,156,936 | ExpenseAmt |
| Revenue | $39,501,773 | RevenueAmt |
| Desc | LPG Anesthesiology:The providers of LPG's anesthesiology practice provide anesthesia care for adults, children, and adolescents undergoing surgery at Lifespan hospitals and outpatient centers. The physicians and specialty-trained nurses of this group make up the largest anesthesia group in Rhode Island and bring their expertise from many of the nation's top training programs. Services include preoperative assessments and consultations, state-of-the-art equipment for general, regional, and intravenous sedation techniques, subspecialty expertise in ambulatory, cardiac, neurosurgical, thoracic, vascular, and regional anesthesia, as well as postoperative acute and chronic pain management. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $26,571,023 | ExpenseAmt |
| Revenue | $18,591,111 | RevenueAmt |
| Desc | LPG Newport:LPG Newport's physician practices include specialties such as family practice, pulmonology, dermatology, neurology, physiatry, behavioral health, rheumatology, endocrinology, hematology/oncology, child and adolescent psychiatry, neurosurgery, orthopedics, and OB/Gyn services. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,408,828 | ExpenseAmt |
| Revenue | $21,408,828 | RevenueAmt |
| Desc | LPG Pediatrics:LPG's Pediatric practice group is comprised of a group of pediatricians and specialists who provide routine health check-ups, treat illnesses, lead immunization clinics, and staff Rhode Island Hospital's (RIH) pediatric division-Hasbro Children's Hospital. Operating expenses for this practice group directly charged to LPG during the fiscal year ended September 30, 2018 amounted to $21,408,828, representing primarily payroll and fringe benefit expenses funded by RIH. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $89,299,084 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $122,403,312 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $176,435,871 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 58 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1084 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | RI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mary A Wakefield | PersonNm |
| Phone | 4014447093 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 593 Eddy Street | AddressLine1Txt |
| City | Providence | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Timothy J Babineau MD | |||||||||
| Chair | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $2,217,856 | $527,817 | ||
| Christina A Bandera MD | |||||||||
| Trustee- 11/17 | 40.00 | 0.00 | Yes (X) | $424,435 | $0 | $42,473 | |||
| Bradley J Collins MD | |||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $307,042 | $0 | $38,223 | |||
| Kwame Dapaah-Afriyie MD | |||||||||
| Trustee- 11/17 | 0.25 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Kristopher R Davignon MD | |||||||||
| Trustee- 11/17 | 40.00 | 0.00 | Yes (X) | $610,995 | $0 | $42,699 | |||
| Phyllis A Dennery MD | |||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $606,665 | $0 | $46,217 | |||
| Curtis E Doberstein MD | |||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $0 | $1,249,913 | $40,136 | |||
| Larry A Evans MD | |||||||||
| Trustee- 11/17 | 40.00 | 0.00 | Yes (X) | $429,832 | $0 | $43,793 | |||
| Lloyd Feit MD | |||||||||
| Trustee- 11/17 | 40.00 | 0.00 | Yes (X) | $349,563 | $0 | $22,255 | |||
| Richard G Gillerman MD | |||||||||
| Trustee- 11/17 | 20.00 | 20.00 | Yes (X) | $0 | $527,614 | $24,338 | |||
| Richard J Goldberg MD | |||||||||
| Trustee- 11/17 | 0.50 | 39.50 | Yes (X) | $0 | $633,042 | $37,011 | |||
| Steven Lampert MD | |||||||||
| President | 40.00 | 0.00 | Yes (X) | Yes (X) | $684,539 | $0 | $6,284 | ||
| Daniel J Levine MD | |||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $422,214 | $99,970 | $48,039 | |||
| Paul Y Liu MD | |||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $703,965 | $0 | $40,525 | |||
| Debra Lobato-Barrera PhD | |||||||||
| Trustee | 1.00 | 39.00 | Yes (X) | $164,644 | $0 | $32,968 | |||
| Suzanne E McLaughlin MD | |||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $176,462 | $0 | $31,797 | |||
| Michael E Migliori MD | |||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $390,495 | $0 | $39,708 | |||
| Margaret A Miller MD | |||||||||
