FURP.ORG / PUBLIC DATA EXPLORER

RHODE ISLAND HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND HOSPITAL (EIN 05-0258954)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201422279349300912
Schema version
2012v2.0
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T06:10:16-07:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 Financial Center 60 South StAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050258954EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Rhode Island HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRHODNameControl
Phone4014444000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMary A WakefieldName
TitleTreasurerTitle
Date Signed2014-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP01245482PTIN
Phone6179885805Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTimothy J Babineau MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2012031508GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.rhodeislandhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1863YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionThe mission of Rhode Island Hospital (RIH) is to be at the forefront of patient care by creating, applying, and sharing the most advanced knowledge in health care.ActivityOrMissionDescription
Nbr Voting Members Governing Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees8376TotalNbrEmployees
Total Nbr Volunteers822TotalNbrVolunteers
Total Gross UBI3932490TotalGrossUBI
Net Unrelated Business Txbl Income202477NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9607808ContributionsGrantsPriorYear
Contributions Grants Current Year8232831ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1053129634ProgramServiceRevenuePriorYear
Program Service Revenue CY1079634301ProgramServiceRevenueCY
Investment Income Prior Year40980195InvestmentIncomePriorYear
Investment Income Current Year29822250InvestmentIncomeCurrentYear
Other Revenue Prior Year14769459OtherRevenuePriorYear
Other Revenue Current Year12259053OtherRevenueCurrentYear
Total Revenue Prior Year1118487096TotalRevenuePriorYear
Total Revenue Current Year1129948435TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1864959GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2100487GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year528885497SalariesEtcPriorYear
Salaries Etc Current Year542431642SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year553415144OtherExpensePriorYear
Other Expenses Current Year593399005OtherExpensesCurrentYear
Total Expenses Prior Year1084165600TotalExpensesPriorYear
Total Expenses Current Year1137931134TotalExpensesCurrentYear
Revenues Less Expenses Prior Year34321496RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7982699RevenuesLessExpensesCY
Total Assets BOY1265159851TotalAssetsBOY
Total Assets EOY1309249253TotalAssetsEOY
Total Liabilities BOY577763350TotalLiabilitiesBOY
Total Liabilities EOY571946211TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY687396501NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY737303042NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of Rhode Island Hospital (RIH) is to be at the forefront of patient care by creating, applying, and sharing the most advanced knowledge in health care.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense841959492Expense
Grants1922687Grants
Revenue1029546255Revenue
DescriptionPatient 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 I 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 6,372 full-time equivalents. (Continued on Schedule O)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense98961112Expense
Revenue13496900Revenue
DescriptionMedical Education:RIH provides the setting for and substantially supports medical education in various clinical training and nursing programs. The total cost of direct medical education provided by the Hospital exceeded the reimbursement received from third-party payors by $85.5 million in fiscal year 2013.(Continued on Schedule O)Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense54159983Expense
Revenue41778983Revenue
DescriptionResearch: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. In addition, the Hospital 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 72% of all externally funded research at the Hospital. 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 $12.4 million in support of research activities in fiscal year 2013.(Continued on Schedule O)Description
FieldValueIRS element (for citing)
Total Program Service Expense995080587TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096553NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees8376NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMary A WakefieldNamePerson
Telephone Number4014447093TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (47 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Brian J Zink MD
Trustee1.003.00X100000
Jane Williams
Secr. 10/120.000.00X000X
Shivan Subramaniam
Trustee0.603.40X000
Hon Bruce Selya
Trustee1.507.50X000
Fred J Schiffman MD
Trustee0.000.00X000
Lawrence B Sadwin
Trustee1.007.00X000
Lloyd Robertson
Trustee5.0016.00X000
James A Procaccianti
Trustee0.000.00X000
Michael J Perik
Trustee0.000.00X000
Steven Pare
Trustee2.0010.50X000
Stephen P Massed
Trustee1.0015.50X000
David A Marcoux MD
Trustee0.000.00X000
Alan H Litwin
Trustee2.0018.00X000
Bertram M Lederer
V. Chair- 10/122.0012.00X000X
Scott B Laurans
Chairman1.5010.00X000X
Marie J Langlois
Trustee0.003.00X000
Mary Jo Kaplan
Trustee0.000.00X000
Dayle Hunt Joseph
Trustee1.005.00X000
Pamela Harrop MD
Trustee1.003.00X000
Michael L Hanna
Treas.- 10/120.000.00X000X
David Gorelick MD
Trustee0.502.50X000
Jason Fowler
Trustee0.000.00X000
Edward D Feldstein
Trustee0.306.70X000
Jonathan D Fain
Trustee1.006.00X000
Jonathan J Elion MD
Trustee0.000.00X000
Michael Ehrlich MD
Trustee4.009.00X0967260
Penelope H Dennehy MD
Trustee0.000.00X202523020491
Ellen Collis
Trustee2.004.50X000
Peter Capodilupo
Trustee0.808.20X000
David A Brown
Trustee0.257.25X000
Roger N Begin CFP
Trustee0.000.00X000
Emanuel Barrows
Trustee0.002.00X000
Timothy J Babineau MD
President20.0020.00X01486727205277X
Lawrence A Aubin Sr
Vice Chair2.0013.00X000X
Sr Therese M Antone
Trustee1.005.50X000
Thomas Anders MD
Trustee1.006.50X000
Mary A Wakefield
Treasurer8.0032.000798078297927X
Frederick J Macri
EVP & COO40.000.000592336225606X
Kenneth A Arnold
Secretary8.0032.000355446729606X
Barbara Riley RN
Chief Nursing Officer40.000.00361705064224X
John B Murphy MD
EVP - Physician Affairs40.000.00462742077523X
Douglas C Anthony MD
Physician40.000.00455042035662X
Garth Cosgrove MD
Physician40.000.001222475038724X
Robert B Klein MD
Physician40.000.00433769031639X
Paul Y Liu MD
Physician40.000.00582983036704X
Murray B Resnick MD
Physician40.000.00431227034171X
George A Vecchione
President & CEO0.000.000482589630258X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4153466TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs11354230TotalReportableCompFrmRltdOrgs
Total Other Compensation1127812TotalOtherCompensation
Number Individuals GT100 K606NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Brown University
75 Waterman StreetProvidenceRI02912Subcontracted Svcs.4450391
University Surgical Associates
72 Newman AvenueRumfordRI02916Medical Services8926674
University Medicine Foundation
17 Virginia AveProvidenceRI02905Medical Services21880667
Univ Emergency Medicine Fnd
18 Imperial PlaceProvidenceRI02903Medical Services4814472
Neurology Foundation
34 Parsonage StreetProvidenceRI02903Medical Services4874735
FieldValueIRS element (for citing)
Number Of Contractors GT100 K92NumberOfContractorsGT100K
Related Organizations7488283RelatedOrganizations
Government Grants236745GovernmentGrants
All Other Contributions507803AllOtherContributions
Total Contributions8232831TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Temp Restricted (SPF's)90009995310099531009
Rental53112025412692541269
Patient Service Revenue90009910145763131014576313
Laboratory62150022067202206720
Direct Rev from Research9000995052334350523343

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column255647TotalRevenueColumn
Related Or Exempt Function Income255647RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1079634301TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5484099TotalRevenueColumn
Exclusion$5,484,099ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column4907TotalRevenueColumn
Exclusion$4,907ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3532783Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2236950Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1295833Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1295833TotalRevenueColumn
