RHODE ISLAND HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- RHODE ISLAND HOSPITAL (EIN 05-0258954)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-15
- IRS object ID
- 201922279349301017
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-15T05:45:32-07:00 | 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 | 050258954 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rhode Island Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RHOD | BusinessNameControlTxt |
| Phone | 4014444000 | 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mary A Wakefield | PersonNm |
| Person Title | Treasurer | 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 | Margaret M Van Bree DrPH | PrincipalOfficerNm |
| Gross Receipts | $1,783,738,106 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.rhodeislandhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1863 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | As a founding hospital in the Lifespan health system, Rhode Island Hospital (RIH) is committed to its mission: Delivering health with care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 9143 | TotalEmployeeCnt |
| Total Volunteers | 613 | TotalVolunteersCnt |
| Total Gross UBI | $3,642,403 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $666,159 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,895,210 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,517,072 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,349,203,904 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,422,019,640 | CYProgramServiceRevenueAmt |
| PY Investment Income | $32,925,038 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,532,489 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$18,270,324 | PYOtherRevenueAmt |
| CY Other Revenue | -$8,097,219 | CYOtherRevenueAmt |
| PY Total Revenue | $1,369,753,828 | PYTotalRevenueAmt |
| CY Total Revenue | $1,446,971,982 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,911,896 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,228,599 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $583,329,258 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $601,901,711 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $759,022,051 | PYOtherExpensesAmt |
| CY Other Expenses | $833,955,883 | CYOtherExpensesAmt |
| PY Total Expenses | $1,344,263,205 | PYTotalExpensesAmt |
| CY Total Expenses | $1,437,086,193 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $25,490,623 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,885,789 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,291,869,879 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,284,809,986 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $571,601,291 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $511,822,928 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $720,268,588 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $772,987,058 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As a founding hospital in the Lifespan health system, RIH is committed to its mission: Delivering health with care. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,083,320,588 | ExpenseAmt |
| Grant | $1,228,599 | GrantAmt |
| Revenue | $1,329,196,700 | RevenueAmt |
| Desc | Patient Care:RIH is the State's largest hospital, and its only Level I trauma center and verified burn center. It is the principal teaching hospital of The Warren Alpert Medical School of Brown University, and provides a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients. RIH has particular expertise in cancer, cardiology, diabetes, emergency medicine, neurosciences, orthopedics, and more. Hasbro Children's Hospital (HCH), RIH's pediatric division, is the region's premier provider of pediatric clinical care. The hospital offers a broad spectrum of both routine care and specialty programs not available elsewhere. HCH has the only pediatric emergency department, Level I trauma center, pediatric critical care teams, and 24-hour ambulance in the region. (Continued on Schedule O) | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $102,962,558 | ExpenseAmt |
| Revenue | $14,635,948 | RevenueAmt |
| Desc | Medical Education:RIH provides the setting for and substantially supports medical education in various clinical training and nursing programs. The total cost of medical education provided by the Hospital exceeded the reimbursement received from third-party payors by $88.3 million in fiscal year 2018.(Continued on Schedule O) | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $71,382,273 | ExpenseAmt |
| Revenue | $60,608,273 | RevenueAmt |
| Desc | Research:RIH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in the National Institutes of Health programs. RIH also sponsors many clinical trials which provide valuable research information as well as cutting edge treatment for patients in the region. Federal support accounts for approximately 64% of all externally funded research at RIH. Researchers focus on clinical trials which investigate prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac disease, neurological problems, orthopedic advancements, and mental health concerns. Included in the totals are $18.4 million of research grants from for-profit organizations that are not reported in Schedule H. (Continued on Schedule O) | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,257,665,419 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | Yes (true) | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | 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 | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 538 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 9143 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | 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 | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| 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 (29 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Lawrence A Aubin Sr | ||||||||||
| Chair | 2.00 | 28.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Timothy J Babineau MD | ||||||||||
| Trustee | 20.00 | 20.00 | Yes (X) | $0 | $2,217,856 | $527,817 | ||||
| Emanuel Barrows | ||||||||||
| Trustee | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Roger N Begin | ||||||||||
| Trustee | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| Peter Capodilupo | ||||||||||
| Vice Chair | 0.50 | 8.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Jonathan D Fain | ||||||||||
| Trustee | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | ||||
| Edward D Feldstein Esq | ||||||||||
| Trustee | 1.00 | 12.00 | Yes (X) | $0 | $0 | $0 | ||||
| Michael L Hanna | ||||||||||
| Trustee | 1.00 | 5.05 | Yes (X) | $0 | $0 | $0 | ||||
| Pamela Harrop MD | ||||||||||
| Trustee | 5.00 | 3.00 | Yes (X) | $35,000 | $0 | $0 | ||||
| Alan H Litwin | ||||||||||
| Vice Chair | 1.00 | 9.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Joseph J MarcAurele | ||||||||||
| Director | 0.25 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Steven Pare | ||||||||||
| Trustee | 2.00 | 10.50 | Yes (X) | $0 | $0 | $0 | ||||
| Lawrence B Sadwin | ||||||||||
| Trustee | 0.25 | 13.50 | Yes (X) | $0 | $0 | $0 | ||||
| Shivan Subramaniam | ||||||||||
| Trustee | 0.25 | 5.25 | Yes (X) | $0 | $0 | $0 | ||||
| Jane Williams | ||||||||||
| Trustee | 1.00 | 4.40 | Yes (X) | $0 | $0 | $0 | ||||
| Brian J Zink MD | ||||||||||
| Trustee- 12/17 | 20.00 | 8.50 | Yes (X) | $0 | $0 | $0 | ||||
| Paul J Adler | ||||||||||
| Secretary | 5.00 | 35.00 | Yes (X) | $0 | $532,564 | $99,156 | ||||
| Margaret M Van Bree MHADrPH | ||||||||||
| President | 35.00 | 5.00 | Yes (X) | $0 | $861,921 | $129,922 | ||||
| Mary A Wakefield | ||||||||||
| Treasurer | 10.00 | 30.00 | Yes (X) | $0 | $1,022,911 | $282,563 | ||||
| Nicholas P Dominick | ||||||||||
| SVP-Clin. Svc. Lines & Facil. Devel | 40.00 | 0.00 | $384,986 | $0 | $78,016 | Yes (X) | ||||
| Barbara P Riley RN | ||||||||||
| Chief Nursing Officer | 40.00 | 0.00 | $409,872 | $0 | $30,520 | Yes (X) | ||||
| Latha Sivaprasad MD | ||||||||||
| Chief Medical Officer | 40.00 | 0.00 | $539,820 | $0 | $86,891 | Yes (X) | ||||
| Alexios G Carayannopoulos DO | ||||||||||
| Physician | 40.00 | 0.00 | $630,252 | $0 | $28,058 | Yes (X) | ||||
| Deus J Cielo MD | ||||||||||
| Physician | 40.00 | 0.00 | $747,986 | $0 | $40,585 | Yes (X) | ||||
| Curtis E Doberstein MD | ||||||||||
| Physician | 40.00 | 0.00 | $1,249,913 | $0 | $40,136 | Yes (X) | ||||
| Adetokunbo A Oyelese MD | ||||||||||
| Physician | 40.00 | 0.00 | $749,368 | $0 | $40,863 | Yes (X) | ||||
| Albert E Telfeian MD | ||||||||||
| Physician | 40.00 | 0.00 | $749,514 | $0 | $40,525 | Yes (X) | ||||
| Frederick J Macri | ||||||||||
| EVP & COO | 0.00 | 0.00 | $0 | $440,169 | $0 | Yes (X) | ||||
| John B Murphy MD | ||||||||||
| EVP - Physician Affairs | 0.00 | 40.00 | $0 | $807,439 | $24,980 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,496,711 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,882,860 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,450,032 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 708 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | 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 Medicine Foundation | |||||
| 17 Virginia Ave | Providence | RI | 02905 | Medical Services | $33,168,915 |
| University Surgical Associates | |||||
| 75 Newman Avenue | Rumford | RI | 02916 | Medical Services | $10,307,202 |
| Brown University | |||||
| 45 Prospect Street | Providence | RI | 02912 | Subcontracted Svcs. | $6,135,439 |
| University Emergency Med Fnd | |||||
| 125 Whipple St | Providence | RI | 02908 | Medical Services | $5,297,485 |
| Neurology Foundation | |||||
| 34 Parsonage Street | Providence | RI | 02903 | Medical Services | $5,227,755 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 95 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $6,477,700 | RelatedOrganizationsAmt |
| Government Grants | $136,982 | GovernmentGrantsAmt |
| All Other Contributions | $902,390 | AllOtherContributionsAmt |
| Total Contributions | $7,517,072 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Direct Rev from Research | 900099 | $60,608,273 | $60,608,273 |
| Lifespan Pharmacy | 446110 | $39,506,857 | $39,506,857 |
| Patient Service Revenue | 900099 | $1,314,240,504 | $1,314,240,504 |
| Rental | 531120 | $4,012,440 | $4,012,440 |
| Temp Restricted (SPF's) | 900099 | $3,651,566 | $3,651,566 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,422,019,640 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,146,479 | TotalRevenueColumnAmt |
| Exclusion | $6,146,479 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,602 | TotalRevenueColumnAmt |