| Trustee | 20.00 | 20.00 | Yes (X) | $371,228 | $0 | $41,857 | |||
| John B Murphy MD | |||||||||
| Secretary | 25.00 | 15.00 | Yes (X) | Yes (X) | $0 | $807,439 | $24,980 | ||
| Gildasio Oliveira Jr MD | |||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $824,492 | $0 | $40,334 | |||
| Chanika Phornphutkul MD | |||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $205,794 | $0 | $35,920 | |||
| Athena Poppas MD | |||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $412,645 | $151,061 | $36,565 | |||
| Henry T Sachs III MD | |||||||||
| Trustee- 11/17 | 1.00 | 39.00 | Yes (X) | $0 | $395,365 | $72,679 | |||
| Meera V Simoes MD | |||||||||
| Trustee- 11/17 | 40.00 | 0.00 | Yes (X) | $301,793 | $0 | $39,365 | |||
| Adrian D Velasquez MD | |||||||||
| Trustee- 11/17 | 40.00 | 0.00 | Yes (X) | $315,055 | $0 | $25,665 | |||
| Marilyn J Weigner MD | |||||||||
| Trustee- 11/17 | 1.00 | 39.00 | Yes (X) | $400,836 | $100,146 | $43,882 | |||
| Mary A Wakefield | |||||||||
| Treasurer | 2.00 | 38.00 | Yes (X) | $0 | $1,022,911 | $282,563 | |||
| Patricia H Richards | |||||||||
| VP of Operations | 40.00 | 0.00 | $0 | $378,302 | $29,795 | Yes (X) | |||
| Anthony L Gallo MD | |||||||||
| Physician | 40.00 | 0.00 | $653,660 | $0 | $41,353 | Yes (X) | |||
| Ziya L Gokaslan MD | |||||||||
| Physician | 40.00 | 0.00 | $1,481,742 | $0 | $40,525 | Yes (X) | |||
| Rolf H Langeland MD | |||||||||
| Physician | 40.00 | 0.00 | $568,770 | $0 | $40,085 | Yes (X) | |||
| Rachel A Sullivan MD | |||||||||
| Physician | 40.00 | 0.00 | $595,886 | $0 | $40,027 | Yes (X) | |||
| Steven A Toms MD | |||||||||
| Physician | 40.00 | 0.00 | $898,879 | $0 | $40,525 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,301,631 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,583,619 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,940,403 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 485 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| University Surgical Associates Inc | |||||
| 2 Dudley Street | Providence | RI | 02905 | Physician Services | $2,091,465 |
| University Medicine Fdtn Inc | |||||
| 110 Elm Street | Providence | RI | 02903 | Physician Services | $1,362,171 |
| Quorum Health Resources LLC | |||||
| 1573 Mallory Lane | Brentwood | TN | 37027 | Consulting Services | $1,105,864 |
| Nationwide Anesthesia Services Inc | |||||
| 104 Malone St | Sandersville | GA | 31082 | Medical Services | $728,891 |
| Medicus Hospitalists LLC | |||||
| 22 Roulston Road | Windham | NH | 03087 | Physician Services | $685,221 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Hospital Support Revenue | 621110 | $82,802,064 | $82,802,064 |
| Laboratory Lease Revenue | 621500 | $179,276 | $179,276 |
| Patient Service Revenue | 621110 | $118,923,684 | $118,923,684 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $201,905,024 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,512 | TotalRevenueColumnAmt |
| Exclusion | $65,512 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $201,970,536 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $201,905,024 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $65,512 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,161 | TotalAmt |
| Program Services | $16,161 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,518,988 | TotalAmt |
| Program Services | $8,392,342 | ProgramServicesAmt |
| Management And General | $2,126,646 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,872,347 | TotalAmt |
| Program Services | $120,610,330 | ProgramServicesAmt |
| Management And General | $12,262,017 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,727,094 | TotalAmt |
| Program Services | $5,181,804 | ProgramServicesAmt |
| Management And General | $545,290 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,976,163 | TotalAmt |
| Program Services | $10,304,663 | ProgramServicesAmt |
| Management And General | $2,671,500 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,735,341 | TotalAmt |
| Program Services | $6,961,807 | ProgramServicesAmt |
| Management And General | $773,534 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,448,215 | TotalAmt |
| Program Services | $1,040,865 | ProgramServicesAmt |
| Management And General | $407,350 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,279 | TotalAmt |
| Program Services | $15,832 | ProgramServicesAmt |
