RHODE ISLAND HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: RHODE ISLAND HOSPITAL (EIN 05-0258954)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-15
IRS object ID: 201812279349300011
Schema version: 2016v3.0
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-15T05:10:44-07:00	ReturnTs
Tax Period End	2017-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	2016-10-01	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	2018-08-15	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	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Margaret M Van Bree DrPH	PrincipalOfficerNm
Gross Receipts	$1,769,210,748	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	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	9145	TotalEmployeeCnt
Total Volunteers	597	TotalVolunteersCnt
Total Gross UBI	$3,543,651	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$26,825	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,979,547	PYContributionsGrantsAmt
CY Contributions Grants	$5,895,210	CYContributionsGrantsAmt
PY Program Service Revenue	$1,283,975,995	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,349,203,904	CYProgramServiceRevenueAmt
PY Investment Income	$11,970,845	PYInvestmentIncomeAmt
CY Investment Income	$32,925,038	CYInvestmentIncomeAmt
PY Other Revenue	-$11,956,686	PYOtherRevenueAmt
CY Other Revenue	-$18,270,324	CYOtherRevenueAmt
PY Total Revenue	$1,291,969,701	PYTotalRevenueAmt
CY Total Revenue	$1,369,753,828	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,444,276	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,911,896	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$566,987,805	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$583,329,258	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$740,292,114	PYOtherExpensesAmt
CY Other Expenses	$759,022,051	CYOtherExpensesAmt
PY Total Expenses	$1,308,724,195	PYTotalExpensesAmt
CY Total Expenses	$1,344,263,205	CYTotalExpensesAmt
PY Revenues Less Expenses	-$16,754,494	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,490,623	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,277,698,494	TotalAssetsBOYAmt
Total Assets EOY	$1,291,869,879	TotalAssetsEOYAmt
Total Liabilities BOY	$628,579,871	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$571,601,291	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$649,118,623	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$720,268,588	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	$1,009,678,536	ExpenseAmt
Grant	$1,911,896	GrantAmt
Revenue	$1,257,479,883	RevenueAmt
Desc	Patient Care:RIH, the principal teaching hospital of The Warren Alpert Medical School of Brown University, provides a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients. RIH has particular expertise in cardiology, hematology/oncology, neurology, burn care, neurosurgery, orthopedics, pediatric care at RIH's pediatric division, Hasbro Children's Hospital, and emergency medicine, with RIH being the designated Level One Trauma Center for Rhode Island and Southeastern Massachusetts. Licensed to operate 719 acute care beds, RIH is the largest of the state's general acute care teaching hospitals, employing 6,523 full-time equivalents, and the third largest hospital in New England, nationally and internationally recognized as a research and academic medical center. (Continued on Schedule O)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$98,839,087	ExpenseAmt
Revenue	$14,416,840	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 $84.4 million in fiscal year 2017.(Continued on Schedule O)	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$60,734,735	ExpenseAmt
Revenue	$49,488,735	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 66% 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. RIH provided $11.2 million in support of research activities in fiscal year 2017.(Continued on Schedule O)	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,169,252,358	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	Yes (true)	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	553	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9145	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	16	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 (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Thomas Anders MD
Trustee- 12/16	0.00	0.50	Yes (X)	$0	$0	$0
Lawrence A Aubin Sr
Chair	1.00	13.50	Yes (X)	$0	$0	$0	Yes (X)
Timothy J Babineau MD
Trustee	20.00	20.00	Yes (X)	$0	$2,080,990	$476,156
Emanuel Barrows
Trustee	0.45	2.25	Yes (X)	$0	$0	$0
Roger N Begin
Trustee	2.00	10.00	Yes (X)	$0	$0	$0
Peter Capodilupo
Vice Chair	0.50	13.50	Yes (X)	$0	$0	$0	Yes (X)
Jonathan D Fain
Trustee	0.00	1.25	Yes (X)	$0	$0	$0
Edward D Feldstein Esq
Trustee	0.25	11.75	Yes (X)	$0	$0	$0
Michael L Hanna
Trustee	0.75	3.40	Yes (X)	$0	$0	$0
Pamela Harrop MD
Trustee	5.00	3.00	Yes (X)	$35,000	$0	$0
Alan H Litwin
Vice Chair	0.50	7.50	Yes (X)	$0	$0	$0	Yes (X)
Joseph J MarcAurele
Director	0.25	3.75	Yes (X)	$0	$0	$0
Steven Pare
Trustee	2.50	10.00	Yes (X)	$0	$0	$0
Lloyd Robertson
Trustee- 12/16	0.00	0.00	Yes (X)	$0	$0	$0
Lawrence B Sadwin
Trustee	0.25	12.25	Yes (X)	$0	$0	$0
Shivan Subramaniam
Trustee	0.25	3.75	Yes (X)	$0	$0	$0
Jane Williams
Trustee	1.00	2.50	Yes (X)	$0	$0	$0
Brian J Zink MD
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Paul J Adler
Secretary	5.00	35.00		$0	$432,549	$77,273	Yes (X)
Margaret M Van Bree MHADrPH
President	35.00	5.00		$0	$914,742	$117,069	Yes (X)
Mary A Wakefield
Treasurer	10.00	30.00		$0	$1,014,544	$187,388	Yes (X)
Nicholas P Dominick
SVP-Clin. Svc. Lines & Facil. Devel	40.00	0.00		$385,585	$0	$73,726		Yes (X)