| Exclusion | $1,602 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,180,231 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,168,256 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,011,975 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,011,975 | TotalRevenueColumnAmt |
| Exclusion | $1,011,975 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $353,718,318 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $334,292,689 | SecuritiesAmt |
| Other | $41,221 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,425,629 | SecuritiesAmt |
| Other | -$41,221 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,384,408 | TotalRevenueColumnAmt |
| Exclusion | $19,384,408 | ExclusionAmt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $227,541 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $263,958 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$36,417 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$36,417 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria Revenue | 722210 | $4,810,045 | $4,810,045 | |
| Indirect Rev from Grants | 900099 | $13,057,690 | $13,057,690 | |
| Other/Services Rendered | 900099 | $2,631,117 | $2,631,117 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$29,571,629 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$33,267,526 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,678,820 | UnrelatedBusinessRevenueAmt |
| Exclusion | $17,077 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$9,072,777 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,446,971,982 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,404,440,921 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,642,403 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,371,586 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,193,599 | TotalAmt |
| Program Services | $1,193,599 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,000 | TotalAmt |
| Program Services | $35,000 | ProgramServicesAmt |
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 | $1,483,145 | TotalAmt |
| Program Services | $1,030,976 | ProgramServicesAmt |
| Management And General | $452,169 | 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 | $457,498,912 | TotalAmt |
| Program Services | $456,119,247 | ProgramServicesAmt |
| Management And General | $1,379,665 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,150,152 | TotalAmt |
| Program Services | $28,055,645 | ProgramServicesAmt |
| Management And General | $94,507 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,878,481 | TotalAmt |
| Program Services | $82,597,277 | ProgramServicesAmt |
| Management And General | $281,204 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,891,021 | TotalAmt |
| Program Services | $31,765,014 | ProgramServicesAmt |
| Management And General | $126,007 | 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 | $13,493 | TotalAmt |
| Program Services | $13,493 | ProgramServicesAmt |
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 | $2,470,318 | TotalAmt |
| Management And General | $2,470,318 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,794,463 | TotalAmt |
| Program Services | $121,794,463 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,791 | TotalAmt |
| Program Services | $117,791 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,947,321 | TotalAmt |
| Program Services | $20,542,198 | ProgramServicesAmt |
| Management And General | $2,405,123 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,648,338 | TotalAmt |
| Program Services | $22,585,741 | ProgramServicesAmt |
| Management And General | $4,062,597 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,439,307 | TotalAmt |
| Program Services | $1,434,016 | ProgramServicesAmt |
| Management And General | $5,291 | 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 | $1,418,325 | TotalAmt |
| Program Services | $1,409,934 | ProgramServicesAmt |
| Management And General | $8,391 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,586,789 | TotalAmt |
| Program Services | $5,099 | ProgramServicesAmt |
| Management And General | $6,581,690 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,321,575 | TotalAmt |
| Management And General | $54,321,575 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,147,530 | TotalAmt |
| Program Services | $20,135,840 | ProgramServicesAmt |
| Management And General | $11,690 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical & surgical supplies | $274,777,830 | $274,777,830 | |
| Purch Svs & Equip Contracts | $163,563,842 | $56,768,345 | $106,795,497 |
| License Fee | $66,855,788 | $66,855,788 | |
| Provision for Bad Debts | $36,954,820 | $36,954,820 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,898,353 | TotalAmt |
| Program Services | $33,473,303 | ProgramServicesAmt |
| Management And General | $425,050 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,437,086,193 | TotalAmt |
| Program Services | $1,257,665,419 | ProgramServicesAmt |
| Management And General | $179,420,774 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,263,510 | BOYAmt |
| EOY | $1,187,044 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,673,932 | BOYAmt |
| EOY | $37,725,110 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,603,370 | BOYAmt |
| EOY | $5,976,142 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,120,645 | BOYAmt |
| EOY | $133,300,600 | 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) |
|---|---|---|
| BOY | $21,502,937 | BOYAmt |
| EOY | $25,152,917 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,991,371 | BOYAmt |
| EOY | $3,425,635 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,287,944,770 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $767,762,113 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,359,701 | BOYAmt |
| EOY | $520,182,657 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,122,504 | BOYAmt |
| EOY | $318,971,601 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,083,090 | BOYAmt |
| EOY | $143,505,737 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,148,819 | BOYAmt |
| EOY | $95,382,543 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,291,869,879 | BOYAmt |
| EOY | $1,284,809,986 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,693,657 | BOYAmt |
| EOY | $87,788,119 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,994,577 | BOYAmt |
| EOY | $201,235,326 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,696,424 | BOYAmt |
| EOY | $10,550,536 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,840,000 | BOYAmt |
| EOY | $3,760,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,376,633 | BOYAmt |
| EOY | $208,488,947 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $571,601,291 | BOYAmt |
| EOY | $511,822,928 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,788,374 | BOYAmt |
| EOY | $417,343,605 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,984,323 | BOYAmt |
| EOY | $278,454,542 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,495,891 | BOYAmt |
| EOY | $77,188,911 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $720,268,588 | BOYAmt |
| EOY | $772,987,058 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,291,869,879 | BOYAmt |
| EOY | $1,284,809,986 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,885,789 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,005,951 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $41,826,730 | 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 | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $13,493 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,493 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | Rhode Island Hospital pays membership fees to the National Association of Children's Hospitals, the Trauma Center Association of America, and the Association of American Medical Colleges. A portion of the membership dues paid to these organizations is allocated to their lobbying efforts. | ExplanationTxt |
Schedule D IRS990ScheduleD
Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Included | $75,705 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $480,453,623 | BeginningYearBalanceAmt |
| Contributions | $70,377,312 | ContributionsAmt |
| Investment Earnings Or Losses | $23,675,697 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $94,426,157 | OtherExpendituresAmt |
| End Year Balance | $480,080,475 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $469,816,601 | BeginningYearBalanceAmt |
| Contributions | $61,895,738 | ContributionsAmt |
| Investment Earnings Or Losses | $46,265,035 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $97,523,751 | OtherExpendituresAmt |
| End Year Balance | $480,453,623 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $456,888,675 | BeginningYearBalanceAmt |
| Contributions | $66,813,380 | ContributionsAmt |
| Investment Earnings Or Losses | $21,926,308 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $75,811,762 | OtherExpendituresAmt |
| End Year Balance | $469,816,601 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $471,966,702 | BeginningYearBalanceAmt |
| Contributions | $64,741,784 | ContributionsAmt |
| Investment Earnings Or Losses | -$9,161,940 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $70,657,871 | OtherExpendituresAmt |
| End Year Balance | $456,888,675 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $489,649,597 | BeginningYearBalanceAmt |
| Contributions | $63,951,673 | ContributionsAmt |
| Investment Earnings Or Losses | $27,343,261 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $108,977,829 | OtherExpendituresAmt |
| End Year Balance | $471,966,702 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.39210 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.08480 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.52310 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,159,682 | OtherCostOrOtherBasisAmt |
| Book Value | $31,159,682 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $790,878,157 | OtherCostOrOtherBasisAmt |
| Depreciation | $464,709,718 | DepreciationAmt |
| Book Value | $326,168,439 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $452,502,191 | OtherCostOrOtherBasisAmt |
| Depreciation | $303,052,395 | DepreciationAmt |
| Book Value | $149,449,796 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,404,740 | OtherCostOrOtherBasisAmt |
| Book Value | $13,404,740 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $520,182,657 | TotalBookValueLandBuildingsAmt |
| Total Book Value Securities | $143,505,737 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deferred Financing Costs | $1,362,564 |
| Intercompany Receivables | $257,375 |
| Interest in Net Assets of RIH Foundation | $64,239,188 |
| Other Non-Current Assets | $1,908,988 |
| Other Receivables | $10,011,291 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $95,382,543 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Interest Payable | $3,319,289 |