| Management And General | $20,447 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,203 | TotalAmt |
| Program Services | $145,344 | ProgramServicesAmt |
| Management And General | $3,859 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $289,198 | TotalAmt |
| Program Services | $215,475 | ProgramServicesAmt |
| Management And General | $73,723 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,518,766 | TotalAmt |
| Program Services | $5,970,469 | ProgramServicesAmt |
| Management And General | $548,297 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,506 | TotalAmt |
| Program Services | $55,559 | ProgramServicesAmt |
| Management And General | $6,947 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,020 | TotalAmt |
| Program Services | $11,931 | ProgramServicesAmt |
| Management And General | $1,089 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $770,085 | TotalAmt |
| Program Services | $764,210 | ProgramServicesAmt |
| Management And General | $5,875 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,362,832 | TotalAmt |
| Program Services | $6,894,303 | ProgramServicesAmt |
| Management And General | $468,529 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| Purchased Services | $5,460,623 | $5,460,623 | |
| Provision for Bad Debts | $3,933,265 | $11,325 | $3,921,940 |
| Drugs & IV Solutions | $1,996,717 | $1,996,717 | |
| Professional Allowance | $1,927,174 | $2,450 | $1,924,724 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,156,559 | TotalAmt |
| Program Services | $2,011,395 | ProgramServicesAmt |
| Management And General | $145,164 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,970,536 | TotalAmt |
| Program Services | $176,435,871 | ProgramServicesAmt |
| Management And General | $25,534,665 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,939 | BOYAmt |
| EOY | $55,622 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,822,668 | BOYAmt |
| EOY | $6,821,039 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,117 | BOYAmt |
| EOY | $55,952 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,544,641 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,080,143 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,246,402 | BOYAmt |
| EOY | $3,464,498 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,040,058 | BOYAmt |
| EOY | $895,273 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,292,348 | BOYAmt |
| EOY | $16,663,921 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,647,532 | BOYAmt |
| EOY | $27,956,305 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,051,881 | BOYAmt |
| EOY | $17,650,339 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,040,051 | BOYAmt |
| EOY | $11,493,366 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,091,932 | BOYAmt |
| EOY | $29,146,705 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,444,400 | BOYAmt |
| EOY | -$1,190,400 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,444,400 | BOYAmt |
| EOY | -$1,190,400 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,647,532 | BOYAmt |
| EOY | $27,956,305 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,254,000 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $54,619,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $86,826,839 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $172,616,971 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $189,742,614 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $201,905,024 | CurrentTaxYearAmt |
| Total | $705,711,398 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $54,619,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $86,826,839 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $172,616,971 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $189,742,614 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $201,905,024 | CurrentTaxYearAmt |
| Total | $705,711,398 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $705,711,398 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $839 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,056 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,034 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,226 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,512 | CurrentTaxYearAmt |
