2018-08-15T05:04:43-07:00 2017-09-30 KPMG LLP Two Financial Center 60 South St Boston MA 02111 990 2016-10-01 050258806 Emma Pendleton Bradley Hospital EMMA 4014321000 1011 Veterans Memorial Parkway East Providence RI 02915 Mary A Wakefield Treasurer 2018-08-15 true Tara D'Agostino P01245482 6179881000 2016 2022-09-23 18:48:47Z Daniel J Wall 1011 Veterans Memorial Highway East Providence RI 02915 88751318 false false X www.lifespan.org X 1957 RI As a member hospital in the Lifespan health system, Emma Pendleton Bradley Hospital (EPBH) is committed to its mission: Delivering health with care. 16 12 921 140 0 1040274 1179335 64769661 67536850 1951678 2511471 2151622 2367637 69913235 73595293 6575 0 41451839 45574038 0 257675 31259304 25454849 72711143 71035462 -2797908 2559831 118476327 122709788 42319789 39080716 76156538 83629072 X As a member hospital in the Lifespan health system, EPBH is committed to its mission: Delivering health with care. false false 52110284 6575 62920296 EPBH provides inpatient treatment for children ages 2 to 18 years suffering from serious behavioral disorders and/or developmental conditions such as mental retardation or autism who are in need of stabilization, assessment, and treatment for suicidal, destructive, self-injurious, or other dangerous or aggressive behaviors. EPBH also offers residential treatment providing intensive, family-centered services to children with emotional and behavioral problems which prevent them from living safely at home. (See also Schedule O) 5925546 5250546 The Bradley Hasbro Children's Research Center is devoted to the study and treatment of children at risk for serious mental disorders and behavior processes that support the intergenerational transmission of illness. The research areas are broad and include: Child and Adolescent Psychiatric Disorders, Pediatric Behavioral Health, Biological Basis of Psychiatric Disorders, Prevention and Early Intervention, Health Services Research, Pediatric Mood, Imaging & Neurodevelopment, Developmental Disorders Genetics Research, and Neuroplasticity/Autism Disorders. 893366 1733645 Home-based intensive behavioral treatment is for children who have been diagnosed with Autism Spectrum Disorder (ASD) and have varying degrees of chronic behavior disorders that, if left untreated, would worsen and require more intensive treatment, including psychiatric hospitalization or out-of-home residential placement. Staff members visit a family's home and deliver clinical services to the child on a one-on-one basis. The treatment plan is family-oriented, as it includes all family members in the treatment process. (See also Schedule O) 58929196 true true false false false false false true false true true false true true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 75 0 true 921 true false false false false false false false false 0 false false false false false false false false false false X 16 12 true false false false true true true true true false false true true true true true true true true false RI X Mary A Wakefield 4014447093 593 Eddy Street Providence RI 02903 X Thomas Anders MD Trustee- 12/16 0.00 0.00 X 0 0 0 Lawrence Aubin Sr Chair 1.00 13.50 X X 0 0 0 Timothy J Babineau MD Trustee 2.00 38.00 X 0 2080990 476156 Emanuel Barrows Trustee 0.45 2.25 X 0 0 0 Roger Begin Trustee 0.50 11.50 X 0 0 0 Peter Capodilupo Vice Chair 0.50 13.50 X X 0 0 0 Jonathan D Fain Trustee 0.25 1.00 X 0 0 0 Edward D Feldstein Esq Trustee 0.25 11.75 X 0 0 0 Michael L Hanna Trustee 0.50 3.65 X 0 0 0 Pamela Harrop MD Trustee 0.25 7.75 X 0 35000 0 Alan H Litwin Vice Chair 0.50 7.50 X X 0 0 0 Joseph MarcAurele Trustee 0.25 3.75 X 0 0 0 Steven Pare Trustee 2.50 10.00 X 0 0 0 Lloyd Robertson Trustee- 12/16 0.00 4.00 X 0 0 0 Lawrence Sadwin Trustee 3.00 8.50 X 0 0 0 Shivan Subramaniam Trustee 0.25 3.75 X 0 0 0 Jane Williams MD Trustee 0.25 3.75 X 0 0 0 Brian J Zink MD Trustee 0.00 3.00 X 0 0 0 Paul J Adler Secretary 2.50 37.50 X 0 432549 77273 Mary A Wakefield Treasurer 2.50 37.50 X 0 1014544 187388 Daniel J Wall President 25.00 15.00 X 0 487232 34517 Vareen C O'Keefe Domaleski Chief Nursing Officer 40.00 0.00 X 241042 0 24937 Henry T Sachs III MD Chief Medical Officer 40.00 0.00 X 391094 0 69090 Mary A Carskadon PhD Physician 40.00 0.00 X 207706 0 19296 Lisa Mollo BSN MA RN NE-BC Dir. CADD 40.00 0.00 X 165155 0 34709 Margaret Paccione PhD Dir. Behav. Ed. 40.00 0.00 X 152324 0 26884 Ronald Seifer PhD Physician 40.00 0.00 X 199921 0 27664 Carolyn K Welch PharmD Physician 40.00 0.00 X 148507 0 28318 Kenneth E Arnold Former Secretary 0.00 40.00 X 0 514583 347820 Dale F Radka MD Physician 0.00 40.00 X 0 348849 39687 1505749 4913747 1393739 21 true true false Butler Hospital 350 Duncan Drive Providence RI 02906 Residency Rotations 560142 Dorcas International 645 Elmwood Avenue Providence RI 02907 Interpreter Services 307659 Brown University PO Box 1911 Providence RI 02912 Shared Chair 271460 Medical Doctor Associates PO Box 277185 Atlanta GA 303847185 Locum Tenens 124800 Robert A Remigio 129 Abbott Street Providence RI 02906 Interpreter Services 123000 5 1179197 138 1179335 All other 622210 1672616 1672616 Inpatient Routine 622210 37508289 37508289 Partial Hospitalization 622210 12097002 12097002 Research 541700 5571145 5571145 Residential 623220 10687798 10687798 67536850 1616860 1616860 1 1 0 0 16050635 15156025 894610 894610 894610 0 0 0 Grant Indirect Rev/Other 622210 635992 635992 Joint Program Revenue 621300 1731645 1731645 2367637 73595293 69904487 2511471 6575 6575 0 0 0 698755 698755 0 33888072 32663750 1224322 1610526 1545993 64533 6959034 6739497 219537 2417651 2321981 95670 0 0 0 0 0 90165 90165 7025502 6966064 59438 28213 21840 6373 2833301 2614732 218569 0 0 1106218 846446 259772 160069 158030 2039 0 126294 126294 749216 749216 0 2725233 2725233 368518 368518 Purchased services 8402325 2312719 6089606 All other