| Accrued Pension Liability | $127,500,500 |
| Health Care Benefit Self-insurance | $9,801,772 |
| Other Liabilities | $27,751,268 |
| Post-retirement Benefit Liability | $9,764,100 |
| Third-party Payor Settlements | $30,352,018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $208,488,947 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 4: Description of organization's collections and how it furthers its purpose. | Rhode Island Hospital's (RIH) collection of artwork consists of paintings, photographs, etchings, silkscreens, watercolors, charcoals, and lithographs. The works of art are displayed throughout the hospital campus for the viewing pleasure of patients, visitors, and employees. |
| Part V, Line 4: Intended uses of the endowment fund. | RIH's endowment funds consist of both donor-restricted endowment funds and funds designated by RIH to function as endowments. RIH's largest permanently restricted endowments support patient care, particularly cardiology, hematology/oncology, and neurology, as well as pediatric care at RIH's pediatric division, Hasbro Children's Hospital (HCH), research, and charity care. RIH's unrestricted endowment includes designated assets set aside by RIH's Board for future capital improvements, over which the Board retains control and may at its discretion subsequently use for other purposes.Significant temporarily restricted funds held by RIH are used for the purposes of: (1) the care and treatment of crippled children; (2) orthopedic research;(3)strategic energy management planning; (4) cancer research and the study, prevention, care, and treatment of cancer; and (5) support of the Norman Prince Neurosciences Institute at RIH. |
| Part X : FIN48 Footnote | RIH and its affiliates 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. RIH 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. RIH did not recognize the effect of any income tax positions in either 2018 or 2017. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp (7 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| Central America and the Carib | 0 | 0 | Program Services | Research | $13,054 |
| East Asia and the Pacific | 0 | 0 | Program Services | Research | $106,572 |
| Europe | 0 | 0 | Program Services | Research | $220,293 |
| Russia and Neighboring States | 0 | 0 | Program Services | Research | $3,936 |
| South America | 0 | 0 | Program Services | Research | $20,352 |
| South Asia | 0 | 0 | Program Services | Research | $3,516 |
| Sub-Saharan Africa | 0 | 0 | Program Services | Research | $30,760 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $398,483 | SubtotalSpentAmt |
| Total Spent | $398,483 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | Yes (true) | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2 - Grantmakers Explanation For Monitoring Use of Funds Outside US | FormAndLineReferenceDesc |
| Explanation | When a foreign institution is the subrecipient of an award received by a Lifespan affiliate, the following procedures are adhered to: A subrecipient agreement is prepared and executed between the foreign institution and the Lifespan affiliate. The agreement describes the funding source, terms and conditions of the award, statement of work, payment method, and audit process. The foreign institution prepares an invoice to the Lifespan affiliate for expenses incurred under the agreement. Once received, the invoice is reviewed and approved by both the principal investigator at the Lifespan affiliate and the responsible research administrator in the Lifespan Office of Research Administration.Check requests and wire transfer forms are prepared by the principal investigator, approved by the responsible research administrator, and forwarded to the Finance Department, where payment is processed to the foreign institution.Additionally, when the award is a federal award, a questionnaire is completed by the appropriate subrecipient official supplying information about the foreign institution's financial system and method of accounting for the award. A request is also made for the institution's audited financial statements. When a foreign individual is not associated with an institution, a Professional Services Agreement (PSA) is executed and the individual sends an invoice to the Lifespan affiliate principal investigator associated with the project or sponsored agreement that states the number of hours, dates of services, work performed, expense reimbursement request, and compensation amount. The same approval and payment process is used as described above.Expenditures related to foreign activities are recorded on the accrual basis of accounting. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,157,880 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,236,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,921,198 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01280 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $334,490,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $298,190,955 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,299,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02590 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $357,648,616 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $303,427,637 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $54,220,979 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03870 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $278,493 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,767 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $240,726 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,962,558 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,635,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $88,326,610 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06310 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,932,164 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,650,479 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,281,685 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,975,333 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,201,333 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,774,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00770 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $782,064 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $782,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $184,930,612 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $75,525,527 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $109,405,085 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07820 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $542,579,228 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $378,953,164 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $163,626,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11690 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,999,974 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,029,632 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $225,492,608 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $213,237,906 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $12,254,702 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Orthopedic MRI of RI LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Imaging Services | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.33333 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.13333 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rhode Island Hospital | BusinessNameLine1Txt |
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) |
|---|---|---|
| Website Address | http://www.rhodeislandhospital | WebsiteAddressTxt |
| State License | HOS00121 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rhode Island Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | Please refer to Schedule O | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | Please refer to Schedule O supplemental info for full URL. | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | Please refer to Schedule O | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | Please refer to Schedule O | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | Please refer to Schedule O | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 3j - Description of Other Needs Assessment | Part V, Line 3e- The significant needs identified in RIH's 9/30/2016 CHNA have been prioritized in order of significant needs of the community, as determined by the organization. |
| Part V, Line 5 - Account Input from Persons Who Represent the Community | The CHNA encompassed intensive data collection and analysis, as well as qualitative research in the form of interviews with internal and external stakeholders, including hospital-based physicians, nurses, social workers, administrators, and other professionals, as well as community-based stakeholders representing constituencies served by RIH and Lifespans three other hospitals. RIH also conducted eight Community Health Forums (CHFs) between April-June 2016 which are a qualitative social science data collection method used in community-based or participatory action research. These CHFs were held strategically throughout various locations identified within RIH's patient population community as a way to increase the mix of the participants in an effort to identify the entire community's most significant health needs. The CHFs were open to the public and provided opportunities for residents to share their health concerns and needs with Lifespan staff. RIHs leadership team shaped the CHNA by recommending institutional and community leaders for participation, offering observations about community needs, and providing insight about existing and planned programs.Qualitative data collected during the course of 2015-2016 related to the preparation of the CHNA consist of: (1) interviews completed with internal stakeholders (i.e., hospital-based and Lifespan-based); (2) interviews with key informant community leaders, representing an array of constituencies; and (3) eight Community Health Forums held within the communities of the RIH patient population.Interviews with leaders of organizations encompassed a wide range of issues and populations, including historically underserved communities, such as minority populations, children and youth, and immigrant/refugee populations, and also included leaders of organizations with specific interests or expertise in key issues such as obesity, cancer, and asthma. To ensure representation from a broad cross-section of the community, CHF's were held in the following locations:-Refugee Dream Center- a post-resettlement refugee agency center which facilitates the resettlement process and integration into the new lives of refugees who enter the United States. The center is located at 340 Lockwood Street, Providence, RI 02907;-Empowerment Temple of the International Central Gospel Church, located at 30 E. Dunnell Lane, Pawtucket, RI 02860;-Abundant Blessing Church, located at 825 Mineral Spring Avenue, Pawtucket, RI 02860;-Renaissance Adult Day Health Care Center- located at 1090 Eddy Street, Providence, RI 02905;-John Hope Settlement House- an organization which provides community outreach and advocacy services for children, youth, and families within the Providence area. The organization is located at 7 Thomas P. Whitten Way, Providence, RI 02903;-Drug Abuse Resistance Education (D.A.R.E.)- located at 340 Lockwood Street, Providence, RI 02907;-ACI Women's and Men's Minimum Security Center- located at 40 Howard Avenue, Cranston, RI 02920;-St. Michael's Church- located at 239 Oxford Street, Providence, RI 02905. |
| Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment | The Miriam HospitalEmma Pendleton Bradley HospitalNewport Hospital |
| Part V, Line 7d - Description of Making Needs Assessment Widely Available | A copy of the Community Health Needs Assessment report issued for RIH as of September 30, 2016 can be obtained by visiting: https://www.lifespan.org/sites/default/files/lifespan-files/documents/centers/lifespan-community-health/Rhode-Island-Hospital-2016-CHNA.pdf |
| Part V, Line 16j - Other Means Hospital Facility Publicized the Policy | An abbreviated version of RIH's Financial Assistance Policy is posted in various admitting and outpatient areas of RIH. 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. |
| Part V, Line 22d - Other Billing Determination of Individuals Without Insurance | RIH uses the prospective method in determining amounts generally billed. Internal Revenue Code Section 501(r) defines the prospective method as the amount that Medicare would reimburse RIH for billed care (including both the amount that would be reimbursed by Medicare and the amount that the beneficiary would be personally responsible for paying in the form of co-payments, co-insurance, and deductibles) if the patient was a Medicare fee-for-service beneficiary. |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Comprehensive Cancer Ctr Prgm of RIH at TMH | ||||
| 164 Summit Avenue | Providence | RI | 02906 | Comprehensive Cancer Center Physician Visits, Infusion Therapy |
| Comprehensive Cancer Ctr at East Greenwich Prgm of RIH | ||||
| 1454 South County Trail | East Greenwich | RI | 02918 | Comprehensive Cancer Center Physician Visits, Infusion Therapy |
| Dialysis Center of Rhode Island Hospital | ||||
| 22 Baker Street | Providence | RI | 02905 | Hemodialysis, Home Peritoneal Dialysis, Home Hemodialysis |
| Comprehensive Cancer Ctr Prgm of RIH at NPT Hospital | ||||
| 11 Friendship Street | Newport | RI | 02840 | Comprehensive Cancer Center Physician Visits, Infusion Therapy |
| East Providence Infusion Center | ||||
| 375 Wampanoag Trail Suite 101A | East Providence | RI | 02915 | Infusion Services |
| RIH Rheumatology Infusion Center | ||||
| 407 East Avenue Suite 250 | Pawtucket | RI | 02860 | Infusion Services |
| Rhode Island Surgery Center at Wayland Square | ||||
| 17 Seekonk Street | Providence | RI | 02906 | Outpatient Surgery |
| Dialysis Center of Rhode Island Hospital | ||||
| 950 Warren Avenue | East Providence | RI | 02914 | Hemodialysis |
| RIH Center for Primary Care and Specialty Medicine | ||||
| 245 Chapman Street Suite 300 | Providence | RI | 02905 | Primary Care and Specialty Medical Services |
| RIH Outpatient Rehabilitation Services | ||||
| 765 Allens Avenue 1st Floor Suite 1 | Providence | RI | 02905 | Adult Physical and Occupational Therapy |
| RI Hospital Hasbro Childrens Outpatient Rehab Services | ||||
| 765 Allens Avenue 2nd Floor Suite 2 | Providence | RI | 02903 | Children's Physical and Occupational Therapy |
| RIH Center for Wound Care | ||||
| 950 Warren Avenue Suite 103 | East Providence | RI | 02914 | Wound Care and Hyperbaric Medicine |
| RIH Pediatric Heart Center | ||||
| 1 Hoppin Street | Providence | RI | 02903 | Outpatient Pediatric Cardiology Services |
| Audiology and Speech-Language Pathology Services | ||||
| 115 Georgia Avenue | Providence | RI | 02905 | Speech Language Pathology and Audiology Services |
| Childrens Neurology & Development Clinic | ||||
| 224 R Prairie Avenue Suite 1A | Providence | RI | 02905 | Pediatric Services |
| Ophthalmology Clinic | ||||
| 1 Hoppin Street Suite 200 | Providence | RI | 02903 | General & Specialty Ophthalmic Examinations, Testing & Procedures |
| RIH Sleep Disorders Center | ||||
| 70 Catemore Boulevard | East Providence | RI | 02914 | Outpatient Professional and Technical Evaluation of Sleep Disorders |
| RIH Pediatric and Adolescent Health Care Center | ||||
| 1 Hoppin Street Suite 3055 | Providence | RI | 02903 | Outpatient Adolescent Services |
| Medicine Pediatrics | ||||
| 245 Chapman Street Suite 100 | Providence | RI | 02905 | Primary Care Medicine |
| RIH Rehabilitation Services Hand Therapy | ||||
| 235 Plain Street Suite 203 | Providence | RI | 02903 | Occupational Therapy |
| Pediatric and Adult Medicine | ||||
| 900 Warren Avenue 2nd Floor | East Providence | RI | 02914 | Pediatric and Adult Specialty Services |
| Pediatric Multi-Discipline Clinic & Rehab Satellite | ||||
| 1454 South County Trail 1st Floor | East Greenwich | RI | 02903 | Pediatric Specialties & Physical Therapy inclusive of Psychiatry |
| RIH Molecular Laboratory | ||||
| 167 Point Street CORO East 3rd Floo | Providence | RI | 02903 | Clinical Laboratory Testing - Molecular Diagnostics |
| Radiosurgery Center of RI LLC | ||||
| 593 Eddy Street | Providence | RI | 02903 | Radiosurgery Services |
| Lifespan Recovery Center | ||||
| 200 Corliss Street Suite 1 | Providence | RI | 02904 | Treatment for Opioid and Related Drug Addictions |
| RIH Outpatient Specialty Svcs Pedi Endocrinology | ||||
| 111 Plain Street 3rd Floor | Providence | RI | 02903 | Pediatric Endocrinology Services |
| General Internal Medicine Research Group | ||||
| 111 Plain Street | Providence | RI | 02903 | Behavioral Research Studies |
| Orthopedic MRI of RI LLC | ||||
| 100 Butler Drive | Providence | RI | 02906 | Medical Imaging Services |
| Lifespan Clinical Research Center | ||||
| 1 Hoppin Street CORO Building | Providence | RI | 02903 | Study, Design, Analysis, Medical & Regulatory Oversight Research |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) | Rhode Island Hospital (RIH) uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test.The financial screening process at RIH is intended to define probable eligibility for public assistance (Medicaid or Community Free Service ("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 W-2 form(s)- copies of most recent savings and/or checking account statements- two most recently received payroll check stubs- copy of rent receipts for the last six months for proof of residency- copy of utility bills for the last month for proof of residency3. If the patient's financial situation falls within the guidelines for eligibility for Medicaid, RIte Care, or CFS, or if the patient has a long-term disability, the appropriate application process is completed. (Assistance to complete such applications is available from the Patient Financial Advocates (PFA) Office at RIH.)4. Uninsured patients receive a discount equal to the discount received by Medicare beneficiaries on RIH charges using the prospective method. Under Section 501(r)(5), the maximum amounts that can be charged to Financial Assistance Policy (FAP)-eligible individuals for emergency or other medically necessary care are the amounts generally billed to individuals who have Medicare insurance covering such care. In no case was there a situation where an uninsured patient paid more than amounts reimbursed from Medicare.5. Eligibility for CFS above the discount 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 will 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, the same charity care discount as provided by the Medicare program. 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 RIH'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 discounted charges if the balance is under $5,000 and 50% to 100% of estimated discounted charges if the estimated bill equals or exceeds $5,000.For elective or non-urgent cases, the policy will require financial clearance prior to services or an exception from the Medical Director based on the clinical circumstances if the patient cannot meet the above payment agreement.Patients who do not qualify for total or partial CFS, but who have difficulty in paying their bills after services are rendered, may request enrollment 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 maintained for all Lifespan affiliated hospitals (Rhode Island Hospital, The Miriam Hospital, Emma Pendleton Bradley 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, 2018 is available at the following link. https://issuu.com/lifespanmc/docs/2018-annual-report-final-190419?e=28083767/69263174Please see pages 5 and 23-24 of the Lifespan Annual Report for community benefit information. |
| Part I, Line 7 - Explanation of Costing Methodology | RIH'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 by 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.b) Medicaid- Medicaid expense is determined at cost as calculated by RIH's cost accounting system. The system uses historical costing methods applied to all patient segments based on various patient demographics and utilizations. These costing standards exclude bad debt, charity care, and the Medicaid portion of costs of health professions education, which are reported on other areas of Line 7. These expenses include Medicaid provider taxes. Direct offsetting revenue is reported as amounts received from Medicaid, as well as other payments which include reimbursement under Federal "Upper Payment Limit" (UPL) and "Disproportionate Share Hospital" (DSH) programs.e) Community health improvement services and community benefit operations- Community benefit operations expense is recorded as direct expenses incurred as reported by RIH'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 RIH. These costs are determined by reporting actual direct costs taken from the Medicare cost report. Direct offsetting revenue is reported as any direct Medicare reimbursements received for such services provided, as reported in the RIH's Medicare cost report.g) Subsidized health services- Subsidized health services' community benefit expense is determined by RIH's cost accounting system. These subsidized health services are recorded at cost in RIH's cost accounting system for all qualified subsidized health service divisions. This expense is adjusted to remove all related Graduate Medical Education (GME) expenses, as well as 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. Revenue associated with Medicare GME and Medicaid is excluded from the amount disclosed for subsidized health services.h) Research- RIH conducts extensive medical research focused on the prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac disease, neurological problems, orthopedic advancements, and mental health concerns. For all internal and external research conducted, the costs associated with these activities are calculated by combining the direct and indirect costs as reported within RIH's cost accounting system. 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 contributions for community benefit are made by RIH, including an allocation of contributions made by Lifespan Corporation on RIH'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 $36,954,820. |