Exclusion$1,295,833ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities904179367Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities879846123Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities24333244Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column24333244TotalRevenueColumn
Exclusion$24,333,244ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Other/Services Rendered90009920836382083638
Indirect Rev from Grants9000991143355411433554
Cafeteria Revenue7222104001503$4,001,503

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-6555475TotalRevenueColumn
Related Or Exempt Function Income-8329355RelatedOrExemptFunctionIncome
Unrelated Business Revenue1725770UnrelatedBusinessRevenue
Exclusion$48,110ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue10963220TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1129948435TotalRevenueColumn
Related Or Exempt Function Income1082615418RelatedOrExemptFunctionIncome
Unrelated Business Revenue3932490UnrelatedBusinessRevenue
Exclusion$35,167,696ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2067973Total
Program Services2067973ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total32514Total
Program Services32514ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1231370Total
Program Services1013335ProgramServices
Management And General218035ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total414212075Total
Program Services409552736ProgramServices
Management And General4659339ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total24887502Total
Program Services24604532ProgramServices
Management And General282970ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total71678255Total
Program Services70769727ProgramServices
Management And General908528ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total30422440Total
Program Services30065852ProgramServices
Management And General356588ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total10125Total
Program Services4880ProgramServices
Management And General5245ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1986707Total
Management And General1986707ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total74641997Total
Program Services74631997ProgramServices
Management And General10000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total340181Total
Program Services280181ProgramServices
Management And General60000ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total175537741Total
Program Services176283516ProgramServices
Management And General-745775ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18687481Total
Program Services16559757ProgramServices
Management And General2127724ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1665816Total
Program Services1654020ProgramServices
Management And General11796ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1864637Total
Program Services1669631ProgramServices
Management And General195006ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total13574354Total
Program Services2912ProgramServices
Management And General13571442ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total36795831Total
Management And General36795831ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8391295Total
Program Services8391295ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
All Other Expenses2248503721504560980477
License Fee4745083447450834
Provision for bad debts7316254573162545
Purch Svs & Equip Cont1167238323529719881426634

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total80592Total
Program Services80592ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1137931134Total
Program Services995080587ProgramServices
Management And General142850547ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5311680BOY
EOY1604047EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY21574BOY
EOY15375940EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3894294BOY
EOY4341444EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY137974046BOY
EOY149306377EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13478601BOY
EOY16019350EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2222685BOY
EOY2400051EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1112493071LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec592786614LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY493813336BOY
EOY519706457EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY327750511BOY
EOY309971847EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY156413408BOY
EOY154383405EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY124279716BOY
EOY136140335EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1265159851BOY
EOY1309249253EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY63992879BOY
EOY75172082EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY254889799BOY
EOY246420336EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY35450000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY258880672BOY
EOY214903793EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY577763350BOY
EOY571946211EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY375532685BOY
EOY420104288EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY238460723BOY
EOY242516701EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY73403093BOY
EOY74682053EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY687396501BOY
EOY737303042EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1265159851BOY
EOY1309249253EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-7982699ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-175986ReconciliationUnrealizedInvest
Reconcilation Other Changes58065226ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$10,125OtherActivitiesAmount
Total Lobbying Expenditures IIB10125TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationRhode Island Hospital pays membership fees to the Hospital Association of Rhode Island, 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.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance507691681BeginningOfYearBalance
Contributions69186295Contributions
Investment Earnings Or Losses27579726InvestmentEarningsOrLosses
Other Expenditures114808105OtherExpenditures
End Of Year Balance489649597EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance478839711BeginningOfYearBalance
Contributions70020787Contributions
Investment Earnings Or Losses50634789InvestmentEarningsOrLosses
Other Expenditures91803606OtherExpenditures
End Of Year Balance507691681EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance475612206BeginningOfYearBalance
Contributions72081128Contributions
Investment Earnings Or Losses11034904InvestmentEarningsOrLosses
Other Expenditures79888527OtherExpenditures
End Of Year Balance478839711EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance402076328BeginningOfYearBalance
Contributions106066104Contributions
Investment Earnings Or Losses42054008InvestmentEarningsOrLosses
Other Expenditures74584234OtherExpenditures
End Of Year Balance475612206EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance417775875BeginningOfYearBalance
Contributions62712592Contributions
Investment Earnings Or Losses-5317535InvestmentEarningsOrLosses
Other Expenditures73094604OtherExpenditures
End Of Year Balance402076328EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.45290BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.08100PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.46610TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis20125023OtherCostOrOtherBasis
Book Value20125023BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis683897503OtherCostOrOtherBasis
Depreciation344372111Depreciation
Book Value339525392BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis354279005OtherCostOrOtherBasis
Depreciation248414503Depreciation
Book Value105864502BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis54191540OtherCostOrOtherBasis
Book Value54191540BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings519706457TotalOfBookValueLandBuildings
Total Of Book Value Securities154383405TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivables5972410
Other Non-Current Assets5300671
Interest in Net Assets of RIH Foundation53428986
Intercompany Receivables304585
Deferred Financing Costs5425231
FieldValueIRS element (for citing)
Total Book Value Other Assets136140335TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
Third-party Payor Settlements$42,090,770
Resident FICA Program Liability$19,973,274
Post-retirement Benefit Liability$16,760,000
Other Liabilities$7,160,307
Health Care Benefit Self-insurance$3,221,263
Asbestos Abatement Liability$2,212,516
Accrued Pension Liability$118,162,700
Accrued Interest Payable$5,322,963
FieldValueIRS element (for citing)
Total Of Amounts214903793TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteRIH, 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. 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, 2013.