expenses 1569807 1525689 44118 Fundraising 257675 257675 Provision for Bad Debts 12313 12313 0 71035462 58929196 11848591 257675 2248267 1484593 0 789747 801061 7298523 8361123 0 0 0 176309 257210 2030116 2132116 70501854 31537045 39471232 38964809 10874755 11674686 4826512 4662284 18500000 18500000 0 32260866 35871906 118476327 122709788 4303459 4993669 25255848 23390376 12760482 10696671 42319789 39080716 X 20327502 23790749 6896854 7597383 48932182 52240940 76156538 83629072 118476327 122709788 X 2559831 3842100 1070603 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8140 X false 64900265 7347959 4894415 8353479 68789160 63691354 7490796 1927021 8208906 64900265 68998044 6436278 -2826151 8926817 63681354 69980810 5977572 1128548 8088886 68998044 65939418 7699595 2163914 5822117 69980810 0.15010 0.75900 0.09090 true true true 4000 4000 50488086 19900999 30587087 18831620 11636046 7195574 1178148 1178148 38964809 Commodities-Various 235156 F Limited Ptr'ships held inside Pool 816037 F 18500000 Deferred Financing Costs 160365 Donated Art 8140 Interest in NA of Bradley Foundation 1696493 Participation in HBCS Net Assets 54720 35871906 Accrued Pension Liability 8539800 Health Care Benefit Self-insurance 816094 Intercompany Liabilities 413703 Lease Payable 376339 Other Long-term Liabilities 105800 Third Party Liabilities 444935 10696671 X Part III, Line 4: Description of organization's collections and how it furthers its purpose. EPBH's collection of artwork consists of paintings, a sculpture, and a vase. The works of art are displayed throughout the hospital for the viewing pleasure of patients, visitors, and employees of the Hospital. Part V, Line 4: Intended uses of the endowment fund. Emma Pendleton Bradley Hospital's (EPBH) endowment funds were established for a variety of purposes including both donor-restricted endowment funds and funds designated by EPBH to function as endowments. EPBH receives support from various irrevocable trusts within its endowment funds, most notably The Helen Bradley Trust and The George L. Bradley Trust (the Trusts), which were established under the wills of the late Helen and George L. Bradley. At September 30, 2017, the market value of the Trusts was approximately $33.7 million (not including the land and the original Laufer Building in East Providence, Rhode Island where EPBH is located). As a result of a court order in 2007, the Trusts were authorized to make annual distributions to EPBH based on the trailing twelve-quarter average fair market value of the Trusts' investment assets in amounts equal to 7% of the average market value of the Trusts in 2007, decreasing by one-quarter of one percent per year to 4.5% in 2017.Two of the largest temporarily restricted funds held by EPBH support the Pedi-MIND (Pediatric Mood, Imaging, & Neurodevelopment) Program and research for bipolar disorder, including equipment needs. The goal of the Pedi-MIND Program is to identify biological and behavioral markers of psychiatric illness in children and adolescents in order to improve diagnosis, treatment, and prevention of these conditions. Another large fund is the Laufer Renovations Fund, which supports the interior & exterior renovations of EPBH's main entrance and lobby in the Laufer Building. In addition, the CADD Outpatient Program Fund supports the Center for Autism and Developmental Disabilities, which provides individual & family therapy, parent training in behavior management, psychiatric evaluation, and medication management in the outpatient setting. Finally, the OCD Intensive Program Fund provides funding for the needs of EPBH's intensive program for children with obsessive compulsive disorders. Part X : FIN48 Footnote EPBH, 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 pursuant to Section 501(a) of the Code. EPBH recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. EPBH did not recognize the effect of any income tax positions during the fiscal year ended September 30, 2017. true true true X true X true true false false true true 42459 4685 37774 0.00053 42459 4685 37774 0.00053 150482 22107 128375 0.00181 2155502 290000 1865502 0.02627 20012926 16268955 3743971 0.05271 5925546 5250546 675000 0.00950 20087 20087 0.00028 28264543 21831608 6432935 0.09057 28307002 21836293 6470709 0.09110 true 12313 248871 1379031 -1130160 X true true 1 1 Emma Pendleton BradleyHospital 1011 Veterans Memorial Pkwy East Providence RI 02915 https://www.bradleyhospital.or HOS00123 X X X Emma Pendleton BradleyHospital 1 false false true X X X X X X X X X 16 true true false true X Please refer to Schedule O X X true 16 true Please refer to Schedule O supplement info for full URL false false true X 200.0000 300.0000 X X X X X X true true X X X X true X Please refer to Schedule O X Please refer to Schedule O X Please refer to Schedule O X X X X X X X true false X X X X true X false false 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 EPBH and Lifespans three other hospitals. EPBH also conducted five 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 in EPBH's patient population community in an effort to increase the mix of the participants to better 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. EPBHs 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) five Community Health Forums held within the community of the EPBH 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 interest 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:- Lincoln Public Library- located at 145 Old River Road, Lincoln, RI 02865;- Bradley School South County, located at 4781 Tower Hill Road, South Kingstown, RI 02879;-Met School/College Unbound, an organization created to assist underrepresented adult learners in gaining the skills needed to be successful in their lives. The organization is located at 325 Public Street, Providence, RI 02905;-Riverside Public Library- located at 475 Bullocks Point Avenue, Riverside, RI 02915; and- Rhode Island Parent Information Network- located at 1210 Pontiac Avenue, Cranston, RI 02920. Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment Newport HospitalRhode Island HospitalThe Miriam Hospital Part V, Line 7d - Description of Making Needs Assessment Widely Available A copy of the Community Health Needs Assessment report issued for EPBH as of September 30, 2016 can be obtained by visiting:https://www.lifespan.org/sites/default/files/lifespan-files/documents/centers/lifespan-community-health/Bradley-Hospital-2016-CHNA.pdf Part V, Line 16i - Other Means Hospital Facility Publicized the Policy An abbreviated version of the EPBH's financial assistance policy is posted in various admitting and outpatient areas of the Hospital. 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 EPBH uses the prospective method in determining amounts generally billed. Internal Revenue Code Section 501(r) defines the prospective method as the amount Medicare or Medicaid would reimburse EPBH for billed care (including both the amount that would be reimbursed by Medicare or Medicaid, and the amount the beneficiary would be personally responsible for paying in the form of co-payments, co-insurance, and deductibles) if the patient was a Medicare fee-for-service or Medicaid beneficiary.Due to the lack of Medicare patients seen at EPBH, it has been determined that Medicaid reimbursement rates are most applicable when calculating amounts generally billed using the prospective method. Hill House Proprietary Exeter RI 02911 Residential Program Exeter House Proprietary North Providence RI 02911 Residential Program Heritage House Proprietary Warwick RI 02888 Residential Program Rumford House Proprietary East Providence RI 02916 Residential Program Bradley Research Center 1 Hoppin Street Providence RI 02903 Research Facility Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) EPBH uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test.The financial screening process at EPBH is intended to define probable eligibility for public assistance (Medicaid or Community Free Care ("CFS")) for those patients who do not have the means to pay for hospital services rendered, as follows:1. Upon patient indication of an inability to pay required monies, the patient is offered the financial screening option to determine eligibility for public assistance (Medicaid, CFS).2. The application for CFS is completed and includes information relative to income, expense, and other available resources, and requires proof of such information which may include:- most recently filed Federal income tax return and any supporting W-2 form(s)- copies of most recent savings and/or checking account statements- two most recently received payroll check stubs3. If the patient's financial situation falls within the guidelines for eligibility for Medicaid or CFS, the appropriate application process is completed. (Assistance to complete such applications is available from the Patient Financial Advocates (PFA) Office at EPBH.)4. Uninsured patients receive an automatic deduction at EPBH equal to the amount calculated using the prospective method, referred to as amounts generally billed.5. Eligibility for CFS above amounts generally billed is provided for those applicants whose family gross income is at or below twice the Federal Poverty Guidelines, with a sliding scale for individuals up to three times the poverty level in effect at the time of application. Full charity care applicants with assets worth more than $9,400 for an individual (or $14,100 for a family) may not qualify for care without charge, but may qualify for discounted care. While the maximum 100% discount may not be available to all charity care applicants based on the results of their asset test, all uninsured patients who receive care are eligible for, at a minimum, a charity care discount equal to or more favorable than Amounts Generally Billed (AGB), which is the maximum amount EOBH would bill a patient qualifying for assistance under EPBH's Financial Assistance Policy (FAP). 6. For patients who qualify for less than 100% of the financial assistance program, a payment schedule is determined and agreed upon (discussed further below). Payment arrangements are established prior to service for non-urgent care. 7. In either case, the final results of the financial screening are recorded in the comments section of the Hospital's billing system.Requests for Payment Arrangements:Patient Financial Advocates (PFA) will qualify patients that are receiving non-urgent, medically indicated procedures prior to services. The PFA will request 75% to 100% of estimated charges (net of the AGB discount) if the balance is under $5,000 and 50% to 100% of estimated charges (net of the AGB discount) if the estimated bill equals or exceeds $5,000.Patients who do not qualify for total or partial CFS, but who have difficulty in paying their bills after services are rendered, may request to enroll in a payment plan. Eligibility for the payment plan includes the following guidelines:1. Immediate payment in full will result in financial hardship to the patient or the patient's family.2. Deposit of one-half of the estimated total bill is requested prior to admission.3. The minimum monthly payment of $50.00.4. The maximum length of the payment plan is twenty-four months.The Customer Service staff will set up the payment plan using the above guidelines as well as complete the necessary information on the "Payment Agreement" form and mail to the patient for signature.Account documentation will be done online. The pre-collect agency will be sent a copy of the payment agreement and all forms will be scanned into the PFS Optical Imaging System. Part I, Line 6a - Related Organization Community Benefit Report The community benefit report 