| 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 the Hospital'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 RIH's patient advocate staff to determine qualification for financial assistance under RIH'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. The amount reported on Schedule H, Part III, Section A, Line 3 represents the account balances at charge written off to bad debt from the pending code, which are in turn converted to cost by applying the RCC rate as identified in Schedule H, Part III, Section A, Line 2. |
| Part III, Line 4 - Bad Debt Expense | Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, RIH analyzes its history and identifies its revenue trends for each of its major payors to estimate the appropriate allowance for doubtful accounts and the associated provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, RIH analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), RIH records a significant allowance for doubtful accounts and provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates, if applicable) and the amounts collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.RIH's allowance for doubtful accounts for self-pay patients decreased from 82% of self-pay accounts receivable at September 30, 2017 to 69% of self-pay accounts receivable at September 30, 2018. RIH's self-pay write-offs for the years ended September 30, 2018 and 2017 amounted to approximately $40,381,000 and $51,564,000, respectively. RIH did not change its charity care or uninsured discount policies during the years ended September 30, 2018 and 2017. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | There is no Medicare shortfall for fiscal year 2018. If there was, it would not be treated as a community benefit.The source of the Medicare allowable costs reported on Part III, Section B, Line 6 is the Medicare cost report, Form 2552-10. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | RIH 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. RIH 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.RIH 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. 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 Community Free Service.* If the patient does not qualify for Community Free Service, 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.* At 120 days, if there is no payment activity or no hold placed on the account, the account is transferred to the appropriate collection agency. |
| Part VI, Line 2 - Needs Assessment | Lifespan's Office of Strategic Planning and Analysis performs population-based studies for the Hospital regarding the need for inpatient medical and surgical services for both adults and children and a wide range of outpatient services including: primary care office visits, specialty care, emergency services, imaging, ambulatory surgery, and specific high technology services such as radiation therapy and bone marrow transplantation. A population-based study examines the growth and changes in the population, the resources in the community, and the changing prevalence of diseases. In addition to this approach, Lifespan Strategic Planning also examines experience with wait times, the level of staffing, and the changing standards of care. All of this information is used to assess the demand for additional services to provide access to high quality care.In addition to population approaches to assessing and estimating need, all specialties and services monitor demand at the service-specific level by considering changing patterns of care and methods of treatment for the specific medical problem, wait times for visits/queues, and community resources. The service leadership then goes through a review process to add staff, expanded hours, and/or new subcomponents to round out core services on an as-needed basis. At times, expansion requires more space, equipment, and staff, but often accommodation of community demand is achieved through expanded hours. Facilities are added as needed to accommodate these expansions, but most often minor renovations of existing locations with better, more modern layouts and equipment allow for greater patient access.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.Based on a broad understanding of community health needs, RIH provides a wide range of services to both its primary and secondary areas. Lifespan and its hospital affiliates monitor health trends in Rhode Island in an effort to identify areas of unmet demands regarding clinical services. For example, over the past decade, RIH added a new state-of-the-art emergency department and opened the expanded 110-room Bridge Building, with three new floors dedicated to the care of cardiac, medical, and surgical patients. RIH's pediatric division, Hasbro Children's Hospital, is the state's only facility dedicated to pediatric care. The Hospital has continued its pioneering work on treatments for inoperable tumors as well as radiofrequency ablation. Also of note is Hasbro's Medical/Psychiatric Program. This program is expressly designed for children and adolescents with challenging mental health and medical conditions who require hospitalization. A collaboration with Emma Pendleton Bradley Hospital, it is the only program in the region created to meet the complex needs of these children. Children ages 6 to 18 are treated in a newly-renovated, secure 16-bed unit located on the 6th floor of Hasbro Children's Hospital. The unit was designed with input from both pediatrics and psychiatry to provide the very best care for children with psychiatric and medical illness. The safe, comfortable environment offers both private and semi-private rooms and areas for family, group, and milieu therapy. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | RIH has multilingual signage in the Hospital's main lobby and waiting areas which provides information on financial aid contacts. The Registration Department meets with patients at the outset of care to discuss eligibility for assistance. The Registration staff provides interested patients with a "Welcome" booklet which includes information on patient rights and responsibilities. The signage and booklets contain a telephone number which connects patients with Registration staff who can answer any additional questions that may arise after the patient has left RIH. Assistance eligibility is also summarized on RIH's website.As part of RIH's inpatient intake process, RIH provides a summary of its financial assistance policy, along with all assistance applications and the Patient Financial Services contact number, to all self-pay patients. The same process is also used for patients seen during the outpatient discharge process. Attempts are made to contact patients prior to their visit to screen for financial assistance and to inform them what documents are required for their financial assistance determination or to set up an appointment to see a "Patient Financial Advocate" (PFA) prior to service. PFAs discuss with patients the various government programs that might be available to them for financial assistance. PFA's also offer assistance with the financial application process and/or understanding the qualification factors for Medicaid, the Affordable Care Act, Medicare, Social Security Disability, Supplemental Nutrition Assistance Program (SNAP), and Rhode Island Temporary Disability Insurance and Unemployment. This is done for both inpatient and outpatient services. |
| Part VI, Line 4 - Community Information | Rhode Island Hospital, located in Providence, Rhode Island, is a 719-bed nonprofit general acute care teaching hospital with university affiliation providing a comprehensive range of diagnostic and therapeutic services for the acute care of patients principally from RI and southeastern Massachusetts. As a complement to its role in service and education, RIH actively supports research. RIH is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and participates as a provider primarily in Medicare, Blue Cross, and Medicaid programs. RIH 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, RIH 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 RIH its Principal Teaching Hospital. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. RIH currently sponsors 50 graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring another 35 hospital-approved residency and fellowship programs.With respect to nursing education, RIH has developed educational affiliations with a number of accredited colleges and universities. RIH does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.RIH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in the National Institutes of Health programs. |
| Part VI, Line 4 - Community Building Activities | RIH substantially subsidizes various health services including the following programs: adult psychiatry, dental, and Alzheimer's, as well as the Center for Special Children and certain other specialty services. RIH also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation, immunization and nutrition programs, diabetes education, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions. |
