2014-08-15T06:10:16-07:00 2013-09-30 KPMG LLP 2 Financial Center 60 South St Boston MA 02111 990 2012-10-01 050258954 Rhode Island Hospital RHOD 4014444000 593 Eddy Street Providence RI 02903 Mary A Wakefield 2014-08-15 true P01245482 6179885805 2012 2015-11-30 17:44:51Z Timothy J Babineau MD 593 Eddy Street Providence RI 02903 2012031508 false false X www.rhodeislandhospital.org X 1863 RI The 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. 28 21 8376 822 3932490 202477 9607808 8232831 1053129634 1079634301 40980195 29822250 14769459 12259053 1118487096 1129948435 1864959 2100487 0 528885497 542431642 0 0 553415144 593399005 1084165600 1137931134 34321496 -7982699 1265159851 1309249253 577763350 571946211 687396501 737303042 The 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. false false 841959492 1922687 1029546255 Patient Care:RIH, the principal teaching hospital of The Warren Alpert Medical School of Brown University, provides a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients. RIH has particular expertise in cardiology, hematology/oncology, neurology, burn care, neurosurgery, orthopedics, pediatric care at RIH's pediatric division, Hasbro Children's Hospital, and emergency medicine, with RIH being the designated Level 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) 98961112 13496900 Medical 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) 54159983 41778983 Research:RIH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in the National Institutes of Health programs. 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) 995080587 true true false true false false false false false true true true false true true true false true false false true false false false false false true true true true true true false false false false false false false false false true false false false false true true false false false false true 553 0 true 8376 true true false false false false false false 0 false false false false false false false false false false X 28 21 true false true false true true true true true false false true true true true true true true true true true X Mary A Wakefield 4014447093 593 Eddy Street Providence RI 02903 X Brian J Zink MD 1.00 3.00 X 1000 0 0 Jane Williams 0.00 0.00 X X 0 0 0 Shivan Subramaniam 0.60 3.40 X 0 0 0 Hon Bruce Selya 1.50 7.50 X 0 0 0 Fred J Schiffman MD 0.00 0.00 X 0 0 0 Lawrence B Sadwin 1.00 7.00 X 0 0 0 Lloyd Robertson 5.00 16.00 X 0 0 0 James A Procaccianti 0.00 0.00 X 0 0 0 Michael J Perik 0.00 0.00 X 0 0 0 Steven Pare 2.00 10.50 X 0 0 0 Stephen P Massed 1.00 15.50 X 0 0 0 David A Marcoux MD 0.00 0.00 X 0 0 0 Alan H Litwin 2.00 18.00 X 0 0 0 Bertram M Lederer 2.00 12.00 X X 0 0 0 Scott B Laurans 1.50 10.00 X X 0 0 0 Marie J Langlois 0.00 3.00 X 0 0 0 Mary Jo Kaplan 0.00 0.00 X 0 0 0 Dayle Hunt Joseph 1.00 5.00 X 0 0 0 Pamela Harrop MD 1.00 3.00 X 0 0 0 Michael L Hanna 0.00 0.00 X X 0 0 0 David Gorelick MD 0.50 2.50 X 0 0 0 Jason Fowler 0.00 0.00 X 0 0 0 Edward D Feldstein 0.30 6.70 X 0 0 0 Jonathan D Fain 1.00 6.00 X 0 0 0 Jonathan J Elion MD 0.00 0.00 X 0 0 0 Michael Ehrlich MD 4.00 9.00 X 0 96726 0 Penelope H Dennehy MD 0.00 0.00 X 202523 0 20491 Ellen Collis 2.00 4.50 X 0 0 0 Peter Capodilupo 0.80 8.20 X 0 0 0 David A Brown 0.25 7.25 X 0 0 0 Roger N Begin CFP 0.00 0.00 X 0 0 0 Emanuel Barrows 0.00 2.00 X 0 0 0 Timothy J Babineau MD 20.00 20.00 X X 0 1486727 205277 Lawrence A Aubin Sr 2.00 13.00 X X 0 0 0 Sr Therese M Antone 1.00 5.50 X 0 0 0 Thomas Anders MD 1.00 6.50 X 0 0 0 Mary A Wakefield 8.00 32.00 X 0 798078 297927 Frederick J Macri 40.00 0.00 X 0 592336 225606 Kenneth A Arnold 8.00 32.00 X 0 3554467 29606 Barbara Riley RN 40.00 0.00 X 361705 0 64224 John B Murphy MD 40.00 0.00 X 462742 0 77523 Douglas C Anthony MD 40.00 0.00 X 455042 0 35662 Garth Cosgrove MD 40.00 0.00 X 1222475 0 38724 Robert B Klein MD 40.00 0.00 X 433769 0 31639 Paul Y Liu MD 40.00 0.00 X 582983 0 36704 Murray B Resnick MD 40.00 0.00 X 431227 0 34171 George A Vecchione 0.00 0.00 X 0 4825896 30258 4153466 11354230 1127812 606 true true false Brown University 75 Waterman Street Providence RI 02912 Subcontracted Svcs. 4450391 University Surgical Associates 72 Newman Avenue Rumford RI 02916 Medical Services 8926674 University Medicine Foundation 17 Virginia Ave Providence RI 02905 Medical Services 21880667 Univ Emergency Medicine Fnd 18 Imperial Place Providence RI 02903 Medical Services 4814472 