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 EPBH's costing methodology used to calculate the amounts reported in Part I, Line 7 is as follows:a) Financial assistance at cost- involves utilization of a ratio derived from dividing patient costs, as defined, by patient charges, as defined, and applying that percentage to total charity care charges.Patient costs reported in the cost accounting system are calculated based on Medicare principles of reimbursement by reducing total operating expenses (as calculated per Form 990 requirements) by items such as bad debt expense, the cost of medical education, internally funded research, subsidized health services, community services, charitable contributions, and other operating revenue. Patient costs are then divided by patient charges to determine a ratio of cost to charges (RCC). This RCC is applied as the costing methodology for determining charity care expense.e) Community health improvement services and community benefit operations- Community benefit operations expense is recorded as direct expenses incurred as reported by EPBH's Community Health Services Department. Revenue received for these services is reported as direct offsetting revenue. f) Health professions education- Health professions education expenses represent direct costs related to amounts associated with resident and intern programs utilized at EPBH. g) Subsidized health services- Subsidized health services' community benefit expense is determined by EPBH's internally developed allocation model based on the general ledger whereby overhead costs are applied using a historically determined basis to all direct care departments. This expense is adjusted to remove all related bad debt, Medicaid, and charity costs already reported in the applicable sections of Line 7. Net patient service revenue is recorded as amounts received from various payer types related to these services.h) Research- EPBH conducts extensive medical research focused on child and adolescent mental health concerns and brain science. For all internal and external research conducted, the costs associated with these activities is calculated by combining the direct and indirect costs as calculated by EPBH's internally derived methodology. Revenue received for these services is reported as direct offsetting revenue. i) Cash and in-kind contributions for community benefit- Expenses for cash and in-kind contributions for community benefit are direct costs as recorded in the general ledger, including an allocation of contributions made by Lifespan Corporation on EPBH's behalf. Part I, Line 7, Column F - Explanation of Bad Debt Expense The calculation of percentages disclosed for Schedule H, Part I, Line 7, column (f) "percent of total expense", does not include bad debt expense. Form 990, Part IX, Line 25 includes provision for bad debts of $12,313. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit During the year ended September 30, 2017, there was no bad debt attributable to patients whose eligibility for financial assistance could not be determined. Part III, Line 4 - Bad Debt Expense Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, EPBH 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, EPBH 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), EPBH records an 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.EPBH's allowance for doubtful accounts decreased from $1,722,000 at September 30, 2016 to $1,164,000 at September 30, 2017. EPBH's self-pay writeoffs for the years ended September 30, 2017 and 2016 amounted to $605,000 and $511,000, respectively. EPBH did not change its charity care or uninsured discount policies during the years ended September 30, 2017 and 2016, respectively. EPBH does not maintain a material allowance for doubtful accounts from third-party payors, nor did it have significant writeoffs from third-party payors in either 2017 or 2016.EPBH provided $12,313 for uncollectible patient accounts during the year ended September 30, 2017. The associated cost reported on Line 2 of Part III was determined by applying an operating cost to charge ratio (exclusive of community benefit costs and charges) to the provision amount.Schedule H, Part III, Section A, Line 2The amount reported as bad debt expense is determined by applying the ratio of cost to charges (RCC) to the total charges written off to bad debt. The RCC rate is determined using data from EPBH's cost accounting system and is adjusted for medical education, internally funded research, subsidized health services, community services, and charitable contributions. Discounts and payments are applied to patient accounts before such account balances are transferred to bad debt. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare shortfall has not been treated as a community benefit. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients EPBH does not bill for the excess of charges over agreed upon reimbursement amounts from third-party payors. Rather, such differences are recorded as a reduction of revenue through contractual adjustments. Collection efforts are focused on copayments, deductibles, and amounts denied by insurers. After all collection attempts are exhausted, any remaining balances, including any copayments and deductibles, are written off as bad debts. EPBH classifies its bad debts as uncompensated care. This does not apply to Medicaid, however, as there are no associated copayments or deductibles for this payor.EPBH 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 EPBH is the nation's first children's psychiatric hospital, providing services for children and adolescents not only from Rhode Island, but also from all over the country. The Hospital is designated as a major teaching affiliate for The Warren Alpert Medical School of Brown University, with a focus in areas of child and adolescent psychiatric treatment.In