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.Rhode Island Hospital's (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) the advancement of patient care, research, and education in cardiology; (4) the care of patients suffering from chronic or incurable diseases; and (5) the creation of a hospital primary care physician transition program to further improve patient care.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Sub-Saharan Africa00Program ServicesResearch13445
Europe00Program ServicesResearch21650
East Asia & the Pacific00Program ServicesResearch72000
FieldValueIRS element (for citing)
Subtotal Amount Spent107095SubtotalAmountSpent
Total Amount Spent107095TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriestrueBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are Used in Foreign CountryIdentifier
ExplanationWhen 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. The foreign institution prepares an invoice to the Lifespan affiliate for expenses incurred under the agreement. Once received, the invoice is approved by both the principal investigator at the Lifespan affiliate and the 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 institution's financial system and method of accounting for the award. A request is also made for 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 of 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 process and payment is used as described above.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense65269717TotalCommunityBenefitExpense
Direct Offsetting Revenue20298029DirectOffsettingRevenue
Net Community Benefit Expense44971688NetCommunityBenefitExpense
Percent Of Total Expense0.04220PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense178334180TotalCommunityBenefitExpense
Direct Offsetting Revenue172918357DirectOffsettingRevenue
Net Community Benefit Expense5415823NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense243603897TotalCommunityBenefitExpense
Direct Offsetting Revenue193216386DirectOffsettingRevenue
Net Community Benefit Expense50387511NetCommunityBenefitExpense
Percent Of Total Expense0.04730PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense327592TotalCommunityBenefitExpense
Direct Offsetting Revenue47031DirectOffsettingRevenue
Net Community Benefit Expense280561NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense98961112TotalCommunityBenefitExpense
Direct Offsetting Revenue13496900DirectOffsettingRevenue
Net Community Benefit Expense85464212NetCommunityBenefitExpense
Percent Of Total Expense0.08030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense40849048TotalCommunityBenefitExpense
Direct Offsetting Revenue29825309DirectOffsettingRevenue
Net Community Benefit Expense11023739NetCommunityBenefitExpense
Percent Of Total Expense0.01040PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense54159983TotalCommunityBenefitExpense
Direct Offsetting Revenue41778983DirectOffsettingRevenue
Net Community Benefit Expense12381000NetCommunityBenefitExpense
Percent Of Total Expense0.01160PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense650673TotalCommunityBenefitExpense
Net Community Benefit Expense650673NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense194948408TotalCommunityBenefitExpense
Direct Offsetting Revenue85148223DirectOffsettingRevenue
Net Community Benefit Expense109800185NetCommunityBenefitExpense
Percent Of Total Expense0.10320PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense438552305TotalCommunityBenefitExpense
Direct Offsetting Revenue278364609DirectOffsettingRevenue
Net Community Benefit Expense160187696NetCommunityBenefitExpense
Percent Of Total Expense0.15050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$19,187,840BadDebtExpenseAmount
Amount Attributable To2284994AmountAttributableTo
Amount Reimbursed By Medicare173774535AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare168242521CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall5532014MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1Orthopedic MRI of RI LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityImaging ServicesDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.33333OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.13333PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Rhode Island HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Rhode Island HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted13NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
File Form4720 Report Excise TaxfalseFileForm4720ReportExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Permit Other ActionsXPermitOtherActions
Collection ActivitiestrueCollectionActivities
LawsuitXLawsuit
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities26NumberOfOtherFacilities

Other Facilities OtherFacilities (26 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Pre-Admission Testing
79 Plain StreetProvidenceRI02903Pre-anesthesia Testing, Phone Screening, and Chart Review
Rhode Island Hospital Center for Wound Care
950 Warren Avenue Suite 103East ProvidenceRI02914Wound Care Services
Pediatric Multi-Discipline Clinic & Rehab Satellite
1454 South County Trail 1st FloorEast GreenwichRI02818Outpatient Pediatric and Rehabilitation Services
Comprehensive Cancer Ctr at East Greenwich Prgm of RIH
1454 South County Trail 1st FloorEast GreenwichRI02818Comprehensive Cancer Center
Orthopedic MRI of RI LLC
100 Butler DriveProvidenceRI02906Medical Imaging Services
Ophthalmology Clinic
1 Hoppin Street Suite 200ProvidenceRI02903General and Specialty Ophthalmic Examinations, Testing and Procedures
RIH Lab at the Office of Louis Moran MD
1035 Post RoadWarwickRI02886Outpatient Phlebotomy
RIH Pediatric and Adolescent Health Care Center
One Hoppin Street Suite 3055ProvidenceRI02903Outpatient Adolescent Services
Pediatric and Adult Medicine
900 Warren Avenue 2nd FloorEast ProvidenceRI02914Pediatric and Adult Medicine
Comprehensive Cancer Ctr Prgm of RIH at Newport Hosp
11 Friendship StreetNewportRI02840Comprehensive Cancer Center
Rhode Island Hospital Child Research Center
1 Hoppin StreetProvidenceRI02903Outpatient Psychiatric Services
Radiosurgery Center of RI LLC
593 Eddy StreetProvidenceRI02903Radiosurgery Services
Hallett Center for Diabetes & Endocrinology
900 Warren AvenueEast ProvidenceRI02914Multidisciplinary Care Treating Diabetes and Other Endocrine Disorders
General Internal Medicine Research Group
111 Plain StreetProvidenceRI02903Research Studies
RI Hospital Molecular Laboratory
167 Point Street Coro East 3rd FlooProvidenceRI02903Molecular Diagnostic Testing
Dialysis Center of Rhode Island Hospital
950 Warren AvenueEast ProvidenceRI02914Hemodialysis, Peritoneal Dialysis, Home Hemodialysis
RIH Outpatient Psychiatry
146 West River StreetProvidenceRI02904Outpatient Psychiatric and Behavioral Health Services
RIH Lab at the Office of Hugo Yamada MD
6 Blackstone Valley PlaceLincolnRI02865Outpatient Phlebotomy
Audiology and Speech Pathology Department
115 Georgia AvenueProvidenceRI02903Speech Language Pathology and Audiology Services
RI Hospital Hasbro Childrens Outpatient Rehab Services
765 Allens Avenue 2nd Floor Suite 2ProvidenceRI02905Children's Physical and Occupational Therapy
RIH Sleep Disorders Center
70 Catamore BoulevardEast ProvidenceRI02914Outpatient Professional & Technical Evaluation of Sleep Disorders
RI Hospital Outpatient Rehabilitation Services
765 Allens Avenue 1st Floor Suite 1ProvidenceRI02905Adult Physical and Occupational Therapy
Comprehensive Cancer Ctr Prgm of RIH at TMH
164 Summit AvenueProvidenceRI02906Comprehensive Cancer Center
RIH Pediatric Heart Center
1 Hoppin Street Suite 304ProvidenceRI02903Outpatient Pediatric Cardiology Services
Rhode Island Hospital Surgery Center at Wayland Square
17 Seekonk StreetProvidenceRI02906Outpatient Surgery
Dialysis Center of Rhode Island Hospital
22 Baker StreetProvidenceRI02905Hemodialysis, Peritoneal Dialysis, Home Hemodialysis (and Training)

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - States Where Community Benefit Report FiledRI
Part VI - Affilated Health Care System Roles and PromotionLifespan's mission is to deliver health with care through highly personalized medical expertise provided with kindness and empathy. 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 more than 13,500 people. The Lifespan system has approximately 2,400 physicians on the medical staffs of its affiliated hospitals, operates 1,155 licensed beds in four hospital complexes, and in 2013 generated approximately $1.7 billion in total operating revenue. By each of these measures, Lifespan is RI's largest health system, serving a population of over 1.5 million. Three of its hospital members, Rhode Island Hospital (RIH), The Miriam Hospital (TMH) and Bradley Hospital (EPBH), are teaching affiliates of The Warren Alpert Medical School of Brown University, with 77 percent of the residents and fellows in this program based at RIH, TMH, and EPBH.Lifespan is a RI 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, 2013, Lifespan Corporation employed approximately 750 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 - Explanation Of How Organization Furthers Its Exempt PurposeThe Hospital is governed by a Board of Trustees, which is composed of leaders of the local community elected by Lifespan Corporation. The Hospital'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. The Hospital works collaboratively with physicians, our 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. The Hospital monitors the healthcare needs of its service area to ensure alignment of its resources with its mission. The Hospital 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. The Hospital is organized and operated for the benefit of the community it serves.