Neurology Foundation 34 Parsonage Street Providence RI 02903 Medical Services 4874735 92 7488283 236745 507803 8232831 Temp Restricted (SPF's) 900099 9531009 9531009 Rental 531120 2541269 2541269 Patient Service Revenue 900099 1014576313 1014576313 Laboratory 621500 2206720 2206720 Direct Rev from Research 900099 50523343 50523343 255647 255647 1079634301 5484099 5484099 4907 4907 0 3532783 2236950 1295833 1295833 1295833 904179367 879846123 24333244 24333244 24333244 0 0 0 Other/Services Rendered 900099 2083638 2083638 Indirect Rev from Grants 900099 11433554 11433554 Cafeteria Revenue 722210 4001503 4001503 -6555475 -8329355 1725770 48110 10963220 1129948435 1082615418 3932490 35167696 2067973 2067973 32514 32514 0 0 1231370 1013335 218035 0 414212075 409552736 4659339 24887502 24604532 282970 71678255 70769727 908528 30422440 30065852 356588 0 0 0 10125 4880 5245 0 1986707 1986707 74641997 74631997 10000 340181 280181 60000 175537741 176283516 -745775 0 0 18687481 16559757 2127724 1665816 1654020 11796 0 1864637 1669631 195006 13574354 2912 13571442 0 36795831 36795831 8391295 8391295 All Other Expenses 22485037 21504560 980477 License Fee 47450834 47450834 Provision for bad debts 73162545 73162545 Purch Svs & Equip Cont 116723832 35297198 81426634 80592 80592 1137931134 995080587 142850547 0 5311680 1604047 21574 15375940 3894294 4341444 137974046 149306377 0 0 0 13478601 16019350 2222685 2400051 1112493071 592786614 493813336 519706457 327750511 309971847 156413408 154383405 0 0 124279716 136140335 1265159851 1309249253 63992879 75172082 254889799 246420336 35450000 258880672 214903793 577763350 571946211 X 375532685 420104288 238460723 242516701 73403093 74682053 687396501 737303042 1265159851 1309249253 X -7982699 -175986 58065226 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 10125 10125 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Rhode 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. 507691681 69186295 27579726 114808105 489649597 478839711 70020787 50634789 91803606 507691681 475612206 72081128 11034904 79888527 478839711 402076328 106066104 42054008 74584234 475612206 417775875 62712592 -5317535 73094604 402076328 0.45290 0.08100 0.46610 true true true 20125023 20125023 683897503 344372111 339525392 354279005 248414503 105864502 54191540 54191540 519706457 154383405 Other Receivables 5972410 Other Non-Current Assets 5300671 Interest in Net Assets of RIH Foundation 53428986 Intercompany Receivables 304585 Deferred Financing Costs 5425231 136140335 Third-party Payor Settlements 42090770 Resident FICA Program Liability 19973274 Post-retirement Benefit Liability 16760000 Other Liabilities 7160307 Health Care Benefit Self-insurance 3221263 Asbestos Abatement Liability 2212516 Accrued Pension Liability 118162700 Accrued Interest Payable 5322963 214903793 X Part X Part X : FIN48 Footnote RIH, as a not-for-profit corporation, is recognized under Section 501(c)(3) of the Internal Revenue Code and is exempt from Federal income taxes. RIH recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. 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 4 Part 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. true Sub-Saharan Africa 0 0 Program Services Research 13445 Europe 0 0 Program Services Research 21650 East Asia & the Pacific 0 0 Program Services Research 72000 107095 107095 false false false false false true Grantmaker's Description of How Grants are Used in Foreign Country When a foreign institution is the subrecipient of an award received by a Lifespan Affiliate, the following procedures are followed: A subrecipient agreement is prepared and executed between the foreign institution and the Lifespan affiliate. The agreement describes the funding source, terms and conditions of the award, statement of work, payment method and audit. 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. true true true X true X true true true false true true 65269717 20298029 44971688 0.04220 178334180 172918357 5415823 0.00510 243603897 193216386 50387511 0.04730 327592 47031 280561 0.00030 98961112 13496900 85464212 0.08030 40849048 29825309 11023739 0.01040 54159983 41778983 12381000 0.01160 650673 650673 0.00060 194948408 85148223 109800185 0.10320 438552305 278364609 160187696 0.15050 true 19187840 2284994 173774535 168242521 5532014 X true true Orthopedic MRI of RI LLC Imaging Services 0.33333 0.13333 1 1 Rhode Island Hospital