recent years, EPBH has increased the number of physicians on staff in response to a heightened demand for outpatient services.As a psychiatric and behavioral health center, EPBH offers specialized services for children and adolescents. Such care begins with an evaluation designed to meet the unique needs of each child and family. This initial assessment provides an understanding of the problem, identifies the child's needs, and determines the best and least restrictive treatment approach. Once a child is admitted, a treatment plan is tailored to the child's needs.EPBH actively participates with community mental health centers and the Rhode Island Department of Health to understand the mental health needs of children and families in Rhode Island and its surrounding communities. EPBH is also a participant in Kids Count", which is a publicly funded agency that uses questionnaires with pediatricians, schools, and other providers to identify the mental health needs of the population that it serves. In addition, EPBH staff work collaboratively with administration and staff at various schools throughout the State of Rhode Island. There is a multidisciplinary team at each school site, led by a clinical psychologist. This team guides the treatment and education plan for each student. Each classroom is staffed by a teacher certified in special education and a classroom behavior specialist, both professionals with degrees in their fields.EPBH respects the roles of parents/guardians as partners in their child's care. EPBH's Family Liaison Program helps parents with questions, problems, or special concerns regarding their child's treatment by appointment or via telephone. The Family Liaison Program sponsors support groups and educational meetings on a regular schedule. Notices are posted in EPBH's main lobby, outpatient waiting room, and at the various unit entrances.The RI State Certificate of Need program requires a focused study of need for all projects over $5.25 million, which is an important part of the program development process across Lifespan. Part VI - Patient Education of Eligibility for Assistance EPBH provides each patient with a "Patient and Family Information" booklet which includes information on patient rights and responsibilities. There is also multilingual signage in EPBH's main lobby and waiting area which provides information on financial aid contacts. The Registration Department meets with the patient's family at the outset of care to discuss eligibility for assistance, which is also summarized on EPBH's website. Part VI - Community Information EPBH, whose primary location is East Providence, Rhode Island, is a 70-bed, nonprofit teaching hospital with university affiliation providing for the psychiatric treatment of adolescents and children, including some with severe developmental disabilities. EPBH operates several major programs including acute, partial hospitalization, residential, and outpatient. EPBH also operates five other secondary sites which furnish residential and research services. EPBH is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). EPBH currently participates as a provider in Rhode Island Medicaid, various out-of-state Medicaid programs, and the State of Rhode Island's Department of Children, Youth and Families programs, as well as providing care for patients covered by private health insurers. EPBH is also a member of the formerly-named Voluntary Hospitals of America, Inc., which has partnered with UHC Alliance NewCo, Inc. to become Vizient, Inc. Vizient, Inc. is the largest member-owned health care company in the United States.In 1969, EPBH and certain other Rhode Island hospitals entered into an affiliation agreement to participate jointly in various clinical training programs and research activities with Brown Medical School, renamed The Warren Alpert Medical School of Brown University (Brown). In 2010, Brown named Rhode Island Hospital its Principal Teaching Hospital. EPBH and The Miriam Hospital continue to be designated as major teaching affiliates. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. EPBH participates in the Child and Adolescent Psychiatry Fellowship as well as the Triple Board Residency Program (Pediatrics/Psychiatry/Child and Adolescent Psychiatry).EPBH has a diverse service area which is not defined solely by a contiguous geographic grouping of municipalities. The combined service area of EPBH includes all of the cities and towns in Rhode Island and the neighboring states of New England. EPBH, which receives referrals from all regions of the United States, has established itself as the national center for training and research in child and adolescent psychiatry. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose EPBH is governed by a Board of Trustees, which is composed of leaders of the local community elected by Lifespan Corporation. EPBH's purpose is to be staffed, equipped, and ready to serve the hospital needs of the community and its people from all walks of life. EPBH works collaboratively with physicians, its employees, other health care organizations, and the community to create a measurably healthier community through the provision of high quality, cost-effective, customer-focused health care services in an environment that promotes patient safety. EPBH monitors the healthcare needs of its service area to ensure alignment of its resources with its mission. EPBH measures the results of the programs and services it provides based on the value added to the community as well as the financial health of each program and its impact on the Hospital. EPBH 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 EPBH confer certain reserved powers upon Lifespan to provide it with the means of effective oversight, coordination, and support of the system. Powers reserved to Lifespan 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 During the fiscal year ended September 30, 2017, EPBH 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 EPBH would bill a patient qualifying for assistance under EPBH's FAP. While EPBH 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 EPBH. The distinction of which of these groups either follow or do not follow EPBH's FAP is made in this list and is updated on a quarterly basis. EPBH'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, EPBH 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 EPBH's Billing and Collections Policy.Lastly, versions of EPBH'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 EPBH or likely to be affected or encountered by EPBH. 