Barbara P Riley RN
Chief Nursing Officer	40.00	0.00		$412,809	$0	$29,867		Yes (X)
Latha Sivaprasad MD
Chief Medical Officer	40.00	0.00		$509,617	$0	$82,560		Yes (X)
Alexios G Carayannopoulos DO
Physician	40.00	0.00		$615,494	$0	$27,797			Yes (X)
Deus J Cielo MD
Physician	40.00	0.00		$799,095	$0	$39,896			Yes (X)
Curtis E Doberstein MD
Physician	40.00	0.00		$1,301,073	$0	$39,455			Yes (X)
Adetokunbo A Oyelese MD
Physician	40.00	0.00		$800,710	$0	$39,831			Yes (X)
Albert E Telfeian MD
Physician	40.00	0.00		$800,344	$0	$39,184			Yes (X)
Kenneth E Arnold
Secretary	0.00	0.00		$0	$514,583	$347,820				Yes (X)
Frederick J Macri
EVP & COO	0.00	0.00		$0	$526,269	$239,300				Yes (X)
John B Murphy MD
EVP - Physician Affairs	10.00	30.00		$0	$801,752	$26,024				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,659,727	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,285,429	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,843,346	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	638	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	$30,127,996
University Surgical Associates
75 Newman Avenue	Rumford	RI	02916	Medical Services	$10,026,740
Neurology Foundation
34 Parsonage Street	Providence	RI	02903	Medical Services	$5,515,411
University Emergency Med Fnd
125 Whipple St	Providence	RI	02908	Medical Services	$5,446,799
Brown University
45 Prospect Street	Providence	RI	02912	Subcontracted Svcs.	$5,136,395

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	80	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,202,895	RelatedOrganizationsAmt
Government Grants	$51,407	GovernmentGrantsAmt
All Other Contributions	$640,908	AllOtherContributionsAmt
Total Contributions	$5,895,210	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Direct Rev from Research	900099	$58,422,688	$58,422,688
Lifespan Pharmacy	446110	$30,005,783	$30,005,783
Patient Service Revenue	900099	$1,253,268,587	$1,253,268,587
Rental	531120	$3,558,864	$3,558,864
Temp Restricted (SPF's)	900099	$3,947,982	$3,947,982

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,349,203,904	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,273,408	TotalRevenueColumnAmt
Exclusion	$7,273,408	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12	TotalRevenueColumnAmt
Exclusion	$12	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	$3,179,341	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,933,025	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,246,316	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,246,316	TotalRevenueColumnAmt
Exclusion	$1,246,316	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$422,967,592	SecuritiesAmt
Other	$16,705	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$397,332,679	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$25,634,913	SecuritiesAmt
Other	$16,705	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,651,618	TotalRevenueColumnAmt
Exclusion	$25,651,618	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	$164,745	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$191,216	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$26,471	TotalRevenueColumnAmt
Unrelated Business Revenue	-$26,471	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria Revenue	722210	$4,736,579	$4,736,579
Indirect Rev from Grants	900099	$12,308,004		$12,308,004
Lab Service Revenue		$2,449,099			$2,449,099

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$38,983,851	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$40,126,450	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,121,023	UnrelatedBusinessRevenueAmt
Exclusion	$21,576	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$19,490,169	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,369,753,828	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,321,385,458	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,543,651	UnrelatedBusinessRevenueAmt
Exclusion	$38,929,509	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,876,896	TotalAmt
Program Services	$1,876,896	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	$1,420,166	TotalAmt
Program Services	$987,772	ProgramServicesAmt
Management And General	$432,394	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	$441,160,799	TotalAmt
Program Services	$439,568,351	ProgramServicesAmt
Management And General	$1,592,448	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$29,149,636	TotalAmt
Program Services	$29,024,903	ProgramServicesAmt
Management And General	$124,733	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$79,728,600	TotalAmt
Program Services	$79,358,909	ProgramServicesAmt
Management And General	$369,691	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$31,870,057	TotalAmt
Program Services	$31,725,109	ProgramServicesAmt
Management And General	$144,948	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	$10,684	TotalAmt
Program Services	$10,684	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	$2,567,710	TotalAmt
Management And General	$2,567,710	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$111,707,207	TotalAmt
Program Services	$111,703,467	ProgramServicesAmt
Management And General	$3,740	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$140,178	TotalAmt
Program Services	$140,178	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$272,239,174	TotalAmt
Program Services	$271,163,917	ProgramServicesAmt
Management And General	$1,075,257	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	$24,607,711	TotalAmt
Program Services	$21,017,520	ProgramServicesAmt
Management And General	$3,590,191	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,375,645	TotalAmt