| Total | $118,667 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $839 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,056 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,034 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,226 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,512 | CurrentTaxYearAmt |
| Total | $118,667 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $54,620,789 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $86,840,895 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $172,623,005 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $189,774,840 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $201,970,536 | CurrentTaxYearAmt |
| Total | $705,830,065 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $606,719 | OtherCostOrOtherBasisAmt |
| Depreciation | $89,325 | DepreciationAmt |
| Book Value | $517,394 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $513,034 | OtherCostOrOtherBasisAmt |
| Depreciation | $106,322 | DepreciationAmt |
| Book Value | $406,712 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,588,017 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,651,815 | DepreciationAmt |
| Book Value | $1,936,202 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $836,871 | OtherCostOrOtherBasisAmt |
| Depreciation | $232,681 | DepreciationAmt |
| Book Value | $604,190 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,464,498 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Affiliates | $16,473,006 |
| Other Receivables | $36,421 |
| Third-party Payor Settlements | $154,494 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $16,663,921 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Pension Liability | $1,808,600 |
| Due to Lifespan Health Alliance | $38,074 |
| Est Malpractice Self-Insurance Costs | $7,613,788 |
| Health Care Benefit Self-insurance | $2,032,904 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,493,366 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | Lifespan Physician Group, Inc. (LPG) is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from Federal income taxes pursuant to Section 501(a) of the Code. LPG 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. LPG did not recognize the effect of any income tax positions in either 2018 or 2017. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Miriam Hospital Fdtn | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 167 Point Street | AddressLine1Txt |
| City | Providence | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 050377502 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | Philanthropy | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | The organizations that are granted assistance are non-profit organizations (typically 501(c)(3)) whose missions are similar to that of Lifespan Physician Group, Inc., including promoting and advancing medical research, education and training in medicine, promoting medical-related sciences, and providing clinical practice. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Adrian D Velasquez MD | |||||||||||||
| Trustee- 11/17 | $283,299 | $31,300 | $456 | $14,030 | $11,635 | $340,720 | |||||||
| Anthony L Gallo MD | |||||||||||||
| Physician | $274,432 | $378,655 | $573 | $14,779 | $26,574 | $695,013 | |||||||
| Athena Poppas MD | |||||||||||||
| Trustee | $335,844 | $73,479 | $3,322 | $10,545 | $14,755 | $437,945 | $149,584 | $1,477 | $4,695 | $6,570 | $162,326 | ||
| Bradley J Collins MD | |||||||||||||
| Trustee | $276,390 | $30,198 | $454 | $13,342 | $24,881 | $345,265 | |||||||
| Chanika Phornphutkul MD | |||||||||||||
| Trustee | $193,601 | $8,525 | $3,668 | $9,924 | $25,996 | $241,714 | |||||||
| Christina A Bandera MD | |||||||||||||
| Trustee- 11/17 | $385,222 | $36,100 | $3,113 | $15,240 | $27,233 | $466,908 | |||||||
| Curtis E Doberstein MD | |||||||||||||
| Trustee | $1,120,911 | $4,002 | $15,240 | $24,896 | $1,290,049 | $125,000 | |||||||
| Daniel J Levine MD | |||||||||||||
| Trustee | $258,369 | $158,665 | $5,180 | $11,060 | $23,803 | $457,077 | $97,668 | $2,302 | $4,180 | $8,996 | $113,146 | ||
| Debra Lobato-Barrera PhD | |||||||||||||
| Trustee | $160,668 | $3,976 | $10,015 | $22,953 | $197,612 | ||||||||
| Gildasio Oliveira Jr MD | |||||||||||||
| Trustee | $586,878 | $222,576 | $15,038 | $13,970 | $26,364 | $864,826 | |||||||
| Henry T Sachs III MD | |||||||||||||
| Trustee- 11/17 | $288,680 | $40,349 | $50,225 | $22,454 | $468,044 | $66,336 | $29,546 | ||||||