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. X true true X X X X X false true false false false false false true false false Carolyn K Welch PharmD Physician 147481 1026 9091 19227 176825 Dale F Radka MD Physician 321859 24103 2887 15275 24412 388536 Daniel J Wall President 328818 79259 79155 15900 18617 521749 Henry T Sachs III MD Chief Medical Officer 280217 73293 37584 47168 21922 460184 27366 Kenneth E Arnold Former Secretary 281706 119500 113377 329850 17970 862403 Lisa Mollo BSN MA RN NE-BC Dir. CADD 150290 13130 1735 10223 24486 199864 Margaret Paccione PhD Dir. Behav. Ed. 136645 12223 3456 6207 20677 179208 Mary A Carskadon PhD Physician 189249 16104 2353 9948 9348 227002 Mary A Wakefield Treasurer 671632 225000 117912 169371 18017 1201932 87712 Paul J Adler Secretary 322274 69000 41275 55063 22210 509822 549 Ronald Seifer PhD Physician 182891 15727 1303 9618 18046 227585 Timothy J Babineau MD Trustee 1201309 653549 226132 450763 25393 2557146 102285 Vareen C O'Keefe Domaleski Chief Nursing Officer 178460 33230 29352 4374 20563 265979 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). Part I, Line 7: Non-Fixed payments not listed above Certain physicians and executives participate in incentive compensation plans arranged through individual contractual agreements which stipulate non-fixed payments based on meeting criteria comprised of various quality and productivity markers. A RIHEBC Series 2016 521300173 762244FP1 2016-08-11 24032741 Refund 2009 Bond false false true A 24032741 176876 23855865 2016 true true true true A false false false true true false false true A false true false false false false false true A false Part VI Schedule K, Part I, Line A(f):On August 11, 2016, the Rhode Island Health and Educational Building Corporation (RIHEBC) issued, on behalf of the Lifespan Obligated Group, which consists of EPBH, Rhode Island Hospital, The Miriam Hospital, Rhode Island Hospital Foundation, and The Miriam 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 issued which related to EPBH is $24,032,741. For purposes of EPBH, the 2016 issuance resulted in the complete refinancing of its RIHEBC Series 2009A Bonds. Schedule K, Part I, Line 3:The bond proceeds listed in line 3 differ from the bond issue price disclosed per IRS Form 8038 due to the fact that EPBH is part of the Lifespan Obligated Group previously mentioned in Part I, line A(f). Of the $308,112,067 disclosed in Form 8038, EPPB was allocated $24,032,741 of the total issuance. Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Timothy J. Babineau, MD, 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 Aubin, 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 is the sole corporate member of EPBH. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Effective October 23, 2012, the Board of Directors of Lifespan and the Boards of Trustees of Rhode Island Hospital, The Miriam Hospital, Newport Health Care Corporation, Newport Hospital, and EPBH approved a restructuring of their governance. The restructuring has increased governance effectiveness and has streamlined governance operation, as well as provided a single strategic perspective for the Lifespan system hospitals. Pursuant to the restructuring, the bylaws of each of the affiliates were amended such that the composition of the boards of trustees of each of the hospitals and Newport Health Care Corporation is defined as those persons serving from time to time as the directors of Lifespan. As a result, the Boards of each entity are comprised of the same individuals. The Board of each entity retains its responsibilities and authorities notwithstanding the revision in its composition. The Board of Directors of Lifespan consists of not less than fourteen nor more than thirty-one directors, including the President and CEO of Lifespan, who serves ex-officio with vote.Additionally, the bylaws of EPBH confer certain reserved powers upon Lifespan to provide it with the means of effective oversight, coordination, and support of the system. Powers reserved to Lifespan include: to elect and remove EPBH trustees and to approve the election of and to remove certain officers. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The EPBH Board is comprised of the same individuals who serve on the Lifespan Board. Lifespan has the responsibility for planning, directing, and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Lifespan, in addition to those noted above, include: to approve amendment of the Articles of Incorporation and Bylaws and other charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness. Form 990, Part VI, Line 11b: Form 990 Review Process The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Executive Vice President & Chief Financial Officer (EVP/CFO) and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP (KPMG). The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit and reviewed by the Corporate Services Tax Compliance Manager, the Director of Finance, and the Vice President of Finance - Corporate Services. The Form 990 is forwarded to KPMG for further review. KPMG provides the Tax Compliance Manager with any recommended changes which are