Program Services	$1,371,424	ProgramServicesAmt
Management And General	$4,221	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	$1,491,445	TotalAmt
Program Services	$1,486,570	ProgramServicesAmt
Management And General	$4,875	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,546,048	TotalAmt
Program Services	$3,921	ProgramServicesAmt
Management And General	$7,542,127	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$51,444,501	TotalAmt
Management And General	$51,444,501	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,396,562	TotalAmt
Program Services	$13,396,562	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Purch Svs & Equip Contr	$144,657,717	$38,695,592	$105,962,125
License Fee	$60,275,977	$60,275,977
Provision for Bad Debts	$41,296,500	$41,296,500
Indirect Research & Other	$26,255,850	$26,103,964	$151,886

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,142	TotalAmt
Program Services	$9,142	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,344,263,205	TotalAmt
Program Services	$1,169,252,358	ProgramServicesAmt
Management And General	$175,010,847	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,361,174	BOYAmt
EOY	$1,263,510	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$47,507,099	BOYAmt
EOY	$38,673,932	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,886,630	BOYAmt
EOY	$5,603,370	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$118,762,088	BOYAmt
EOY	$138,120,645	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	$19,747,380	BOYAmt
EOY	$21,502,937	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,376,670	BOYAmt
EOY	$2,991,371	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,245,712,610	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$712,352,909	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$550,161,329	BOYAmt
EOY	$533,359,701	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$310,100,439	BOYAmt
EOY	$328,122,504	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$137,766,051	BOYAmt
EOY	$131,083,090	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	$85,029,634	BOYAmt
EOY	$91,148,819	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,277,698,494	BOYAmt
EOY	$1,291,869,879	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$81,692,697	BOYAmt
EOY	$81,693,657	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$226,711,923	BOYAmt
EOY	$212,994,577	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$20,757,943	BOYAmt
EOY	$15,696,424	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$31,920,000	BOYAmt
EOY	$3,840,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$267,497,308	BOYAmt
EOY	$257,376,633	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$628,579,871	BOYAmt
EOY	$571,601,291	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$330,293,388	BOYAmt
EOY	$379,788,374	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$243,973,723	BOYAmt
EOY	$263,984,323	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$74,851,512	BOYAmt
EOY	$76,495,891	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$649,118,623	BOYAmt
EOY	$720,268,588	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,277,698,494	BOYAmt
EOY	$1,291,869,879	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,490,623	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$16,080,845	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$29,578,497	OtherChangesInNetAssetsAmt
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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$10,684	OtherActivitiesAmt
Total Lobbying Expenditures	$10,684	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 and the Trauma Center Association of America. 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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$507,691,681	BeginningYearBalanceAmt
Contributions	$69,186,295	ContributionsAmt
Investment Earnings Or Losses	$27,579,726	InvestmentEarningsOrLossesAmt
Other Expenditures	$114,808,105	OtherExpendituresAmt
End Year Balance	$489,649,597	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.41310	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.08370	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.50320	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	$31,159,681	OtherCostOrOtherBasisAmt
Book Value	$31,159,681	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$769,431,731	OtherCostOrOtherBasisAmt
Depreciation	$439,946,553	DepreciationAmt
Book Value	$329,485,178	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$429,266,655	OtherCostOrOtherBasisAmt
Depreciation	$272,406,356	DepreciationAmt
Book Value	$156,860,299	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,854,543	OtherCostOrOtherBasisAmt
Book Value	$15,854,543	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$533,359,701	TotalBookValueLandBuildingsAmt
Total Book Value Securities	$131,083,090	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Deferred Financing Costs	$1,517,655
Intercompany Receivables	$74,184
Interest in Net Assets of RIH Foundation	$57,814,648
Other Non-Current Assets	$2,637,662
Other Receivables	$7,855,492

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$91,148,819	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Accrued Interest Payable	$3,513,983
Accrued Pension Liability	$166,000,900
Health Care Benefit Self-insurance	$8,382,257
Other Liabilities	$32,687,762
Post-retirement Benefit Liability	$10,731,900
Third-party Payor Settlements	$36,059,831

Field	Value	IRS element (for citing)
Total Liability	$257,376,633	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 of the hospital.