Part VI - Community Building ActivitiesThe Hospital substantially subsidizes various health services including the following programs: adult psychiatry, dental, adolescent, and Alzheimer's, as well as the Center for Special Children, early intervention, and certain other specialty services. The Hospital 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 - Community InformationRhode 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 (excluding obstetrics) for the acute care of patients principally from RI and southeastern Massachusetts. As a complement to its role in service and education, the Hospital actively supports research. The Hospital 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. The Hospital is also a member of Voluntary Hospitals of America, Inc. (VHA).In 1969, the Hospital 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 the Hospital 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. The Hospital currently sponsors 47 graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring another 27 hospital-approved residency and fellowship programs.With respect to nursing education, the Hospital has developed formal and informal educational affiliations with a number of accredited New England colleges and universities. The Hospital does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.The Hospital 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 - Patient Education of Eligibility for AssistanceRhode Island Hospital 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 the Hospital. Assistance eligibility is also summarized on the Hospital's website.
Part VI - Needs AssessmentLifespan'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, the Hospital 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, the Hospital added a new state-of-the-art emergency department and opened the 110-room Bridge Building expansion, with three new floors dedicated to the care of cardiac, medical, and surgical patients. The Hospital'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 both challenging mental health and medical conditions who require hospitalization. A collaboration with 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 8-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 V, Line 20d - Other Billing Determination of Individuals Without InsuranceUninsured patients receive an automatic 50% Community Benefit discount on Hospital charges. 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 insurance covering such care. In no case was there a situation where an uninsured patient paid more than amounts charged through Medicare or negotiated commercial insurance rates.Number of Hospital Faciltiy - 1
Part V, Line 17e - Other Collection Actions by Facility or Third Party EngagedThe Hospital engages third parties to perform certain collection actions on its behalf. A pre-collect company is used for all self-pay accounts. Additionally, a collection agency is used if there is no payment activity on such accounts after 120 days. The collection process is explained in further detail in the response to Question 16e above.Number of Hospital Faciltiy - 1
Part V, Line 16e - Other Collection Actions Against a PatientOnce an account balance or a portion thereof is classified as self-pay, it is placed with the Hospital's pre-collect company until the balance is paid in full, a monthly payment plan is in place, or insurance information is provided for billing.After 120 days, if there is no payment activity, the account qualifies for bad debt and the pre-collect company returns the account to Patient Financial Services, which in turn forwards it to a collection agency.The collection agency sends 3 to 5 notices to the patient requesting payment. If there are no responses after the notices are sent, collection calls are made. If there is no response after 120 days, the account is reviewed for legal action in the appropriate court.If there are no assets to pursue, the collection agency deems the account uncollectible and returns it to Patient Financial Services for writeoff.Note: In accordance with Center for Medicare and Medcaid Services mandates, Medicare patient accounts are held 130 days from last payment, after which if there has been no activity, the account is referred to collection.Number of Hospital Faciltiy - 1
Part V, Line 14g - Other Means Hospital Facility Publicized the PolicyAn abbreviated version of the Hospital'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.Number of Hospital Faciltiy - 1
Part V, Line 5c - Description of Making Needs Assessment Widely AvailableA copy of the Community Health Needs Assessment report issued for Rhode Island Hospital as of September 30, 2013 can be obtained by visiting: http://www.lifespan.org/Lifespan-Community-Health-Needs-Assessment-Reports.aspxNumber of Hospital Faciltiy - 1
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs AssessmentThe Miriam HospitalEmma Pendleton Bradley HospitalNewport HospitalNumber of Hospital Faciltiy - 1
Part V, Line 3 - Account Input from Person Who Represent the CommunityThe CHNA encompassed intensive data collection and analysis, as well as qualitative research in the forms of interviews with and surveys of more than 100 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 Rhode Island Hospital and Lifespans three other hospitals. Rhode Island Hospitals leadership team shaped the CHNA by recommending institutional and community leaders for participation, offering observations about community need, and providing insight about existing and planned programs.Qualitative data collected during the CHNA consist of: 1) interviews completed with both internal (i.e. hospital- and Lifespan-based); 2) nearly two dozen key informant interviews with community leaders, representing an array of constituencies; and 3) a Community Stakeholder Survey of 54 organizations statewide.Interviews with leaders of organizations encompassed a wide range of issues and populations including historically underserved communities, such as minority populations, children and youth, immigrant and refugee populations, and included leaders of organizations with specific interest in or expertise about key issues such as obesity, cancer, and asthma. In a few cases, organizations submitted a completed questionnaire in lieu of participating in an interview. Leaders of organizations with a statewide focus on policy, advocacy, and social service provisions were interviewed, covering a broad range of social issue areas. A standard format and questionnaire was used for each interview.To ensure representation from a broad cross-section of the community, a statewide survey of 54 key community stakeholders was conducted. Those surveyed included members of medically underserved, low-income, and minority populations in the community; representatives of organizations that had knowledge, information, or relevant experience to the health needs of the community (including the Brown University School of Public Health, Warren Alpert Medical School of Brown University, the Economic Progress Institute, the United Way, and others); and representatives of the Rhode Island Department of Health. The survey was a 19-question instrument designed to elicit information about the general health and social needs of the community. Over 75% of those surveyed self-reported that they serve constituencies spanning the entire state of Rhode Island and/or the entire state of Rhode Island with the addition of southeastern Massachusetts. Community Stakeholder Survey Respondents:1. AARP, Executive Director2. African Alliance of RI, President3. Aids Project RI, Executive Director4. American Cancer Society5. American Lung Association of the Northeast, Director of Health Education6. Blue Cross/Blue Shield7. Brown School of Public Health8. Camp Street Community Ministries9. Center for Prisoner Health and Human Rights, Miriam Hospital/Brown University Medical School, Executive Director10. Chinese Nursing Association11. Community Asthma Program12. Community Health Workers Association of Rhode Island, Brown Medical School13. Crossroads of Rhode Island, Director of Social Services14. Rhode Island Department of Health, Manager, Safe Rhode Island/Rhode Island Youth Suicide15. Rhode Island Department of Health16. Gateway Healthcare17. Goodwill Industries of Rhode Island, Case Manager / Employment Services Coordinator18. Health Centric Advisors, Senior Scientist19. Health Leads Providence, Executive Director20. Injury Prevention Center at Rhode Island Hospital21. James L. Maher Center, CEO22. Jewish Alliance of Greater Rhode Island, Community Relations Director23. Martin Luther King Community Center, Executive Director24. McAuley House, Associate Director25. Mental Health Association of Rhode Island, Executive Director26. The Miriam Hospital, Ambulatory TB/Immunology Department, Clinical Manager27. Mount Hope Learning Center28. Mount Hope Neighborhood Association29. NAACP Providence, President30. National Association of Social Workers (NASW) RI Chapter, President31. Newport County Community Mental Health Center32. Overeaters Anonymous33. Parent Support Network of Rhode Island34. Partnership to Reduce Cancer in RI, Secretary35. Progreso Latino, Executive Director36. Project Night Vision, Founder37. Providence School Department38. Refugee Clinic at Hasbro Children's Hospital39. Rhode Island Division of Elderly Affairs, Director40. Rhode Island Health Center Association, President & CEO41. Rhode Island Parent Information Network42. Rhode Island Public Health Association, President43. Rhode Island Public Health Institute at Brown University, Executive Director44. Rhode Island Adult Education Professional Development Center, Director45. Rhode Island Breast Cancer Coalition46. Rhode Island Dept of Corrections, Medical Program Director47. Rhode Island Free Clinic48. Samuels Sinclair Dental Center, Director49. Socio-Economic Development Center for Southeast Asians, Executive Director50. Taming Asthma51. TB & Immunology, The RISE Clinic (The Miriam Hospital)52. United Way of Rhode Island, Director of Annual Giving53. Visiting Nurses Services of Newport and Bristol Counties54. Women's Center of Rhode Island, Residential SupervisorNumber of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsThe Hospital uses an outside pre-collection agency for all self-pay receivables. The pre-collection agency attempts to collect the debt for 120 days. During this time, 3 letters are sent to the patient's address of record and, for balances in excess of $50, attempts are made to reach the patient by telephone. If the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered (Please refer to the Charity Care Eligibility Criteria and Additional Information sections for further detail on those processes). If the pre-collection agency is unsuccessful in contacting the patient or no response is received within 120 days, the account is forwarded to a collection agency.The collection agency also sends statements and attempts to reach the patient via telephone. Again, if the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered. If no response is received, the claim is referred to small claims court and the patient is summoned to appear. If the patient does not appear, the Hospital will receive a judgment in its favor. If the Hospital learns that the claim has a related settlement, i.e., an automobile accident, the Hospital can put a lien on such settlement. Alternatively, if the collection agency deems the account uncollectible, it will be written off.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThere is no Medicare shortfall for fiscal year 2013. 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 4 - Bad Debt ExpenseAccounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectible of accounts receivable, the Hospital 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, the Hospital 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), the Hospital 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.The Hospital's allowance for doubtful accounts for self-pay patients increased from 79% of self-pay accounts receivable at September 30, 2012 to 80% of self-pay accounts receivable at September 30, 2013. The Hospital's self-pay writeoffs for the years ended September 30, 2013 and 2012 amounted to approximately $59,319,000 and $53,361,000, respectively. The Hospital did not change its charity care or uninsured discount policies during the years ended September 30, 2013 and 2012, respectively. The Hospital 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 2013 or 2012.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitAccounts pending transfer to bad debt are reviewed by the Hospital's patient advocate staff to determine qualification for financial assistance under the Hospital'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 2 - Methodology Used To Estimate Bad Debt ExpenseThe 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 I, Line 7, Column F - Explanation of Bad Debt ExpenseThe 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 $73,162,545.
Part I, Line 7 - Explanation of Costing MethodologyThe Hospital'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 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 by cost as calculated by the Hospital's cost accounting system. The system applies 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 are recorded as direct expenses incurred as reported by the Hospital'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 the Hospital. 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 on the Hospital's Medicare cost report.g) Subsidized health services- Subsidized health services' community benefit expense is determined by the cost accounting system. These subsidized health services are recorded at cost in the Hospital'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 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- The Hospital 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 the Hospital'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 the Hospital, including an allocation of contributions made by Lifespan Corporation on the Hospital's behalf.
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)Rhode Island Hospital (the Hospital) uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test.The financial screening process at the Hospital 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, has a long term disability, RIte Care or CFS, the appropriate application process is completed. (Assistance to complete such applications is available from the Patient Financial Advocates (PFA) Office at the Hospital.)4. Uninsured patients receive an automatic 50% deduction at the Hospital.5. Eligibility for CFS above the 50% 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 four 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, the 50% charity care discount. 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 automatic 50% discount) if the balance is under $5,000 and 50% to 100% of estimated charges (net of the automatic 50% discount) 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 the 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
UNAPRIH Education Trust Fund
375 Branch AvenueProvidenceRI02904412139381501(c)(3)1500000Employee Education Support
Thundermist Health Center
191 Social StreetWoonsocketRI02895050355097501(c)(3)1005000Health Program Support
Rhode Island Medical Society
235 Promenade StreetProvidenceRI02908050250010501(c)(3)150000Health Program Support
Rhode Island Hospital Fnd
167 Point StreetProvidenceRI02903050468736501(c)(3)1778000General Support
Rekindling the Dream
797 Westminster StreetProvidenceRI02903050519977501(c)(3)100000General Support
Health Leads
2 Oliver Street 10th FloorBostonMA02109450484533501(c)(3)1225500Health Program Support
City of Providence
25 Dorrance StreetProvidenceRI02903056000329Government Org.5840000Payment in Lieu of Taxes
Brown University
164 Angell StreetProvidenceRI02912050258809501(c)(3)8896420General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEducational AssistanceTypeOfGrant
Number Of Recipients13NumberOfRecipients
Amount Of Cash Grant32514AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationRhode 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.In 2012, Lifespan, on behalf of Rhode Island Hospital and The Miriam Hospital, reached an agreement with the City of Providence to make voluntary payments to help stabilize the city's financial health. Lifespan has always maintained a strong commitment to Providence through its many community-based programs, as well as through the charity care it provides. As an organization, Lifespan understands that Providence's fiscal health is vital to the economic health of the entire State of Rhode Island. The agreement is a groundbreaking partnership that demonstrates Lifespan's commitment to help ensure a strong and vital Providence.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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Timothy J Babineau MD
President81191828235239245718203223245169200487782
Robert B Klein MD
Physician41038412600107851449517144465408
Penelope H Dennehy MD
Trustee191709631844961031210179223014
Paul Y Liu MD
Physician5456003531020731449522209619687
Murray B Resnick MD
Physician403164280631449519676465398
Mary A Wakefield
Treasurer5315131750009156528147916448109600568467
Kenneth A Arnold
Secretary4517071450002957760125001710635840732094059
John B Murphy MD
EVP - Physician Affairs3346337300055109577671975654026532117
George A Vecchione
President & CEO100886557651632405157500227584856154
Garth Cosgrove MD
Physician11929522952314495242291261199
Frederick J Macri
EVP & COO404313107000810232077941781281794253550
Douglas C Anthony MD
Physician34826675000317761328722375490704
Barbara Riley RN
Chief Nursing Officer2414366800052269444931973142592933210

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveThe Lifespan Annual Incentive Compensation Plan provides a financial award opportunity for designated members of management, based on quantified objectives that are approved in advance by the Compensation Committee of the Lifespan Corporation Board of Directors. A specified level of financial performance must be met before any award is earned. The objectives vary from year to year and generally include various aspects of financial measures in addition to non-financial performance measures. For certain participants in the Lifespan Annual Incentive Compensation Plan, the award opportunity is divided into two pools. The first pool represents 80% of any earned incentive award, based on the achievement of the team performance objectives. The remaining 20% pool is distributed on an individual basis to participants at the discretion of the CEO, in each case subject to approval by the Compensation Committee of the Lifespan Corporation Board of Directors.