reviewed, and if agreed upon, are incorporated into the return. The draft Form 990 is then provided to the EVP/CFO for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form, along with a video presentation detailing form highlights, are posted to the EPBH's Board of Trustees website portal in advance of its 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 currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification, LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. In addition, copies of the Hospital'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 Interest in Net Assets of Bradley Hospital Fndtn = $394403 Other Changes In Net Assets Or Fund Balances - Other Increases Pension Funded Status Adjustment = $676200 Form 990, Part III, Line 4a: Inpatient treatment for children ages 2 to 18 years suffering from serious behavioral disorders and/or developmental conditions such as mental retardation or autism who are in need of stabilization, assessment, and treatment for suicidal, destructive, self-injurious, or other dangerous or aggressive behaviors.Residential treatment providing intensive, family-centered services to children with emotional and behavioral problems which prevent them from living safely at home.Partial programs provide treatment alternatives to inpatient hospitalization or traditional outpatient services for children from infancy to adolescence with serious emotional, behavioral, eating, sleeping, anxiety, or obsessive compulsive disorders, or relationship problems. The Center for Autism and Developmental Disabilities (CADD) has a highly specialized day program for children and adolescents who have autism or developmental disabilities with co-existing emotional and/or behavioral disorders. Form 990, Part III, Line 4c: Home-based intensive behavioral treatment is for children who have been diagnosed with autism spectrum disorder and have varying degrees of chronic behavior disorders that, if left untreated, would worsen and require more intensive treatment, including psychiatric hospitalization or out-of-home residential placement. Staff members visit a family's home and deliver clinical services to the child on a one-on-one basis. The treatment plan is family-oriented, as it includes all family members in the treatment process. The Co-occuring Disorders Program is an intensive outpatient service that provides integrated care to adolescents who struggle with a wide variety of mental health and substance use issues. Its leaders in addiction treatment and research provide evidence-based therapies as well as access to clinical trials of innovative behavioral and pharmacological interventions.EPBH also offers a hospital diversion program to children and adolescents with mental retardation. Those admitted to this home-based program present with chronic mild to moderate behavior disorders that, if left untreated, would worsen and require more intensive treatment, including hospitalization or residential placement. This service, which is also a resource for children recently discharged from EPBH, is used as a preventive measure against the future need for an out-of-home placement.EPBH's outpatient treatment programs are administered by a multidisciplinary staff of psychiatrists, psychologists, nurses, and qualified trainees, who provide comprehensive mental health evaluation and treatment for children, adolescents, and families for a wide range of clinical conditions. Patients may be treated with a variety of modalities including individual, group and family therapy, and psychopharmacologic management. Treatment is often coordinated with other agencies such as mental health centers, schools, or community-based organizations. Form 990, Part VI, Section A, Line 1b: *Lawrence A. Aubin, 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.*Edward D. Feldstein, Esq., Director, is a partner in Roberts, Carroll, Feldstein, and Peirce, a law firm that provides legal services to Lifespan Risk Services, Inc. on behalf of various Lifespan affiliates.*The spouse of Pamela Harrop, MD, Trustee, is employed as a cardiologist by TMH. Form 990, Part VI, Section B, Line 12c: Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including EPBH, and administered by Lifespan's Corporate Compliance Department as follows: Each designated person subject to Lifespan's conflict of interest policy is required to provide Lifespan with an initial disclosure statement and thereafter an annual statement attesting that: (i) the designated person has read and is familiar with this policy, and (ii) the designated person and, to the best of his/her knowledge, family members, have not in the past engaged in, are not presently engaging in, or plan to engage in, any activity which contravenes this policy.If, at any time during the course of employment or association, a designated person has reason to believe that an existing or contemplated activity may contravene this policy, the person shall submit a full written description of the activity to the Lifespan Compliance Officer or the Office of the General Counsel to seek a determination as to whether the contemplated activity does or does not contravene this policy. 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 Emma Pendleton Bradley Hospital: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. 