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) orthopedic research; (2) the care and treatment of crippled children; (3) strategic energy management planning; (4) cancer research and the study, prevention, care and treatment of cancer; and (5) creation of the hospital primary care physician transition program to improve patient care quality.
Part X : FIN48 Footnote	RIH, as a not-for-profit corporation, is recognized under Section 501(c)(3) of the Internal Revenue Code and is exempt from Federal income taxes. 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 during the fiscal year ended September 30, 2017.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (6 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
East Asia and the Pacific	Program Services	Research	$101,583
Europe	Program Services	Research	$154,410
North America	Program Services	Research	$1,215
South America	Program Services	Research	$114,144
South Asia	Program Services	Research	$34,570
Sub-Saharan Africa	Program Services	Research	$4,888

Field	Value	IRS element (for citing)
Subtotal Spent	$410,810	SubtotalSpentAmt
Total Spent	$410,810	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 followed: 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 Office of Research Administration.Check requests and wire transfer forms are prepared by the principal investigator, approved by the 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, reimbursement for expenses, and compensation amount. The same approval and payment process is used as described above.Expenditures related to foreign activities are recorded using the accrual method 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	$23,310,806	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,979,346	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,331,460	NetCommunityBenefitExpnsAmt
Total Expense	0.01330	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$311,613,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$280,197,456	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,416,454	NetCommunityBenefitExpnsAmt
Total Expense	0.02411	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$334,924,716	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$286,176,802	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,747,914	NetCommunityBenefitExpnsAmt
Total Expense	0.03741	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$263,344	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$224,656	NetCommunityBenefitExpnsAmt
Total Expense	0.00017	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$98,839,087	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,416,840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$84,422,247	NetCommunityBenefitExpnsAmt
Total Expense	0.06479	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,167,963	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,820,050	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,347,913	NetCommunityBenefitExpnsAmt
Total Expense	0.00641	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,734,735	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,488,735	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,246,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00863	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$698,258	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$698,258	NetCommunityBenefitExpnsAmt
Total Expense	0.00054	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$182,703,387	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,764,313	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$104,939,074	NetCommunityBenefitExpnsAmt
Total Expense	0.08054	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$517,628,103	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$363,941,115	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$153,686,988	NetCommunityBenefitExpnsAmt
Total Expense	0.11795	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,840,331	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,542,592	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$226,706,867	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$213,847,627	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$12,859,240	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
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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) 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 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 16i - 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 (33 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
Dialysis Center of Rhode Island Hospital
22 Baker Street	Providence	RI	02905	Hemodialysis, Home Peritoneal Dialysis, Home Hemodialysis
Comprehensive Cancer Ctr at East Greenwich Prgm of RIH
1454 South County Trail	East Greenwich	RI	02918	Comprehensive Cancer Center Physician Visits, Infusion Therapy
Comprehensive Cancer Ctr Prgm of RIH at NPT Hospital
11 Friendship Street	Newport	RI	02840	Comprehensive Cancer Center Physician Visits, Infusion Therapy
RIH Rheumatology Infusion Center
407 East Avenue Suite 250	Pawtucket	RI	02860	Infusion Services
East Providence Infusion Center
375 Wampanoag Trail Suite 101A	East Providence	RI	02915	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 Outpatient Rehabilitation Services