Sch J, Part I, Line 1aPart 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 2012 Lifespan provided this benefit to two executives and the taxable amounts paid for the temporary housing resulting from relocation are included in Medicare wages, more specifically on Schedule J, Part II, column B (iii).Social Club Dues:The job responsibilities of certain executives include development of relationships with business leaders and donors. Those relationships are facilitated by the ability to meet in private sessions during which focused business discussions take place. The Hope and University Clubs, which require individual memberships, are places in Providence where businessmen and women, civic, community, and social leaders can gather in a businesslike atmosphere. The cost of membership is considered by Lifespan to be reasonable and necessary and thus a qualified business expense not taxable to the employee. IRS regulations regarding documentation requirements are followed for any payments made for meetings held at the respective club, including the business purpose and nature of the business benefit derived; the nature of the business discussion or activity; and the identity and business relationship of attendees.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Rhode Island Health and Education Building Corporation
B521300173762243K362009-03-3072570461see Schedule K, Part Vfalsefalsetrue
Rhode Island Health and Education Building Corporation
A521300173762243SS32006-02-14160884410see Schedule K, Part Vfalsefalsetrue

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletion
B72570461724435910696641256743558991997100496falsefalsefalsetrue
A16088441013773493827355falsetruetruetrue257793901507953751556797062006

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Bfalsefalsefalsetruetrue0.005000.00500falsefalsetrue
Afalsefalsefalsetruetrue0.005000.00500falsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
Bfalsefalsefalsetruefalsefalsefalsetrue
Afalsefalsefalsetruefalsefalsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Btrue
Atrue

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart VIReturnReference
ExplanationSchedule K, Part I, Lines A & B, Column (f) - see description of purpose on Schedule O.Schedule K, Part IV, Line 2c:For the 2006 Lifespan Obligated Group bond issuance, a rebate computation was performed on May 31, 2013 in which the calculation reflected no rebate due.For the 2009 Lifespan Obligated Group bond issuance, a rebate computation was performed on May 15, 2013 in which the calculation reflected no rebate due.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
University Orthopedics
President511529Medical Servicesfalse
Lifespan MSO Inc
Related Org272664Expense Reimbursemntfalse
Roberts Carroll Feldstein Peirce
Partner150088Legal Servicesfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
Explanation* Edward Feldstein, Trustee, is a partner in Roberts, Carroll, Feldstein and Peirce, a law firm that provides legal services to a sister company, Lifespan Risk Services. The common parent of RIH and Lifespan Risk Services is Lifespan Corporation. During fiscal year 2013, Lifespan Risk Services paid Roberts, Carroll, Feldstein and Peirce $150,088 for services regarding RIH matters.* RIH and Lifespan MSO, Inc. (MSO), a related for-profit organization, share officers and board members, resulting in a business relationship which is disclosed in Schedule O in further detail. MSO reimbursed RIH for rent and supply expenses that RIH paid on its behalf. The reimbursement of expenses amounted to $272,664 during fiscal year 2013.* Michael Ehrlich, MD, Trustee, is the President of University Orthopedics, Inc., which has a professional service contract with Rhode Island Hospital. During fiscal year 2013, Rhode Island Hospital paid University Orthopedics $511,529 for such services.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (24 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Schedule K, Part VThe Hospital has in place written post-issuance tax compliance procedures for tax-exempt obligations. To ensure that its bonds continue to qualify for tax-exempt status, the Hospital consults with bond counsel and other legal counsel and advisors, as needed, to ensure that all applicable post-issuance requirements are met. The Hospital has not identified any non-compliance with the requirements of its tax-exempt bonds.
Form 990, Schedule K, Part I, Line B, Column (f)The proceeds of the Series 2009A Bonds are being used for the purposes of financing projects consisting of: (i) the acquisition, construction, renovation, expansion and equipping of certain hospital and related health care facilities owned and operated or to be owned and operated by one or more of Rhode Island, The Miriam or Emma Pendleton Bradley Hospitals, located at and in the vicinity of the Hospital Campuses; (ii) equipping, furnishing and improving facilities and other depreciable assets used in health care operations on the Hospital Campuses; (iii) the funding of a debt service reserve fund for the Bonds; and (iv) the payment of certain expenses of issuance with respect to the Bonds
Form 990, Schedule K, Part I, Line A, Column (f)The proceeds of the Series 2006A Bonds were used: (i) to advance refund a portion of the $214,585,000 Hospital Financing Revenue Bonds, Lifespan Obligated Group Issue, Series 1996; (ii) to advance refund a portion of the $78,000,000 Hospital Financing Revenue Bonds, Lifespan Obligated Group Issue, Series 2002 and (iii) to pay certain expenses incurred in connection with the issuance of the Series 2006A Bonds.
Form 990, Part XII, Line 2While the Hospital did not produce a separate audited financial statement as of and for the year ended September 30, 2013, it was included in Rhode Island Hospital and Affiliates' consolidated audited financial statements, which include Rhode Island Hospital, RIH Ventures, Radiosurgery Center of Rhode Island, LLC, and Lifespan Pharmacy, LLC. There are no regulatory or creditor stipulations which require the preparation of a separate audited financial statement for the organization.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.
Form 990, Part VI, Section A, Line 1b:Lawrence Aubin, Vice Chair, is the owner of West Bay Medical Center Building which leases space to The Miriam Hospital. The Miriam Hospital pays Lawrence Investments for the use of that office space.David Gorelick, Trustee, is an officer of Aquidneck Medical Associates, a for-profit physician practice which has a professional services contract with Newport Hospital.Shivan Subramaniam, Trustee, is the CEO of FM Global. Lifespan purchases property insurance coverage from Factory Mutual Insurance Company, a member of FM Global. During calendar year 2012, Brian Zink, Trustee, received taxable tuition reimbursement paid for by Rhode Island Hospital.