| Part VI, Line 5 - Promotion of Community Health | RIH is governed by a Board of Trustees, which is composed of leaders of the local community elected by Lifespan Corporation. RIH's purpose is to be staffed, equipped, and ready to serve the hospital needs of the community and its people from all walks of life. RIH 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. RIH monitors the healthcare needs of its service area to ensure alignment of its resources with its mission. RIH 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 RIH. RIH 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 2018 generated approximately $2.3 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, The Miriam Hospital (TMH), and Emma Pendleton Bradley Hospital (EPBH), are teaching affiliates of The Warren Alpert Medical School of Brown University, with 76 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, 2018, Lifespan Corporation employed approximately 1,020 full-time and part-time personnel, most of whom are located in Providence, RI. 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 RIH confer certain reserved powers on 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 RIH 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 | Schedule H, Part V, Line 7:The RIH website which makes the Hospital'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/Rhode-Island-Hospital-2016-CHNA.pdfSchedule H, Part V, Line 10a:The URL to view RIH's most recently adopted implementation strategy is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/centers/lifespan-community-health/Rhode-Island-Hospital-2016-CHNA.pdfPlease refer to page 20 of the CHNA to view the implementation strategy.Schedule H, Part V, Line 16b:The URL to view and download RIH's FAP application form is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/pfs/fap-english_march-2019.pdfSchedule H, Part V, Line 16c:The URL to view RIH's plain language summary of the FAP is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/pfs/Lifespan-Financial-Assistance-Summary.pdf |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| Brown University | ||||||||
| 45 Prospect Street | Providence | RI | 02912 | 050258809 | 501(c)(3) | $906,435 | $0 | General Support |
| Inst Study & Prac Nonviolence | ||||||||
| 265 Oxford Street | Providence | RI | 02905 | 050517863 | 501(c)(3) | $156,250 | $0 | General Support |
| Lifespan Foundation | ||||||||
| 167 Point Street | Providence | RI | 02903 | 050493219 | 501(c)(3) | $30,546 | $0 | Fundraising support |
| Rhode Island Hospital Fnd | ||||||||
| 167 Point Street | Providence | RI | 02903 | 050468736 | 501(c)(3) | $60,693 | $0 | General Support |
| Thundermist Health Center | ||||||||
| 191 Social Street | Woonsocket | RI | 02895 | 050355097 | 501(c)(3) | $25,125 | $0 | Health Program Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Educational Assistance | GrantTypeTxt |
| Recipient | 10 | RecipientCnt |
| Cash Grant | $35,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | Rhode Island Hospital is committed to community programs and provides support to various charitable organizations in Rhode Island and southeastern Massachusetts. Donations are made to organizations recognized by the IRS as being described in IRC Section 501(c)(3). All contributions are approved by management and are made to organizations whose missions and goals align with those of the Hospital.Individual scholarships are awarded annually to applicants by a joint decision making body comprised of both IBT (International Brotherhood of Teamsters) and RIH representatives. Payments are made directly to qualified educational institutions on behalf of scholarship recipients. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| 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 | Yes (true) | 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 (14 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 | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Adetokunbo A Oyelese MD | ||||||||||||||
| Physician | $670,366 | $75,000 | $4,002 | $15,240 | $25,623 | $790,231 | ||||||||
| Albert E Telfeian MD | ||||||||||||||
| Physician | $670,924 | $75,000 | $3,590 | $15,240 | $25,285 | $790,039 | ||||||||
| Alexios G Carayannopoulos DO | ||||||||||||||
| Physician | $597,642 | $30,000 | $2,610 | $15,240 | $12,818 | $658,310 | ||||||||
| Barbara P Riley RN | ||||||||||||||
| Chief Nursing Officer | $271,770 | $69,500 | $68,602 | $8,100 | $22,420 | $440,392 | ||||||||
| Curtis E Doberstein MD | ||||||||||||||
| Physician | $1,120,911 | $125,000 | $4,002 | $15,240 | $24,896 | $1,290,049 | ||||||||
| Deus J Cielo MD | ||||||||||||||
| Physician | $670,644 | $75,000 | $2,342 | $15,240 | $25,345 | $788,571 | ||||||||
| Frederick J Macri | ||||||||||||||
| EVP & COO | $440,169 | $440,169 | $440,169 | |||||||||||
| John B Murphy MD | ||||||||||||||
| EVP - Physician Affairs | $115,546 | $832,419 | $531,893 | $160,000 | $6,750 | $18,230 | ||||||||
| Latha Sivaprasad MD | ||||||||||||||
| Chief Medical Officer | $372,369 | $95,000 | $72,451 | $67,242 | $19,649 | $626,711 | $53,698 | |||||||
| Margaret M Van Bree MHADrPH | ||||||||||||||
| President | $32,992 | $991,843 | $638,929 | $190,000 | $110,691 | $19,231 | ||||||||
| Mary A Wakefield | ||||||||||||||
| Treasurer | $129,199 | $1,305,474 | $97,769 | $684,712 | $209,000 | $264,493 | $18,070 | |||||||
| Nicholas P Dominick | ||||||||||||||
| SVP-Clin. Svc. Lines & Facil. Devel | $262,245 | $68,000 | $54,741 | $54,599 | $23,417 | $463,002 | $35,422 | |||||||
| Paul J Adler | ||||||||||||||
| Secretary | $53,167 | $631,720 | $1,533 | $384,397 | $95,000 | $74,695 | $24,461 | |||||||
| Timothy J Babineau MD | ||||||||||||||
| Trustee | $355,675 | $2,745,673 | $267,558 | $1,261,691 | $600,490 | $501,925 | $25,892 | |||||||
Supplemental Information Detail SupplementalInformationDetail (3 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). |
| 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. |
| Part III, Additional Information | Part I, Line 1a:Certain executives and management personnel received financial planning services paid for by RIH. In calendar year 2017 RIH provided this benefit to three executives listed in this return. The taxable amount paid for this benefit is included in Medicare wages, more specifically on Schedule J, Part II, column B (iii). |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIHEBC Series 2016 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521300173 | BondIssuerEIN |
| CUSIP | 762244FP1 | CUSIPNum |
| Bond Issued | 2016-08-11 | BondIssuedDt |
| Issue Price | $227,078,594 | IssuePriceAmt |
| Purpose | Refund 1996, 2006, 2009 Bonds | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | Yes (true) | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $10,844,955 | RetiredAmt |
| Total Proceeds | $227,078,594 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $1,671,247 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $225,407,347 | OtherSpentProceedsAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | Yes (true) | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | Yes (true) | AnyResearchAgreementsInd |
| Engage Bond Counsel Research | Yes (true) | EngageBondCounselResearchInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | 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 Rhode Island Hospital, The Miriam Hospital, Emma Pendleton Bradley 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 RIH is $227,078,594. For purposes of RIH, the 2016 issuance resulted in the complete refinancing of its RIHEBC Series 2006A and 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 RIH is part of the Lifespan Obligated Group previously mentioned in Part I, line A(f). Of the $308,112,067 disclosed in Form 8038, RIH was allocated $227,078,594 of the total issuance proceeds. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (21 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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.Lawrence A. Aubin, Sr., Chair, and Shivan Subramaniam, Trustee, are Directors of the same for-profit organization. |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Lifespan Corporation is the sole corporate member of RIH. |
| 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 RIH, The Miriam Hospital, Newport Health Care Corporation, Newport Hospital, and Emma Pendleton Bradley Hospital 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 RIH 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 RIH trustees and to approve the election of and removal of certain officers. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | The RIH 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 RIH'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 RIH, The Miriam Hospital, Emma Pendleton Bradley 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 RIH'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 and other postretirement = $35431599 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Increase in Interest in Net Assets of RIHF = $6424540 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Transfers from Hospital Properties, Inc. = $57450 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfers to Hospital Properties, Inc. = -$86859 |
| . | Additional special services, facilities, and programs furnished by RIH include: the endovascular hybrid operating room suite (the only one of its kind in Rhode Island, the suite's design provides vascular surgeons with the flexibility to perform minimally invasive procedures and traditional open surgeries simultaneously with limited anesthesia); adult and pediatric kidney and pancreas transplant center; Alzheimer's disease and memory disorders center; an adult and pediatric hemostasis and thrombosis center; an adult and pediatric diabetes and endocrinology center; colorectal care center; and the transfusion-free medicine and surgery program, one of only two such formalized programs in New England. RIH also holds designation or certification as a bariatric surgery center of excellence; adult and pediatric burn center; breast imaging center of excellence; comprehensive stroke center; and the distinction center for spine surgery, knee and hip replacement, and treatment of complex and rare cancers.One of the impacts of the Affordable Care Act is the transformation of American health care systems to integrated health care delivery systems, with patients at the center of all activity. To that end, RIH, along with the other Lifespan affiliates, has worked hard to expand beyond its campus to broaden the services it provides, investing in a new electronic health record system, and partnering with new physician groups. One of RIH's major strategic goals is to provide care in settings that are more patient-focused and cost effective, thus ensuring better continuity of care. Since 2011, RIH has opened ambulatory care centers in areas throughout Rhode Island, addressing a common barrier to care. By locating services, testing, and treatment in such a manner, RIH enables patients to access services when and where they need them, often in their own communities. The result is often earlier diagnosis, better adherence to treatment regimens, more cost-effective care and, eventually, better outcomes and a better patient experience.To address barriers for those who are treated and discharged from RIH, Lifespan Pharmacy, LLC (LRX), the sole member of which is RIH, was opened in May 2013 on the RIH campus to provide pharmaceutical services. LRX is available to the public and offers convenient, fast, and professional service with easy refill options during the day or night via phone. LRX also offers free home delivery, appointment or walk-in flu vaccinations, as well as pneumonia and shingles vaccinations for adults. LRX pharmacists