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 to Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, certain members of the Lifespan CEO's Council work with the Committee's independent compensation consultant or rely on information previously provided by the consultant to establish a range of reasonable cash compensation within which recruitment is expected to conclude through acceptance of a reasonable compensation offer. Form 990, Schedule H, Part V, Line 16b: The URL to view and download EPBH's Financial Assistance Policy application form is below:https://www.lifespan.org/uploadedFiles/Lifespan/Content/Patient_Financial_Services/Lifespan-FAF-ENG.pdf Form 990, Schedule H, Part V, Line 16c: The URL to view EPBH's plain language summary of the Financial Assistance Policy is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/pfs/Lifespan-Financial-Assistance-Summary.pdf Schedule H, Part V, Line 10a: The URL to view EPBH's most recently adopted implementation strategy is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/centers/lifespan-community-health/Bradley-Hospital-2016-CHNA.pdfPlease refer to page 15 of the CHNA to view details of the implementation strategy. Schedule H, Part V, Line 7: The EPBH 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 ALC dba HSR 249 Roosevelt Avenue Pawtucket RI 02860 050442015 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Bayberry Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 204590384 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Bradley Hospital Foundation 167 Point Street Providence RI 02903 050500688 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Capital City Community Centers Inc 249 Roosevelt Avenue Pawtucket RI 02860 050259090 Daycare Services RI 501(c)(3) 7 Gateway Healthcare Inc false Families Reaching Into Each New Day Inc 249 Roosevelt Avenue Pawtucket RI 02860 050504841 Bereavement Services for Children RI 501(c)(3) 7 Gateway Healthcare Inc false Gateway Foundation 249 Roosevelt Avenue Pawtucket RI 02860 464002163 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Gateway Healthcare Inc 249 Roosevelt Avenue Pawtucket RI 02860 050309043 Subst. Abuse & Psych.Health Care Svcs RI 501(c)(3) 10 Lifespan Corporation false Hospital Properties Inc 167 Point Street Providence RI 02903 222869743 Property Management RI 501(c)(4) N/A Lifespan Corporation false 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 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 167 Point Street Providence RI 02905 464910847 Education Services RI 501(c)(3) 2 Emma Pendleton Bradley Hospital true LJR Corporation 249 Roosevelt Avenue Pawtucket RI 02860 030508346 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Mill River Community Housing Corporation 249 Roosevelt Avenue Pawtucket RI 02860 050427152 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Newport Health Care Corporation 11 Friendship Street Newport RI 02840 222535537 Holding Company/ Mgmnt Services RI 501(c)(3) 7 Lifespan Corporation false Newport Health Property Management Inc 11 Friendship Street Newport RI 02840 222335539 Property Management RI 501(c)(3) 12(I) Newport Health Care Corporation false Newport Hospital 11 Friendship Street Newport RI 02840 050258914 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Newport Hospital Foundation Inc 11 Friendship Street Newport RI 02840 222535533 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false NHCC Medical Associates Inc 11 Friendship Street Newport RI 02840 050472268 Health Care Services RI 501(c)(3) 10 Lifespan Corporation false Obed Apartments Inc 249 Roosevelt Avenue Pawtucket RI 02860 050422771 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Pathways Inc 249 Roosevelt Avenue Pawtucket RI 02860 050393004 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Rhode Island Hospital 593 Eddy Street Providence RI 02903 050258954 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Rhode Island Hospital Foundation 167 Point Street Providence RI 02903 050468736 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false RIH Ventures 593 Eddy Street Providence RI 02903 050448686 Parking Facilities/ Phlebotomy Services RI 501(c)(3) 10 Lifespan Corporation false Shore Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 050504003 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false The Autism Project 1516 Atwood Avenue Johnston RI 02919 050512037 Services for Children with Autism RI 501(c)(3) 10 Gateway Healthcare Inc false The Miriam Hospital 164 Summit Avenue Providence RI 02906 050258905 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false The Miriam Hospital Foundation 167 Point Street Providence RI 02903 050377502 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false TLR Realty 249 Roosevelt Avenue Pawtucket RI 02860 043742771 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Wentworth Corporation 249 Roosevelt Avenue Pawtucket RI 02860 050488520 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Westerly Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 611439766 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false JRR Housing 249 Roosevelt Avenue Pawtucket RI 02860 263121266 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false RI Sound Enterprises Insurance Co Ltd 65 Front Street Hamilton BD HM 12 Offshore Insurance Captive BD N/A NA false Lifespan Health Alliance LLC 167 Point Street Providence RI 02903 812732225 Account. Care Org. RI N/A false false Lifespan MSO Inc 167 Point Street Providence RI 02903 050508717 Mgmnt Svcs RI Lifespan Corp C corp false Lifespan Risk Services 167 Point Street Providence RI 02903 050459767 Risk Mgmnt RI Lifespan Corp C corp false VNA Technicare Inc 200 Corliss Street Providence RI 02904 050472710 DME Sales RI LDS Inc C corp false CRUT 2 c/o Bank of America PO Box 830269 Dallas TX 75283 Philanthropic CT N/A Trust 1319319 50012053 1.00000 true CRUT 2 c/o Bank of America PO Box 830269 Dallas TX 75283 Philanthropic RI N/A Trust 66803 2167888 1.00000 true Gateway Professional Group Inc 249 Roosevelt Avenue Pawtucket RI 02860 050498391 Psychotherapy RI Gateway Healthcare C Corp false false true true false false false false false false false true true true true true true true false true Lifespan School Solutions Inc q 1444443 Accrual Lifespan School Solutions Inc s 2468174 Fair value CRUT 2 c 1386123 Fair value Entity Merger: 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.