| John B Murphy MD | |||||||||||||
| Secretary | $531,893 | $115,546 | $6,750 | $18,230 | $832,419 | $160,000 | |||||||
| Kristopher R Davignon MD | |||||||||||||
| Trustee- 11/17 | $454,161 | $155,788 | $1,046 | $15,240 | $27,459 | $653,694 | |||||||
| Larry A Evans MD | |||||||||||||
| Trustee- 11/17 | $421,544 | $4,186 | $4,102 | $15,240 | $28,553 | $473,625 | |||||||
| Lloyd Feit MD | |||||||||||||
| Trustee- 11/17 | $334,429 | $10,981 | $4,153 | $15,240 | $7,015 | $371,818 | |||||||
| Margaret A Miller MD | |||||||||||||
| Trustee | $318,381 | $48,750 | $4,097 | $15,240 | $26,617 | $413,085 | |||||||
| Marilyn J Weigner MD | |||||||||||||
| Trustee- 11/17 | $261,366 | $136,984 | $2,486 | $11,050 | $20,768 | $432,654 | $99,069 | $1,077 | $4,190 | $7,874 | $112,210 | ||
| Mary A Wakefield | |||||||||||||
| Treasurer | $684,712 | $129,199 | $264,493 | $18,070 | $1,305,474 | $209,000 | $97,769 | ||||||
| Meera V Simoes MD | |||||||||||||
| Trustee- 11/17 | $252,131 | $49,160 | $502 | $12,744 | $26,621 | $341,158 | |||||||
| Michael E Migliori MD | |||||||||||||
| Trustee | $375,046 | $11,785 | $3,664 | $15,240 | $24,468 | $430,203 | |||||||
| Patricia H Richards | |||||||||||||
| VP of Operations | $232,248 | $99,854 | $8,100 | $21,695 | $408,097 | $46,200 | |||||||
| Paul Y Liu MD | |||||||||||||
| Trustee | $656,179 | $41,250 | $6,536 | $15,240 | $25,285 | $744,490 | |||||||
| Phyllis A Dennery MD | |||||||||||||
| Trustee | $539,183 | $60,000 | $7,482 | $15,240 | $30,977 | $652,882 | |||||||
| Rachel A Sullivan MD | |||||||||||||
| Physician | $432,608 | $162,500 | $778 | $15,240 | $24,787 | $635,913 | |||||||
| Richard G Gillerman MD | |||||||||||||
| Trustee- 11/17 | $390,262 | $50,776 | $5,400 | $18,938 | $551,952 | $86,576 | |||||||
| Richard J Goldberg MD | |||||||||||||
| Trustee- 11/17 | $436,184 | $98,858 | $16,200 | $20,811 | $670,053 | $98,000 | |||||||
| Rolf H Langeland MD | |||||||||||||
| Physician | $510,976 | $57,794 | $15,240 | $24,845 | $608,855 | ||||||||
| Steven A Toms MD | |||||||||||||
| Physician | $894,876 | $4,003 | $15,240 | $25,285 | $939,404 | ||||||||
| Steven Lampert MD | |||||||||||||
| President | $474,318 | $115,000 | $95,221 | $5,400 | $884 | $690,823 | |||||||
| Suzanne E McLaughlin MD | |||||||||||||
| Trustee | $170,676 | $5,265 | $521 | $8,024 | $23,773 | $208,259 | |||||||
| Timothy J Babineau MD | |||||||||||||
| Chair | $1,261,691 | $355,675 | $501,925 | $25,892 | $2,745,673 | $600,490 | $267,558 | ||||||
| Ziya L Gokaslan MD | |||||||||||||
| Physician | $1,344,884 | $129,375 | $7,483 | $15,240 | $25,285 | $1,522,267 | |||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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).LPG also purchased professional liability prior acts coverage for certain newly-hired physicians in calendar year 2017. Premiums were paid to insurance carriers by the insureds on an after-tax basis. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the physicians' employment contracts and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii).Housing Allowances or Residences for Personal Use:A temporary housing allowance may be provided on a case-by-case basis as part of the recruitment of key executives. The allowance is documented in the individual employment contract or employment offer. In calendar year 2017 LPG provided this benefit to two executives and the taxable amounts paid for the temporary housing resulting from relocation are 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 based on various quality and productivity markers. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: LPG employs many physicians and physician groups from Lifespans affiliated hospitals. Included among these various groups are the physicians working within the organization's OB/Gyn Associates group (OGA), the Cardiovacular Institute (CVI), neurosurgeons, pediatricians and plastic surgeons from Rhode Island Hospital (RIH), and Hospitalists from The Miriam Hospital (TMH). OTHER PROGRAM SERVICES 5: The LPG Department of Neurosurgery at RIH offers patient-focused, state-of-the-art clinical care in highly-equipped and modern facilities. Each of LPG's skilled surgeons has specific neurosurgical subspecialty expertise, including surgery for brain tumors and epilepsy, cerebrovascular surgery, skull-base surgery, radiosurgery, complex spine