Form 990, Part VI Section B, Lines 15 a&b contBase 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, the office of the President works with the Committee's independent compensation consultant or relies 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 B, Lines 15 a&bThe following applies to Lifespan and all of its affiliates, including Rhode Island 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 and affiliate 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 CommitteeLifespan'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, Line 12cLifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including Rhode Island Hospital, 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 III, Line 4c, continuedMajor 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 Childrens' Oncology Group (COG), and National Surgical Adjuvant Breast and Bowel Project (NSABP). RIH is a participating hospital in the Brown University-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 combines high quality neurological, neuropsychologic, and psychiatric services, thus creating a comprehensive diagnostic and treatment center for patients with memory disorders.Stroke: The Stroke Center at Rhode Island Hospital provides services to adult and geriatric patients with suspected transient ischemic attack (TIA) or stroke annually in Rhode Island and Southeastern Massachusetts. As the region's only primary stroke center located within a Level 1 trauma center, Rhode Island Hospital 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 III, Line 4b, continuedUnder 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. The Hospital currently sponsors 47 graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring another 27 hospital-approved residency and fellowship programs. The Hospital serves as the principal setting for these clinical training programs, which encompass the following disciplines: internal medicine and medicine sub-specialties, including hematology and oncology; orthopedics and orthopedic sub-specialties; clinical neurosciences; general surgery and surgical specialties; pediatrics and pediatric specialties, including hematology and oncology; dermatology; radiology; pathology; child psychiatry; emergency medicine and emergency medicine specialties; dentistry; and medical physics. In 2013, Brown University enrolled 463 students in undergraduate medical education programs. All medical students at Brown receive training at RIH. The Hospital 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. The Hospital is also a participating clinical training site for another 200 residents and fellows based at other institutions in anesthesiology, pediatric dentistry, family medicine, infectious disease, obstetrics/gynecology (OB/Gyn) and OB/Gyn subspecialties, otolaryngology, podiatry, psychiatry, geriatric psychiatry, orthopedics, rheumatology, and radiation oncology programs. RIH serves as a clinical site for elective clerkships for Physician Assistant students from a number of regional schools.With respect to nursing education, the Hospital has developed educational affiliations with the University of Rhode Island College of Nursing; Rhode Island College School of Nursing; Community College of Rhode Island; 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; the University of Connecticut; New England Technical Institute; Northeastern University; Walden University; and the University of Pennsylvania, as well as other Schools of Nursing, pursuant to which their nursing students obtain clinical training and experience at the Hospital. The Hospital does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.RIH sponsors training programs in the following medical fields: medical technology; diagnostic medical sonography; nuclear medicine technology; radiologic technology; mammography; computed tomography; and magnetic resonance imaging. 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, and certified occupational therapy assistants. The Hospital has clinical training affiliations in respiratory therapy with local colleges as well as Independence University (Utah). In addition, RIH serves as the clinical setting for training programs in histology, cytology, phlebotomy, child development and social work.RIH also has clinical affiliations/student clinical training programs for pharmacy students provided through contracts with a number of colleges and universities. The Hospital's Pharmacy Department co-sponsors second-year postgraduate specialized pharmacy residency programs in oncology and ambulatory care. Hospital Pharmacists also participate in the education of nursing and pharmacy students by providing didactic lectures at both Rhode Island College and the University of Rhode Island's College of Pharmacy.
Form 990, Part III, Line 4a, continuedIn 2013, RIH discharged 33,996 inpatients with total inpatient days of 182,206, treated 150,562 patients in its emergency departments, performed 21,811 inpatient and outpatient surgical procedures, and cared for 175,018 patients in outpatient clinics.Special services, facilities and programs provided by RIH include the Comprehensive Cancer Center for adults; 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; and magnetic resonance imaging (MRI). 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 dedicated radiology unit, including 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. In 2007, RIH was the first hospital in New England to place a cardiac catheterization lab in its ED, providing faster care and preserving heart muscle function for acute cardiac patients. 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 the 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 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 the state 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.Rhode Island Hospital provides a wide-range of adult, adolescent, and child behavioral health services. Related behavioral health services programs and research provided include: 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 I, Line 6Volunteers support and contribute to the mission of RIH and HCH every day, giving their time, energy, and enthusiasm. Throughout the hospital, 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 for both teens and adults in a wide variety of positions, including greeters, family liaisons, emergency room support, gift shop support, nurse aides, office support, pet therapy, physical therapy, patient visitors, recovery room support, art therapy, and central transporters. Volunteers also transport students and serve as guides, escorts, and interpreter aides.
RIH also offers pediatric services through its pediatric division, Hasbro Children's Hospital (HCH). HCH's specialties include cardiology, orthopedics, and hematology/oncology. 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, Sickle Cell Clinic, and urology.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, primary stroke center; and the distinction center for spine surgery, knee and hip replacement, and complex and rare cancers.One of the impacts of the Affordable Care Act is the radical transformation of American health care systems to integrated health care delivery systems, with patients at the center of all activity. To that end, Rhode Island Hospital, along with the other Lifespan affiliates, has worked hard over the past year, expanding 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 around the state, addressing a common barrier to care. By locating services, testing, and treatment in communities, RIH enables people to access the services when they need them and where they need them - often in their own communities. The result is often earlier diagnosis, better adherence to treatment regiments, 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 (LRX) was opened in May 2013 located on the RIH campus and has begun providing 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 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 up to four times the poverty level. In addition, a substantial discount is offered to all other uninsured patients. The Hospital 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 the Hospital to provide charity care amounted to $44,971,688 in fiscal 2013. Charges forgone, based on established rates, amounted to $185,731,000.RIH substantially subsidized various health services including the following programs: adult psychiatry, dental, adolescent, and Alzheimer's, as well as the Center for Special Children, early intervention, and certain other specialty services at a cost of $11,023,739 in fiscal year 2013. 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, stroke and burn survivor support groups, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions. The cost of these services amounted to $280,561 in fiscal 2013.RIH is accredited by The Joint Commission, 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 of Accreditation of Allied Health Education Programs, and the National Accrediting Agency for Clinical Laboratory Sciences.In 2012, Rhode Island Hospital's adult cardiothoracic intensive care unit received its second Beacon Award for Critical Care Excellence. Rhode Island Hospital's diagnostic imaging department was awarded Healthcare Technology Management's first Best Practices in Healthcare Technology Management Award. The award recognizes the Hospital's effort to establish and sustain a culture of safety. The Comprehensive Cancer Center at Rhode Island Hospital was recognized by the Quality Oncology Practice Initiative (QOPI) Certification Program for delivering high-quality patient care. The QOPI Certification Program, an affiliate of the American Society of Clinical Oncology, provides a three-year certification for outpatient hematology-oncology practices that meet the highest standards for quality cancer care. In addition, RIH was named one of the 25 best hospitals to work for in the U.S. by Healthcare Business & Technology.In 2013, Rhode Island Hospital earned a second Beacon Award for nursing excellence from the American Association of Critical Care Nurses (AACN). The silver award was conferred to the medical-surgical unit on the third floor of the Cooperative Care Center in recognition of meeting or exceeding national quality standards for improved patient outcomes and for a healthy work environment. The unit is only the fourth medical-surgical unit in the U.S., and the only one in New England, to receive this award.
Founded in 1863, Rhode Island Hospital celebrated its 150th anniversary in 2013. RIH was built through the generosity of the community, beginning in 1857 with a bequest by Moses Brown Ives to establish a fund for a hospital in Rhode Island. On October 1, 1868, the founders of Rhode Island Hospital gathered on the hospital grounds to dedicate the new hospital, founded to serve the citizens of our state as its name indicated.