593 Eddy Street Providence RI 02903

X X X X X X Rhode Island Hospital 1 true X X X X X X X X 13 true true true X X X X X X X X X X X true false false true true 200.0000 true 400.0000 true X X X X X X true true X X X X X X X true X X true X X X X X X true X false false 26 Pre-Admission Testing

79 Plain Street Providence RI 02903

Pre-anesthesia Testing, Phone Screening, and Chart Review Rhode Island Hospital Center for Wound Care

950 Warren Avenue Suite 103 East Providence RI 02914

Wound Care Services Pediatric Multi-Discipline Clinic & Rehab Satellite

1454 South County Trail 1st Floor East Greenwich RI 02818

Outpatient Pediatric and Rehabilitation Services Comprehensive Cancer Ctr at East Greenwich Prgm of RIH

1454 South County Trail 1st Floor East Greenwich RI 02818

Comprehensive Cancer Center Orthopedic MRI of RI LLC

100 Butler Drive Providence RI 02906

Medical Imaging Services Ophthalmology Clinic

1 Hoppin Street Suite 200 Providence RI 02903

General and Specialty Ophthalmic Examinations, Testing and Procedures RIH Lab at the Office of Louis Moran MD

1035 Post Road Warwick RI 02886

Outpatient Phlebotomy RIH Pediatric and Adolescent Health Care Center

One Hoppin Street Suite 3055 Providence RI 02903

Outpatient Adolescent Services Pediatric and Adult Medicine

900 Warren Avenue 2nd Floor East Providence RI 02914

Pediatric and Adult Medicine Comprehensive Cancer Ctr Prgm of RIH at Newport Hosp

11 Friendship Street Newport RI 02840

Comprehensive Cancer Center Rhode Island Hospital Child Research Center

1 Hoppin Street Providence RI 02903

Outpatient Psychiatric Services Radiosurgery Center of RI LLC

593 Eddy Street Providence RI 02903

Radiosurgery Services Hallett Center for Diabetes & Endocrinology

900 Warren Avenue East Providence RI 02914

Multidisciplinary Care Treating Diabetes and Other Endocrine Disorders General Internal Medicine Research Group

111 Plain Street Providence RI 02903

Research Studies RI Hospital Molecular Laboratory

167 Point Street Coro East 3rd Floo Providence RI 02903

Molecular Diagnostic Testing Dialysis Center of Rhode Island Hospital

950 Warren Avenue East Providence RI 02914

Hemodialysis, Peritoneal Dialysis, Home Hemodialysis RIH Outpatient Psychiatry

146 West River Street Providence RI 02904

Outpatient Psychiatric and Behavioral Health Services RIH Lab at the Office of Hugo Yamada MD

6 Blackstone Valley Place Lincoln RI 02865

Outpatient Phlebotomy Audiology and Speech Pathology Department

115 Georgia Avenue Providence RI 02903

Speech Language Pathology and Audiology Services RI Hospital Hasbro Childrens Outpatient Rehab Services

765 Allens Avenue 2nd Floor Suite 2 Providence RI 02905

Children's Physical and Occupational Therapy RIH Sleep Disorders Center

70 Catamore Boulevard East Providence RI 02914

Outpatient Professional & Technical Evaluation of Sleep Disorders RI Hospital Outpatient Rehabilitation Services

765 Allens Avenue 1st Floor Suite 1 Providence RI 02905

Adult Physical and Occupational Therapy Comprehensive Cancer Ctr Prgm of RIH at TMH

164 Summit Avenue Providence RI 02906

Comprehensive Cancer Center RIH Pediatric Heart Center

1 Hoppin Street Suite 304 Providence RI 02903

Outpatient Pediatric Cardiology Services Rhode Island Hospital Surgery Center at Wayland Square