interact with physicians to provide comprehensive and safe care. Physicians can electronically transmit prescriptions to LRX, greatly reducing wait times. LRX pharmacists also work with physicians and insurance companies to find the least expensive, fully effective medications to best manage a patient's health.LRX enables patients to leave the hospital with the prescriptions they need, thereby reducing anxiety, enhancing recovery, and reducing the likelihood of readmission. LRX especially benefits patients for whom a lack of transportation is a major barrier by providing access to pharmaceutical drugs onsite at RIH. RIH provides full charity care for individuals at or below twice the federal poverty level, with a sliding scale for individuals based upon the federal poverty level guidelines, as set by the Department of Health and Human Services. In addition, a substantial discount consistent with Medicare program reimbursement is offered to all other uninsured patients. RIH determines the costs associated with providing charity care by aggregating the applicable direct and indirect costs, including compensation and benefits, supplies, and other operating expenses, based on data from its costing system. The total cost, excluding medical education and research, incurred by RIH to provide charity care amounted to $17,921,198 in fiscal 2018. Charges forgone, based on established rates, amounted to $63,130,000.RIH substantially subsidized various health services including the following programs: adult psychiatry, dental, and Alzheimer's, as well as the Center for Special Children, early intervention, and certain other specialty services at a net cost of $9,281,685 in fiscal year 2018. RIH also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation, immunization and nutrition programs, diabetes education, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions. The net cost of these services amounted to $240,726 in fiscal 2018.RIH is accredited by The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the Accreditation Council for Graduate Medical Education for residency and fellowship training, the Accreditation Council for Continuing Medical Education of the Rhode Island Medical Society, the American College of Surgeons' Commission on Cancer, the Joint Review Committees on Educational Programs in Nuclear Medicine Technology and Radiologic Technology, the Commission on Accreditation of Allied Health Education Programs, and the National Accrediting Agency for Clinical Laboratory Sciences.Rhode Island Hospital was named to the list of 50 Top Cardiovascular Hospitals 2018 by IBM Watson Health. Selected based on a study that analyzed key performance metrics, including survival rates, complications, length of stay, cost, and readmission rates, the hospital earned the distinction along with just two others in New England. RIH has now made this list four times and is the only hospital in the state in the rankings. The Cardiothoracic Intensive Care Unit at Rhode Island Hospital was given the silver designation of the Beacon Award for Excellence by the American Association for Critical Care Nursing in 2018. It is one of only 42 cardiothoracic ICUs to achieve this level of recognition. Rhode Island Hospital, the only comprehensive stroke center in the State, received top honors in 2018 from the American Heart Association/American Stroke Associations Get With The Guidelines" stroke program -- a "Gold-Plus" quality achievement award and Target: Stroke Honor Roll Elite Plus award. Rhode Island Hospital was recognized in the 2018U.S. News & World Reportannual review of Best Regional Hospitals as a high performer in the areas of chronic obstructive pulmonary disease (COPD) andheart failure. In spring 2018, Rhode Island Hospital earned an "A" grade for hospital safety from The Leapfrog Group for the fifth consecutive time. RIH was named a "Distinguished Hospital for Clinical Excellence" by Healthgrades Operating Co., marking it among the top five percent among nearly 4,500 hospitals in the United States. |
| . | 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 I, Line 6 | Volunteers support and contribute to the mission of RIH and HCH every day, giving their time, energy, and enthusiasm. They are able to learn, meet other dedicated volunteers, better understand the healthcare environment, and gain personal satisfaction knowing they are making a difference to patients, families, and visitors alike.Volunteer opportunities are available to both teens and adults in a wide variety of areas including: greeters, family liaisons, emergency room, gift shop, nurse aides, office support, animal visitation, physical therapy, patient visitors, recovery room, art activities, pediatric playrooms, outpatient clinics, reading programs, tours, intensive care unit, and oncology. Volunteers include college and high school students, retirees, working professionals, individuals considering a career change or returning to the work force, and individuals with a special skill or talent. |
| Form 990, Part I, Line 7b: | The amount reported on Part I, Line 7b includes certain fringe benefit expenses subject to unrelated business taxable income under IRC Section 512(A)(7). Such amounts are not considered revenue, and therefore, are not reported as such on Form 990, Part VIII. |
| Form 990, Part III, Line 4a, continued | RIH is a 719-bed, nonprofit general acute care teaching hospital with university affiliation, the largest hospital in the State of Rhode Island (the State) providing a comprehensive range of diagnostic and therapeutic services to patients. The hospital has particular expertise in cardiology, including the State's only open heart surgery program; oncology; neurosciences; orthopedics; organ transplantation; pediatrics; psychiatry and diabetes. RIH is the only Level I Trauma Center for southeastern New England, providing expert staff and equipment in emergency situations 24 hours a day. It is the Principal Teaching and Research Hospital of The Warren Alpert Medical School of Brown University and the largest and most comprehensive of the Brown affiliated hospitals. RIH's pediatric division, HCH, is the State's premier pediatric facility with the area's only pediatric intensive care unit, pediatric oncology and cardiac programs, pediatric imaging center, and separate emergency and operating suites designated for pediatric patients. RIH has earned worldwide recognition for its family-centered environment and expert staff. It is the founding partner of Lifespan, a comprehensive health system providing accessible, high-value services to the people of Rhode Island and southeastern New England. RIH employs 6,451 full-time equivalents and is nationally and internationally recognized as a research and academic medical center. In 2018, RIH discharged 36,912 inpatients with total inpatient days of 207,793, treated 152,328 patients in its emergency departments, performed 23,598 inpatient and outpatient surgical procedures, and cared for 254,661 patients in outpatient clinics. RIH is the designated Level I Trauma Center for the State of Rhode Island and southeastern Massachusetts, with a state-of-the-art emergency department (ED) and a dedicated pediatric ED. RIH's adult ED includes a radiology unit comprised of CT scanners, ultrasound and x-ray machines; an all-inclusive chest pain center; a critical care unit for the most seriously injured and ill; and private treatment rooms. RIH offers imaging with PET/CT technology for cancer staging, while cardiac MRI and 64-slice cardiac CT scanners provide powerful tools for evaluating heart disease and function. The Anne C. Pappas Center for Breast Imaging is the only facility in the State of Rhode Island to be designated a Breast Imaging Center of Excellence by the American College of Radiologists. In the area of cancer services, RIH pioneered image-guided tumor ablation, shrinking or eliminating tumors by destroying them with heat (microwave ablation and radiofrequency ablation) or by freezing them (cryoablation). In addition, radiation oncology services include a linear accelerator for image-guided radiotherapy and stereotactic radiosurgery, as well as electronic brachytherapy for early-stage breast cancer patients, which reduces average treatment times from eight weeks to five days. In the area of surgical oncology, RIH is the only hospital in Rhode Island and one of only a few hospitals in New England to offer hyperthermic intraperitoneal chemoperfusion (HIPEC) for patients with advanced cancer of the abdomen. In the sphere of neurosurgery, RIH features one of the first gamma knife surgical centers in the United States, which offers intracranial stereotactic radiosurgery for the non-invasive treatment of brain lesions previously inaccessible or unsuccessfully treated by conventional therapies.Special services and programs provided by RIH include the Lifespan Cancer Institute; the Cardiovascular Institute, comprised of cardiac catheterization, balloon angioplasty, and open heart surgery; critical care services; microvascular surgery; nuclear cardiology; radiology; laboratory; renal dialysis; computed tomography; orthopedics, including minimally invasive carpal tunnel surgery and cartilage transplants for knee defects; magnetic resonance imaging (MRI); and dental care. HCH's specialties include cardiology, orthopedics, hematology & oncology, and medicine/psychiatry. HCH also has the area's only center for pediatric imaging, as well as the area's only pediatric intensive care unit, pediatric oncology and outpatient cardiac programs, pediatric emergency department, and pediatric surgical unit. It operates specialty clinics treating children ranging in age from newborn to 18 years. Services and programs include adolescent medicine, the Asthma and Allergy Center, the Children's Neurodevelopment Center, the Child Life Program, the Child Protection Program, dermatology, gastroenterology, infectious disease, the Injury Prevention Center, the Kidney Transplant Center, nephrology, neurosurgery, nutrition, the Partial Hospitalization Program, surgery, plastic surgery, primary care clinic, rehabilitation services, the Sickle Cell Clinic, and urology. HCH was the first hospital in Rhode Island to offer minimally invasive pediatric urologic surgeries.A wide range of adult, adolescent, and child behavioral health services and research programs are also provided, including: psychiatry emergency services for adults, adolescents, and children; psychiatry consultation liaison services; correctional psychiatry program; inpatient and geriatric psychiatry programs; mood disorders program; gambling treatment program; anxiety disorders program; body dysmorphic disorder program; behavioral sleep medicine program; substance abuse treatment program; neuropsychiatric services; adult and pediatric neuropsychology services; adult and pediatric partial hospitalization programs; family research program; and Bradley/Hasbro Children's Research Center. |