Other Changes In Net Assets Or Fund Balances - Other IncreasesTransfer from Hospital Properties, Inc. = $81976Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other DecreasesDecrease in Net Assets of RIHF = -$463150Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in funded status of pension and other postretirement = $58446400Form 990, Part XI, Line 9
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableLifespan 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 the Hospital's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Lifespan Chief Financial Officer, either in person or by mail.Form 990, Part VI, Line 19
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe preparation and filing of the Form 990 and supporting schedules is the responsibility of the Chief Financial Officer and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP. 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. Further review is performed by the Director of Finance and the Vice President of Finance - Corporate Services. Once the draft Form 990 is complete, the Director of Finance forwards it with all supporting worksheets to KPMG, which then reviews the completed form in detail. The Director of Finance answers questions as they arise and provides additional information as needed. KPMG provides the Director of Finance 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 Chief Financial Officer 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 Hospital'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 Chief Financial Officer 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 Chief Financial Officer is authorized to file the Form 990.Form 990, Part VI, Line 11b
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersLifespan 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 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe bylaws of Rhode Island Hospital (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 include: to elect and remove trustees and to approve the election of and to remove certain officers. At each annual meeting of the RIH Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of RIH so that it can be approved and submitted to Lifespan for ratification and election.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderLifespan Corporation is the sole corporate member of Rhode Island Hospital.Form 990, Part VI, Line 6
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsEffective 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 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 Lifespan were amended such that the composition of the Boards of Trustees of each of the hospitals and of 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, and the following ex-officio voting directors: the chair of each of Rhode Island Hospital Foundation, The Miriam Hospital Foundation, Newport Hospital Foundation, Bradley Hospital Foundation, and Gateway Foundation.Form 990, Part VI, Line 4
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtKenneth E. Arnold, Secretary, Timothy J. Babineau, MD, President, and Mary A. Wakefield, CFO, are officers of related for-profit corporations. Mr. Arnold and Ms. Wakefield are officers of Lifespan Management Services Organization, Inc (MSO) and Lifespan Risk Services, Inc. Dr. Babineau and Ms. Wakefield are officers of VNA Technicare, Inc. (VNA). Frederick J. Macri and John B. Murphy, key employees, are also officers of related for-profit organizations. Mr. Macri is an officer of VNA and Mr. Murphy is an officer of both MSO and VNA. Additionally, Scott B. Laurans, Chair, is an officer of VNA.Jonathan Fain, Trustee, is the CEO of Teknor Apex Co. Bertram Lederer, Trustee, is also a Director of Teknor Apex Co.Form 990, Part VI, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Radiosurgery Center of Rhode Island LLC
593 Eddy StreetProvidenceRI02903262171671RadiosurgeryRI1828454293658Rhode Island Hospital
Lifespan Pharmacy LLC
167 Point StreetProvidenceRI02903461697290Pharmaceutical SalesRI402493639890Rhode Island Hospital

Form990 Schedule R Part II Form990ScheduleRPartII (37 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivitiesPrimaryActivitiesLegal Domicile Foreign CountryLegalDomicileForeignCountryExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
RI Sound Enterprises Insurance Co Ltd
65 Front StreetHamiltonBDHM 12Offshore Insurance CaptiveBDN/AN/ALifespan Corporationfalse
Westerly Courts Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860611439766RI
Wentworth Corporation
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050488520RI
TLR Realty
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860043742771RI
The Neurology Foundation Inc
Medical Care501(c)(3)11NAfalse34 Parsonage StreetProvidenceRI02903050448314RI
The Miriam Hospital Foundation
Philanthropic Activities501(c0(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050377502RI
The Miriam Hospital
Health Care Services501(c)(3)3Lifespan Corporationfalse164 Summit AvenueProvidenceRI02906050258905RI
The Autism Project
Services for Children with Autism501(c)(3)9Gateway Healthcare Incfalse1516 Atwood AvenueJohnstonRI02919050512037RI
Shore Courts Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050504003RI
RIH Ventures
Parking Facilities/Phlebotomy Services501(c)(3)11Lifespan Corporationfalse593 Eddy StreetProvidenceRI02903050448686RI
Rhode Island Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050468736RI
Pathways Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050393004RI
Obed Apartments Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050422771RI
NHCC Medical Associates
Health Care Services501(c)(3)11Newport Health Care Corporationfalse11 Friendship StreetNewportRI02840050472268RI
Newport Hospital Foundation Inc
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse11 Friendship StreetNewportRI02840222535533RI
Newport Hospital
Health Care Services501(c)(3)3Lifespan Corporationfalse11 Friendship StreetNewportRI02840050258914RI
Newport Health Property Management
Property Management501(c)(3)11Newport Health Care Corporationfalse11 Friendship StreetNewportRI02840222335539RI
Newport Health Care Corporation
Holding Company/Mgmnt Services501(c)(3)7Lifespan Corporationfalse11 Friendship StreetNewportRI02840222535537RI
Mill River Community Housing Corporation
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050427152RI
LJR Corporation
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860030508346RI
Lifespan School Solutions Inc
Educational ServicesApplied ForEmma Pendleton Bradley Hospitalfalse167 Point StreetProvidenceRI02903464910847RI
Lifespan Physician Group Inc
Health Care Services501(c)(3)9Lifespan Corporationfalse167 Point StreetProvidenceRI02903050389801RI
Lifespan of Massachusetts Inc
Holding Company501(c)(3)11Lifespan Corporationfalsec/o Archstone Law 245 Winter StProvidenceMA02451043408517MA
Lifespan Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050493219RI
Lifespan Diversified Services Inc
Holding Company/Mgmnt Services501(c)(3)11Lifespan Corporationfalse167 Point StreetProvidenceRI02903050258935RI
Lifespan Corporation
Holding Company/Mgmnt Services501(c)(3)11NAfalse167 Point StreetProvidenceRI02903222861978RI
JM Apartments Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050435537RI
Human Services Realty Inc
Housing for Elderly and Mentally Ill501(c)(2)N/AGateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050398161RI
Hospital Properties
Property Management501(c)(4)N/ALifespan Corporationfalse167 Point StreetProvidenceRI02903222869743RI
Gateway Healthcare Inc
Subst. Abuse & Psych Health Care Svcs501(c)(3)9Lifespan Corporationfalse249 Roosevelt AvenuePawtucketRI02860050309043RI
Gateway Foundation
Philanthropic ActivitiesApplied ForLifespan Corporationfalse249 Roosevelt AvenuePawtucketRI02860464002163RI
Families Reaching Into Each New Day Inc
Bereavement Services for Children501(c)(3)7Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050504841RI
Emma Pendleton Bradley Hospital
Pediatric Psychiatric Health Care Svcs501(c)(3)3Lifespan Corporationfalse1011 Veterans Memorial ParkwayEast ProvidenceRI02914050258806RI
Capital City Community Centers Inc
Daycare Services501(c)(3)7Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050259090RI
Bradley Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050500688RI
Bayberry Courts Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860204590384RI
Alternative Living Concepts
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050442015RI

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Radiosurgury Center of Rhode Island LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
EIN262171671EIN
Primary ActivityRadiosurgeryPrimaryActivity
Legal Domicile StateRILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income-702538ShareOfTotalIncome
Share Of EOY Assets2610998ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.55000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Gateway Professional Group Inc
249 Roosevelt AvenuePawtucketRI02860050498391PsychotherapyRIGateway HealthcareC Corpfalse
AHB Will co Bank of America
11 Westminster StreetProvidenceRI029032305PhilanthropicRINATfalse166794167911.00000
VNA Technicare Inc
622 George Washington HighwayLincolnRI02865050472710DME SalesRILDS IncCfalse
Lifespan Risk Services Inc
167 Point StreetProvidenceRI02903050459767Risk MgmntRILifespan CorpCfalse
Lifespan MSO Inc
167 Point StreetProvidenceRI02903050508717Mgmnt SvcsRILifespan CorpCfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Hospital Properties
k996464Accrual
Hospital Properties
c81876Accrual