765 Allens Avenue 1st Floor Suite 1	Providence	RI	02905	Adult Physical and Occupational Therapy
RIH Center for Wound Care
950 Warren Avenue Suite 103	East Providence	RI	02914	Wound Care and Hyperbaric Medicine
RIH Center for Primary Care and Specialty Medicine
245 Chapman Street Suite 300	Providence	RI	02905	Primary Care and Specialty Medical Services
RIH Pediatric Heart Center
1 Hoppin Street	Providence	RI	02903	Outpatient Pediatric Cardiology Services
RI Hospital Hasbro Childrens Outpatient Rehab Services
765 Allens Avenue 2nd Floor Suite 2	Providence	RI	02903	Children's Physical and Occupational Therapy
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 Department of Psychiatry
146 West River Street	Providence	RI	02904	Outpatient Psychiatric and Behavioral Health Services
RIH Pediatric and Adolescent Health Care Center
1 Hoppin Street Suite 3055	Providence	RI	02903	Outpatient Adolescent Services
RIH Sleep Disorders Center
70 Catemore Boulevard	East Providence	RI	02914	Outpatient Professional and Technical Evaluation of Sleep Disorders
Medicine Pediatrics
245 Chapman Street Suite 100	Providence	RI	02905	Primary Care Medicine
Hallett Center for Diabetes & Endocrinology
900 Warren Avenue	East Providence	RI	02914	Outpatient Services for Diabetes, Endocrinology & Metabolism
RIH Rehabilitation Services Hand Therapy
235 Plain Street Suite 203	Providence	RI	02903	Occupational Therapy
RIH Molecular Laboratory
167 Point Street CORO East 3rd Floo	Providence	RI	02903	Clinical Laboratory Testing - Molecular Diagnostics
Pediatric and Adult Medicine
900 Warren Avenue 2nd Floor	East Providence	RI	02914	Pediatric and Adult Specialty Services
Radiosurgery Center of RI LLC
593 Eddy Street	Providence	RI	02903	Radiosurgery Services
Pediatric Multi-Discipline Clinic & Rehab Satellite
1454 South County Trail 1st Floor	East Greenwich	RI	02818	Pediatric Specialties & Physical Therapy inclusive of Psychiatry
General Internal Medicine Research Group
111 Plain Street	Providence	RI	02903	Behavioral Research Studies
Lifespan Recovery Center
200 Corliss Street Suite 1	Providence	RI	02904	Treatment for Opioid and Related Drug Addictions
RIH Child Research Center
1 Hoppin Street	Providence	RI	02903	Outpatient Psychiatric Services
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
RIH Outpatient Specialty Svcs Pedi Endocrinology
111 Plain Street 3rd Floor	Providence	RI	02903	Pediatric Endocrinology Services
Pre-Admission Testing
79 Plain Street	Providence	RI	02903	Pre-Anesthesia Testing, Assessments for Surgery Patients

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 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 (The Miriam Hospital, Rhode Island 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, 2017 is available at the following link. http://issuu.com/lifespanmc/docs/lifespan-2017-annual-report-180419?e=28083767/60417355Please see pages 22-23 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 is 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 bad debt expense of $41,296,500.
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 collectability of accounts receivable, RIH analyzes its past 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 actually 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 88% of self-pay accounts receivable at September 30, 2016 to 82% of self-pay accounts receivable at September 30, 2017. RIH's self-pay writeoffs for the years ended September 30, 2017 and 2016 amounted to approximately $50,118,000 and $39,923,000, respectively. RIH did not change its charity care or uninsured discount policies during the years ended September 30, 2017 and 2016, respectively.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	There is no Medicare shortfall for fiscal year 2017. 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 co-payments, deductibles, and amounts denied by insurers. After all collection attempts are exhausted, any remaining balances, including any co-payments 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 co-payments 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, primarily Medicaid. Uninsured patients are offered Community Free Service and/or payment plan options.Lifespan's Patient Financial Services Department (PFS) has the responsibility for communicating and administering collection policies and procedures to all patient accounts. PFS engages the services of various pre-collect agencies as necessary. The following are highlights of the overall collection effort:* If a patient presents for admission who is not insured, staff assists the family with a Medicaid application.* If the patient is ineligible for Medicaid, a financial screening is performed to determine status of qualification for 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 - 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 sub-components 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 - 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. PFA's 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 - 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 49 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 is among the leaders nationally in National Institutes of Health programs.