surgery, and pediatric neurosurgery. In addition to providing care to patients and families from all over New England and the nation, as well as from outside the United States, LPG surgeons are faculty members at The Warren Alpert Medical School of Brown University, where they conduct research as well as teach and mentor the next generation of neurosurgeons. Operating expenses and revenue for Neurosurgery during the fiscal year ended September 30, 2018 were $12,331,896 and $6,489,555, respectively.Ob-Gyn Associates (OGA) has been caring for women for more than 40 years. OGA is committed to bringing together intelligent, talented, and compassionate professionals in order to provide exceptional care for women based on the latest research, technological advances, and holistic approaches. With six locations in Rhode Island and Massachusetts, OGA was the first practice in Rhode Island to offer midwifery care and is one of only two practices in Rhode Island that offer deliveries in the Alternative Birthing Center of Women & Infants Hospital. OGA is also the only group in Rhode Island that has practice-wide protocols for high-risk obstetrics. OGA has the advantage of many highly trained and experienced providers with easy access to medical specialists at LPG's Women's Medicine Collaborative (WMC). OGA and WMC work in partnership with one another, consulting on difficult cases and assisting each other in numerous surgeries. Operating expenses and revenue for OGA during the fiscal year ended September 30, 2018 were $13,508,818 and $10,055,951, respectively. Operating expenses and revenue for WMC during the fiscal year ended September 30, 2018 were $4,110,099 and $2,221,756, respectively.The CVI was created in an effort to meet the demands of the changing health care environment and to enhance the level of cardiovascular care provided to the community. CVI includes approximately 55 cardiologists along with support staff at three ambulatory care centers and two comprehensive cardiac centers. This innovative program brought together the well-known cardiac programs of both RIH and TMH in 2012 and places a stronger emphasis on extending these programs into the community, where it is more convenient for patients to receive care. LPG's portion of CVI's program expenses consists primarily of CVI's expanded office-based services. CVI specialists work as a team across all disciplines, combining their expertise to provide an individualized treatment plan for each patient, whether the need is consultative, diagnostic, interventional, surgical, or rehabilitative. Operating expenses and revenue for this practice group during the fiscal year ended September 30, 2018 were $13,597,061 and $12,208,581, respectively. OTHER PROGRAM SERVICES 6: LPG Pediatrics:LPG's Pediatric practice group is comprised of a group of pediatricians and specialists who provide routine health check-ups, treat illnesses, lead immunization clinics, and staff Rhode Island Hospital's (RIH) pediatric division-Hasbro Children's Hospital. Operating expenses for this practice group directly charged to LPG during the fiscal year ended September 30, 2018 amounted to $21,408,828, representing primarily payroll and fringe benefit expenses funded by RIH. OTHER PROGRAM SERVICES 7: Operating expenses and revenue for the TMH Hospitalists during the fiscal year ended September 30, 2018 were $10,151,863 and $6,611,156, respectively. OTHER PROGRAM SERVICES 8: Operating expenses and revenue for the RIH Plastic Surgery Group during the fiscal year ended September 30, 2018 were $7,729,605 and $5,708,891, respectively.The remaining LPG revenue represents amounts funded by Lifespan's affiliated hospitals in order to bring LPG to a break-even point in its statement of operations. |
| Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee | Included among the LPG Board of Trustees are two Lifespan Designees (Designees), physicians designated by Lifespan Corporation (Lifespan) who are licensed to practice medicine in the State of Rhode Island and who serve at the pleasure of Lifespan. The Designees have the right, acting alone by concurrent approval of both Designees, to initiate action on and approve any of the following matters:(a) To approve and/or initiate the enumerated joint powers of the Trustees listed within LPG's bylaws, except to the extent that under Rhode Island law a greater number of Trustees of LPG is required to affirmatively approve a joint power action. To the extent that Rhode Island law requires a greater number of Trustees to make a recommendation or resolution on a joint power matter before undertaking such joint power action, all Trustees shall take such prior vote on such matter in accordance with the bylaws in the manner specified by concurrent approval of the Designees.(b) To initiate a joint power action listed in part (a) above, this ability can only be exercised by the Designees in the event of a Board deadlock on a matter first presented for action at a regular or special meeting of the Board of Trustees of LPG. (c) LPG shall cause the Designees' authority to approve and initiate actions to be reserved to LPG in the bylaws (or applicable organizational documents) of any subsidiary of which LPG is the sole or controlling member, partner, trustee, or stockholder, or that LPG otherwise owns or controls. |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Timothy J. Babineau, M.D., Chair, and Mary A. Wakefield, EVP/CFO, are board members of VNA Technicare, Inc. (VNA), a related for-profit corporation. Ms. Wakefield is also an officer of VNA. |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | The bylaws of LPG have been amended so that the composition of the Board of Trustees shall be comprised of individuals nominated and selected from the LPG membership, having at least one year of employment with the organization, and being in good standing. Twelve of the Trustees shall be physician members in good standing. Seven of the Trustees shall have the respective designations or affiliations set forth below:- two physicians designated by Lifespan, who shall serve at the pleasure of Lifespan, each with vote;- the President of LPG, ex-officio with vote;- the Chief Financial Officer of Lifespan, or his/her designee, ex-officio without vote; and- Community Trustees, up to three individuals, external to LPG and Lifespan, with substantive business and leadership experience, preferably in the local healthcare industry, without vote.A Trustee term is three years long. The term begins at each Annual Meeting of LPG, during which certain Trustees vacate their seats, while new Trustees are presented and seated. Term - Initial Slate. An Initial Slate of twelve Trustees will be selected and nominated for approval by the Governance and Nominating Committee (G&NC) through the selection process outlined below. An Initial Slate Trustee will be randomly chosen to have an initial term of either one, two, or three years. As the Initial Slate of Trustees serves out their terms after one, two, and three years, the G&NC will nominate and select candidates for a slate of four additional Trustees. Each Initial Slate Trustee may be appointed to serve two additional consecutive terms of three years each.Term After Year 3. After the twelve Initial Slate Trustees have served at least their initial term, the G&NC will annually nominate and select a slate of four additional Trustees. Each Trustee then appointed will serve a three-year term. Term Limits. A Trustee may only be appointed to serve a maximum of three consecutive terms. Upon the completion of three terms, the Trustee shall wait one year before once again being qualified for a reappointment to the Board. All Trustees shall hold office until the expiration of their respective terms or until their respective successors are duly elected and qualified, or until they sooner die, resign, are removed, or become disqualified. An appointed Trustee shall cease to be a Trustee if he/she does not have an active Medical Staff appointment and clinical privileges at any Lifespan hospital. Upon the occurrence of a mid-term vacancy, a new Trustee shall be appointed to finish serving that term. Afterwards that trustee may, in their own right, be appointed to serve up to three consecutive terms.Lifespan Designees. The Lifespan Designees shall serve until their successors are elected or appointed, as the case may be. The Lifespan Designees shall serve at the pleasure of Lifespan, or until such person sooner dies, resigns, is removed, or becomes disqualified. Lifespan shall consult with the Board of Trustees prior to any removal, change and/or reappointment of any Lifespan Designee, provided, however, that in no event shall the