| Form 990, Part III, Line 4b, continued | Under an affiliation agreement with The Warren Alpert Medical School of Brown University (Brown), RIH participates jointly in various clinical training programs and research activities. In 2010, Brown named RIH its Principal Teaching Hospital. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. RIH currently sponsors 50 graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring another 35 hospital-approved residency and fellowship programs. RIH serves as the principal setting for these clinical training programs, which encompass the following disciplines: anesthesiology; internal medicine and medicine subspecialties, including hematology and oncology; orthopedics and orthopedic subspecialties; clinical neurosciences and related subspecialties; general surgery and surgical subspecialties; pediatrics and pediatric subspecialties, including hematology and oncology; dermatology; radiology and radiology subspecialties; pathology; child psychiatry; emergency medicine and emergency medicine subspecialties; dentistry; and medical physics. RIH provides stipends to residents and physician fellows while in training.In 2018, Brown enrolled 607 students in undergraduate medical education programs. All medical students at Brown receive training at RIH. RIH teaching faculty help to ensure that the experience for both undergraduate and graduate medical education trainees remains transformative - dramatically changing novice practitioners into physicians able to think, act, and keep their focus on the ultimate goal of providing the best and most appropriate care for patients no matter what the setting or circumstances. RIH is also a participating clinical training site for another 268 residents and fellows from other programs in anesthesiology, family medicine, internal medicine, hematology/oncology, obstetrics/gynecology (OB/Gyn) and OB/Gyn subspecialties, otolaryngology, pediatric dentistry, podiatry, psychiatry and its subspecialties of forensic psychiatry and geriatric psychiatry, orthopedics, rheumatology, and radiation oncology. RIH serves as a clinical site for the physician assistant schools of Johnson & Wales University, Bryant University, and the Massachusetts College of Pharmacy. In addition, Behavioral Medicine at the hospital, in collaboration with Brown, sponsors research and clinical psychology training programs for interns, postdoctoral fellows, and faculty trainees.With respect to nursing education, RIH has developed educational affiliations with the University of Rhode Island College of Nursing; Rhode Island College School of Nursing; Community College of Rhode Island (CCRI); Salve Regina University; Boston College; Yale University; Regis College; Simmons College; St. Joseph's Health Services' School of Nursing; the University of Massachusetts campuses at Dartmouth, Boston, Amherst, and Worcester; Framingham State University; the University of Connecticut; the New England Institute of Technology; Northeastern University; Drexel University; Walden University; Georgetown University School of Nursing and Health Studies; Duke University School of Nursing; and the University of Pennsylvania, as well as other Schools of Nursing, pursuant to which their nursing students obtain clinical training and experience at RIH. RIH does not receive any compensation from the various schools for providing a clinical setting for the student nurse training. RIH also serves as a clinical site for Nursing Assistants.The Lifespan School of Medical Imaging collaborates with Rhode Island College in the following programs: diagnostic medical sonography; nuclear medicine technology; radiography; and magnetic resonance imaging. Students complete educational experiences at RIH, as well as other outpatient sites. RIH also sponsors training programs in computed tomography and mammography. At RIH, clinical affiliations/student clinical training programs are provided through contracts with several colleges and universities in the professional areas of speech-language pathology and audiology, physical therapy, physical therapy assistants, occupational therapy, certified occupational therapy assistants, and child development. RIH has clinical training affiliations in respiratory therapy with New England Institute of Technology and CCRI. In addition, RIH is the host for training programs in histology, cytology, phlebotomy, and medical-laboratory science (medical technology) sponsored jointly through the University of Rhode Island, Salve Regina University, and Rhode Island College. These programs allow students to obtain didactic coursework at partner universities and at the Hospital, and clinical education and experience on site at the Hospital, resulting in certification for careers in clinical laboratories.RIH also has clinical affiliations/student clinical training programs for pharmacy students provided through contracts with a number of colleges and universities. Most of the pharmacy students attend the University of Rhode Island, Massachusetts College of Pharmacy and Allied Health Sciences, and Northeastern University. The Hospital's Pharmacy Department co-sponsors second-year postgraduate specialized residency programs in oncology and ambulatory care pharmacy. RIH's pharmacists also participate in the education of pharmacy, nursing, and physician assistant students by providing didactic lectures at the University of Rhode Island's College of Pharmacy, Rhode Island College's Advanced Practice Nursing Program, Johnson & Wales University's Center for Physician Assistant Studies, and Bryant University's Physician Assistant Program. In addition, RIH has clinical social work student contracts with Rhode Island College, Boston University, Boston College, Smith College, Simmons College, and Bridgewater State University. |
| Form 990, Part III, Line 4c, continued | RIH provided $10.8 million in support of research activities in fiscal year 2018. Major areas of research include:Cancer: RIH participates in clinical trials of new therapeutic agents in both adult and pediatric medicine. These trials are supported by National Institutes of Health (NIH) sponsored groups such as Alliance and Childrens' Oncology Group (COG). RIH is a participating hospital in the Brown-sponsored Cancer Oncology Group (BrUCOG).The Liver Research Center: The Liver Research Center emphasizes studies relating to the molecular biology of liver diseases such as Hepatitis B and C and cellular carcinoma.Heart Disease: Research continues in areas of invasive therapy, such as angioplasty, artherectomy, coronary stenting, and laser treatment of coronary artery disease. Others are researching the reasons for sudden heart failure.Neurological Illness: The Alzheimer's Disease and Memory Disorder Center combines high quality neurological, neuropsychologic, and psychiatric services, thus creating a comprehensive diagnostic and treatment option for patients with memory disorders.Research is also focused on the treatment and prevention of opioid abuse. The Infectious Diseases group is delving into new antibiotic treatments for superbugs. |
| Form 990, Part VI Section B, Line 12c | Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including RIH, 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 RIH: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. |
| 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 2018, Lifespan paid rent to Lawrence Investments, LLC under the terms of this lease. |
| Form 990, Part XII, Line 2 | RIH was included in RIH and Affiliates' consolidated audited financial statements as of and for the fiscal year ended September 30, 2018, which consist of RIH, RIH Ventures, Radiosurgery Center of Rhode Island, LLC, and Lifespan Pharmacy, LLC. The Lifespan Audit and Compliance Committee assumes responsibility for oversight of the audit of RIH's consolidated financial statements and the selection of Lifespan's independent accountant. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Lifespan Pharmacy LLC | |||||||||
| 593 Eddy Street | Providence | RI | 02903 | 461697290 | Pharmaceutical Sales | RI | $21,754,342 | $7,004,451 | Rhode Island Hospital |
| Radiosurgery Center of Rhode Island LLC | |||||||||
| 593 Eddy Street | Providence | RI | 02903 | 262171671 | Radiosurgery | RI | $509,718 | $1,902,155 | Rhode Island Hospital |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (36 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 | 02914 | 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 | Substance Abuse & Psych Health Care Svcs | RI | 501(c)(3) | 10 | Lifespan Corporation | false | |||||
| Hospital Properties | |||||||||||||||
| 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 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 | 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 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) | 9 | 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 | |||||
| The Neurology Foundation Inc | |||||||||||||||
| 34 Parsonage Street | Providence | RI | 02903 | 050448314 | Medical Care | RI | 501(c)(3) | 12 | NA | 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 | |||||||||||||||
| Offshore Insurance Captive | N/A | N/A | Lifespan Corporation | false | 65 Front Street | Hamilton | BD | HM 12 | BD | ||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Orthopedic MRI of Rhode Island LLC | ||||||||||||||
| 100 Butler Drive | Providence | RI | 02906 | 261293469 | Medical Imaging Svcs | RI | NA | related | $124,362 | $216,178 | false | false | 0.33330 | |
| Lifespan Health Alliance LLC | ||||||||||||||
| 167 Point Street | Providence | RI | 02903 | 812732225 | Account. Care Org. | RI | false | false | N/A | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | EINEIN |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AHB Will co Bank of America | ||||||||||||
| 100 Westminster Street | Providence | RI | 029032305 | Philanthropy | RI | NA | T | $14,449 | $438,936 | 1.00000 | Yes (true) | |
| Lifespan MSO Inc | ||||||||||||
| 167 Point Street | Providence | RI | 02903 | Mgmnt Svcs | RI | Lifespan Corp | C | false | 050508717 | |||
| Lifespan Risk Services Inc | ||||||||||||
| 167 Point Street | Providence | RI | 02903 | Risk Mgmnt | RI | Lifespan Corp | C | false | 050459767 | |||
| VNA Technicare Inc | ||||||||||||
| 200 Corliss Street | Providence | RI | 02904 | DME Sales | RI | LDS Inc | C | false | 050472710 | |||
| 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 | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hospital Properties | ||
| b | $86,859 | accrual |
| Hospital Properties | ||
| c | $57,450 | accrual |
| Hospital Properties | ||
| k | $593,095 | accrual |
Comments