Part VI - Community Building Activities	RIH substantially subsidizes various health services including the following programs: adult psychiatry, diabetes, 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 - Explanation Of How Organization Furthers Its Exempt Purpose	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 - Affilated Health Care System Roles and Promotion	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 2,500 physicians on the medical staffs of its affiliated hospitals, operates 1,165 licensed beds in four hospital complexes, and in 2017 generated approximately $2.1 billion in total operating revenue. By each of these measures, Lifespan is Rhode Island's largest health system, serving a population of over 1.5 million. Three of its hospital members, Rhode Island Hospital, The Miriam Hospital, and Emma Pendleton Bradley Hospital, are teaching affiliates of The Warren Alpert Medical School of Brown University, with 72 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, 2017, Lifespan Corporation employed approximately 1,030 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, telecommunications, 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, develop, negotiate, and approve all managed care agreements, develop 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 reserved to Lifespan as sole member include: to elect and remove trustees; to approve the election of and to remove certain officers; to approve the 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.For a complete listing of affiliated members of Lifespan's integrated healthcare delivery system, please refer to Schedule R.
Part VI - States Where Community Benefit Report Filed	RI
Part VI - Additional Information	DISCLOSURES DESCRIBED IN SECTION 7 OF REVENUE PROCEDURE 2015-21:During the fiscal year ended September 30, 2017, RIH revised its Financial Assistance Policy (FAP) to further clarify the description of the method used when calculating amounts generally billed (AGB). AGB is the maximum amount RIH would bill a patient qualifying for assistance under RIH's FAP. While RIH has historically utilized the Prospective Method to determine AGB for FAP-eligible patients, reference to the Prospective Method was not previously included in the FAP. Additionally, the FAP was revised during the fiscal year ended September 30, 2017 to include a list of all physician groups providing emergency and medically necessary services within RIH. Distinction as to which of these groups either follow or do not follow RIH's FAP is made in this list and is updated on a quarterly basis. RIH's Billing and Collections policy is a document separate from its FAP. In an effort to make all FAP-related documents more readily available to patients and potential patients, RIH has included a link to its Billing and Collections policy on its website. Please visit https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/pfs/Billing-Collection-eng.pdf to review RIH's Billing and Collections Policy.Lastly, versions of RIH's FAP and all FAP-related documents have been translated into languages serving limited English proficiency populations which represent the lesser of 1,000 persons or 5% of the population of persons eligible to be served by RIH or likely to be affected or encountered by RIH. All documents have been made readily available to the public. Please visit https://www.lifespan.org/financial-assistance for links to all translated FAP documents.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Bradley Hospital Foundation
167 Point Street	Providence	RI	02903	050500688	501(c)(3)	$6,400	$0	General Support
Brown University
164 Angell Street	Providence	RI	02912	050258809	501(c)(3)	$936,112	$0	General Support
City of Providence
25 Dorrance Street	Providence	RI	02903	056000329	Government Org	$292,000	$0	Payment in Lieu of Taxes
Inst Study & Prac Nonviolence
265 Oxford Street	Providence	RI	02905	050517863	501(c)(3)	$93,750	$0	General Support
Rhode Island Hospital Fnd
167 Point Street	Providence	RI	02903	050468736	501(c)(3)	$264,800	$0	General Support
Rhode Island Medical Society
405 Promenade Street	Providence	RI	02908	050250010	501(c)(3)	$5,500	$0	Health Program Support
Thundermist Health Center
191 Social Street	Woonsocket	RI	02895	050355097	501(c)(3)	$100,500	$0	Health Program Support
UNAPRIH Education Trust Fund
375 Branch Avenue	Providence	RI	02904	412139381	501(c)(3)	$150,000	$0	Employee Education Support

Field	Value	IRS element (for citing)
Total501c3 Org	8	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
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	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 (15 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	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Adetokunbo A Oyelese MD
Physician	$671,304	$125,404	$4,002	$15,275	$24,556	$840,541
Albert E Telfeian MD
Physician	$671,349	$125,404	$3,591	$15,275	$23,909	$839,528
Alexios G Carayannopoulos DO
Physician	$597,884	$15,000	$2,610	$15,275	$12,522	$643,291
Barbara P Riley RN