authority of Lifespan to appoint the Lifespan Designees be limited by or subject to approval of the Board of Trustees of LPG.Ex-Officio Trustees. A person serving as a Trustee in an ex-officio capacity shall serve as long as such person holds the position that qualifies such person to serve as a Trustee. Such person shall cease to be an ex-officio Trustee upon ceasing to hold the position that qualifies the person to be a Trustee, and any successor to such position, whether acting, interim, or permanent, shall immediately succeed such person as Trustee.Community Trustee. A person serving as a Community Trustee shall serve terms equal in length to an LPG Trustee, with the same maximum number of consecutive terms. |
| 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 is sent to LPG's Board of Trustees in advance of its next Board meeting, at which the EVP/CFO discusses highlights of the Form. 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 a 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 currently makes its 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. Copies of LPG'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 | Change in funded status of pension plan = $1254000 |
| Form 990, Part I, Line 1: | Lifespan Physician Group (LPG) primarily serves hospitals affiliated with Lifespan Corporation. Additionally, it is LPG's mission to promote and advance medical research, education and training in medicine, medical-related sciences, and clinical practice. |
| Form 990, Part VI, Section B, Line 12c: | Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including LPG, 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. This requirement shall be acknowledged as part of the annual performance evaluation process. 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 LPG: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 with acceptance of a reasonable compensation offer. |
| Form 990, Part XII, Line 2: | While LPG did not produce an audited financial statement as of and for the fiscal year ended September 30, 2018, it was included in Lifespan Corporation's (Lifespan) audited consolidated financial statements, in which one column is used for LPG individually. There are no regulatory or creditor stipulations which require the preparation of a separate audited financial statement for LPG.The Lifespan Audit and Compliance Committee assumes responsibility for oversight of the audit of Lifespan Corporation's consolidated financial statements and the selection of Lifespan Corporation's independent accountant. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||||
| Emma Pendleton Bradley Hospital | |||||||||||||||
| 1011 Veterans Memorial Parkway | East Providence | RI | 02915 | 050258806 | Pediatric Psychiatric Health Care Svcs | RI | 501(c)(3) | 3 | Lifespan Corporation | 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 Foundation | |||||||||||||||
| 249 Roosevelt Avenue | Pawtucket | RI | 02860 | 464002163 | Philanthropic Activities | RI | 501(c)(3) | 7 | Lifespan Corporation | 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 245 Winter St | Waltham | MA | 02451 | 043408517 | Holding Company | MA | 501(c)(3) | 12(I) | Lifespan Corporation | false | |||||
| Lifespan School Solutions Inc | |||||||||||||||
| 140 Broadway | Providence | RI | 02903 | 464910847 | Educational Services | RI | 501(c)(3) | 2 | Emma Pendleton Bradley Hospital | false | |||||
| 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 | |||||||||||||||
| Offshore Insurance Captive | N/A | N/A | Lifespan Corporation | false | 65 Front Street | Hamilton | BD | HM 12 | BD | ||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lifespan Health Alliance LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 167 Point Street | AddressLine1Txt |
| City | Providence | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 812732225 | EIN |
| Primary Activities | Account. Care Org. | PrimaryActivitiesTxt |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Lifespan MSO Inc | |||||||||
| 167 Point Street | Providence | RI | 02903 | 050508717 | Mgmnt. Svcs. | RI | Lifespan Corp | C Corp | false |
| Lifespan Risk Services Inc | |||||||||
| 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 | LDS Inc | C Corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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