Chief Nursing Officer	$266,813	$78,950	$67,046	$7,950	$21,917	$442,676
Curtis E Doberstein MD
Physician	$1,121,667	$175,404	$4,002	$15,275	$24,180	$1,340,528
Deus J Cielo MD
Physician	$671,349	$125,404	$2,342	$15,275	$24,621	$838,991
Frederick J Macri
EVP & COO							$526,269	$239,300	$765,569	$520,200
John B Murphy MD
EVP - Physician Affairs							$108,857	$6,625	$827,776		$520,895	$172,000	$19,399
Kenneth E Arnold
Secretary							$113,377	$329,850	$862,403		$281,706	$119,500	$17,970
Latha Sivaprasad MD
Chief Medical Officer	$364,486	$102,692	$42,439	$62,131	$20,429	$592,177								$875
Margaret M Van Bree MHADrPH
President							$31,876	$98,590	$1,031,811		$626,866	$256,000	$18,479
Mary A Wakefield
Treasurer							$117,912	$169,371	$1,201,932	$87,712	$671,632	$225,000	$18,017
Nicholas P Dominick
SVP-Clin. Svc. Lines & Facil. Devel	$259,307	$74,000	$52,278	$50,818	$22,908	$459,311								$34,139
Paul J Adler
Secretary							$41,275	$55,063	$509,822	$549	$322,274	$69,000	$22,210
Timothy J Babineau MD
Trustee							$226,132	$450,763	$2,557,146	$102,285	$1,201,309	$653,549	$25,393

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 Gross-up Payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan 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).Housing Allowances or Residences for Personal Use:A temporary housing allowance may be provided on a case-by-case basis as part of the recruitment of key executives. The allowance is documented in the individual employment contract or employment offer. In calendar year 2016 Rhode Island Hospital provided this benefit to one executive and the taxable amounts paid for the temporary housing resulting from relocation are included in Medicare wages, more specifically on Schedule J, Part II, column B (iii).
Part I, Line 7: Non-Fixed payments not listed above	Certain physicians and executives participate in incentive compensation plans arranged through individual contractual agreements which stipulate non-fixed payments based on meeting criteria 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 2016 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	$14,084,017	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 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Roberts Carroll Feldste	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Partner	RelationshipDescriptionTxt
Transaction	$567,603	TransactionAmt
Transaction	Legal Services	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	* Edward D. Feldstein, Esq., Trustee, is a partner in Roberts, Carroll, Feldstein and Peirce, a law firm that provides legal services to a sister company, Lifespan Risk Services, Inc. (LRS). The common parent of RIH and LRS is Lifespan Corporation. During fiscal year 2017, LRS paid Roberts, Carroll, Feldstein and Peirce $567,603 for services related to RIH matters.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (23 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, Trustee, and Mary A. Wakefield, Treasurer, 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), a separate related for-profit organization. Mr. Adler is a director and Ms. Wakefield is an officer of MSO.Lawrence A. Aubin, Sr., Chairman, 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 = $23354900
Other Changes In Net Assets Or Fund Balances - Other Increases	Increase in Interest in Net Assets of RIHF = $6186926
Other Changes In Net Assets Or Fund Balances - Other Increases	Transfer from Hospital Properties, Inc. = $36671
.	RIH also offers pediatric services through its pediatric division, Hasbro Children's Hospital (HCH). 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.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) 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 on-site 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 $17,331,460 in fiscal 2017. Charges forgone, based on established rates, amounted to $65,680,000.RIH substantially subsidized various health services including the following programs: adult psychiatry, diabetes, dental, and Alzheimer's, as well as the Center for Special Children, early intervention, and certain other specialty services at a net cost of $8,347,913 in fiscal year 2017. 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 $224,656 in fiscal 2017.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.In 2017 for the fourth consecutive time, RIH received the highest designation possible for "Hospital Safety Scores" from The Leapfrog Group. The HCH pediatric intensive care unit won a Silver Beacon Award for Excellence from the American Association of Critical Care Nurses for exceptional patient care and healthy work environments, placing HCH's PICU among 16 pediatric intensive care units in the U.S. and the only nursing unit in Rhode Island to hold Beacon Award designation. The hospital was also recognized in the 2017 U.S. News & World Report annual review of Best Regional Hospitals as a "high performer" in the areas of chronic obstructive pulmonary disease (COPD), heart failure, and hip replacement.
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, pet therapy, 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 III, Line 4a, continued	In 2017, RIH discharged 37,491 inpatients with total inpatient days of 202,656, treated 155,745 patients in its emergency departments, performed 23,164 inpatient and outpatient surgical procedures, and cared for 248,745 patients in outpatient clinics.Some of the special services, facilities, 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; computerized tomography; orthopedics, including minimally invasive carpal tunnel surgery and cartilage transplants for knee defects; magnetic resonance imaging (MRI); and dental care. 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 4-slice and 16-slice 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 provides a full range of services to patients, with particular expertise in diagnostic imaging, cardiology, oncology (both medical and radiation), neurosciences, and orthopedics. RIH offers imaging with PET/CT technology for cancer staging, while cardiac MRI and 64-slice cardiac CT scanners are 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, which shrinks or eliminates tumors by destroying them with heat (microwave ablation and radio-frequency 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.RIH provides a wide range of adult, adolescent, and child behavioral health services and research programs, 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 49 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 2017, Brown enrolled 585 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 - transforming 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 273 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 RIH, 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 Certified Nursing Assistants.The Lifespan School of Medical Imaging collaborates with Rhode Island College in the following programs: diagnostic medical sonography; nuclear medicine technology; radiologic technology; 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 a number of 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. A majority of the pharmacy students attend the University of Rhode Island, Massachusetts College of Pharmacy and Allied Health Sciences, and Northeastern University. In addition, 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	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 NIH sponsored groups such as Alliance, Childrens' Oncology Group (COG), and the National Surgical Adjuvant Breast and Bowel Project (NSABP). 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: General research continues in areas of invasive therapy, such as angioplasty, artherectomy, coronary stenting, and laser treatment of coronary artery disease.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.Stroke: The Stroke Center at RIH provides services to adult and geriatric patients with suspected transient ischemic attack (TIA) or stroke in Rhode Island and Southeastern Massachusetts. As the region's only primary stroke center located within a Level 1 trauma center, RIH is uniquely qualified to provide the most advanced clinical care to acute stroke patients. Other major research areas included multiple sclerosis, epilepsy, Parkinson's disease, and other movement disorders.
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 with both law and 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. The independent consultants are not engaged by management to perform any services for Lifespan without prior approval by the Committee.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 B, Lines 15 a&b cont	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 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 2017, Lifespan paid rent to Lawrence Investments, LLC under the terms of this lease. The spouse of Pamela Harrop, MD, Trustee, is employed as a cardiologist by the Miriam Hospital.
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, 2017, 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 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/uploadedFiles/Lifespan/Content/Patient_Financial_Services/Lifespan-FAF-ENG.pdf
Schedule 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 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/centers-services/lifespan-community-health-institute/community-health-reports-and-resources

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
167 Point Street	Providence	RI	02903	461697290	Pharmaceutical Sales	RI	$16,660,337	$5,108,363	Rhode Island Hospital
Radiosurgery Center of Rhode Island LLC
593 Eddy Street	Providence	RI	02903	262171671	Radiosurgery	RI	$549,086	$2,088,210	Rhode Island Hospital

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (38 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
Human Services Realty Inc
249 Roosevelt Avenue	Pawtucket	RI	02860	050398161	Housing for Elderly and Mentally Ill	RI	501(c)(2)	N/A	Gateway Healthcare Inc	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
JRR Housing
249 Roosevelt Avenue	Pawtucket	RI	02860	263121266	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
225 Chapman Street	Providence	RI	02905	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	$113,970	$214,859	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 (5 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	$14,987	$425,947	1.00000	Yes (true)
Gateway Professional Group Inc
249 Roosevelt Avenue	Pawtucket	RI	02860	Psychotherapy	RI	Gateway Health	C				false	050498391
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
622 George Washington Highway	Lincoln	RI	02865	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

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Hospital Properties	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	k	TransactionTypeTxt
Involved	$515,834	InvolvedAmt
Method Of Amount Determination	Accrual	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Entity Merger:	FormAndLineReferenceDesc
Explanation	Effective April 1, 2017, Alternative Living Concepts, Inc. (ALC) and Human Services Realty, Inc., related Lifespan organizations, underwent a merger whereby ALC became the surviving corporation. However, ALC will continue its operations using the d/b/a name of Human Services Realty.	ExplanationTxt