17 Seekonk Street Providence RI 02906

Outpatient Surgery Dialysis Center of Rhode Island Hospital

22 Baker Street Providence RI 02905

Hemodialysis, Peritoneal Dialysis, Home Hemodialysis (and Training) Part VI - States Where Community Benefit Report Filed RI Part VI - Affilated Health Care System Roles and Promotion Lifespan'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 Purpose The 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 Activities The 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 Information Rhode Island Hospital, located in Providence, Rhode Island, is a 719-bed nonprofit general acute care teaching hospital with university affiliation providing a comprehensive range of diagnostic and therapeutic services (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 Assistance Rhode 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 Assessment Lifespan's Office of Strategic Planning and Analysis performs population-based studies for the Hospital regarding the need for inpatient medical and surgical services for both adults and children and a wide range of outpatient services including: primary care office visits, specialty care, emergency services, imaging, ambulatory surgery, and specific high technology services such as radiation therapy and bone marrow transplantation. A population-based study examines the growth and changes in the population, the resources in the community, and the changing prevalence of diseases. In addition to this approach, Lifespan Strategic Planning also examines experience with wait times, the level of staffing, and the changing standards of care. All of this information is used to assess the demand for additional services to provide access to high quality care.In addition to population approaches to assessing and estimating need, all specialties and services monitor demand at the service-specific level by considering changing patterns of care and methods of treatment for the specific medical problem, wait times for visits/queues, and community resources. The service leadership then goes through a review process to add staff, expanded hours, and/or new sub-components to round out core services on an as-needed basis. At times, expansion requires more space, equipment, and staff, but often accommodation of community demand is achieved through expanded hours. Facilities are added as needed to accommodate these expansions, but most often minor renovations of existing locations with better, more modern layouts and equipment allow for greater patient access.The RI State Certificate of Need program requires a focused study of need for all projects over $5.25 million, which is an important part of the program development process across Lifespan.Based on a broad understanding of community health needs, 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. Number of Hospital Faciltiy - 1 Part V, Line 20d - Other Billing Determination of Individuals Without Insurance Uninsured 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 Engaged The 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 Patient Once 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 Policy An 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 Available A 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.aspx Number of Hospital Faciltiy - 1 Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment The Miriam HospitalEmma Pendleton Bradley HospitalNewport Hospital Number of Hospital Faciltiy - 1 Part V, Line 3 - Account Input from Person Who Represent the Community The 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 Supervisor Part III, Line 9b - Provisions On Collection Practices For Qualified Patients The 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 Benefit There 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 Expense Accounts 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 Benefit Accounts 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 Expense The amount reported as bad debt expense is determined by applying the ratio of cost to charges (RCC) to the total charges written off to bad debt. The RCC rate is determined using data from the Hospital's cost accounting system and is adjusted for medical education, internally funded research, subsidized health services, community services, and charitable contributions. Discounts and payments are applied to patient accounts before such account balances are transferred to bad debt. Part I, Line 7, Column F - Explanation of Bad Debt Expense The calculation of percentages disclosed for Schedule H, Part I, Line 7, column (f) "percent of total expense", does not include bad debt expense. Form 990, Part IX, Line 25 includes bad debt expense of $73,162,545. Part I, Line 7 - Explanation of Costing Methodology The 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. true UNAPRIH Education Trust Fund 375 Branch Avenue Providence RI 02904 412139381 501(c)(3) 150000 0 Employee Education Support Thundermist Health Center 191 Social Street Woonsocket RI 02895 050355097 501(c)(3) 100500 0 Health Program Support Rhode Island Medical Society 235 Promenade Street Providence RI 02908 050250010 501(c)(3) 15000 0 Health Program Support Rhode Island Hospital Fnd 167 Point Street Providence RI 02903 050468736 501(c)(3) 177800 0 General Support Rekindling the Dream 797 Westminster Street Providence RI 02903 050519977 501(c)(3) 10000 0 General Support Health Leads 2 Oliver Street 10th Floor Boston MA 02109 450484533 501(c)(3) 122550 0 Health Program Support City of Providence 25 Dorrance Street Providence RI 02903 056000329 Government Org. 584000 0 Payment in Lieu of Taxes Brown University 164 Angell Street Providence RI 02912 050258809 501(c)(3) 889642 0 General Support 7 1 Educational Assistance 13 32514 Grantmaker's Description of How Grants are Used Rhode Island Hospital is committed to community programs and provides support to various charitable organizations in Rhode Island and southeastern Massachusetts. Donations are made to organizations recognized by the IRS as being described in IRC Section 501(c)(3). All contributions are approved by management and are made to organizations whose missions and goals align with those of the Hospital.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. X X X true true X X X X X false true false false false false false true false false Timothy J Babineau MD 811918 282352 392457 182032 23245 1692004 87782 Robert B Klein MD 410384 12600 10785 14495 17144 465408 Penelope H Dennehy MD 191709 6318 4496 10312 10179 223014 Paul Y Liu MD 545600 35310 2073 14495 22209 619687 Murray B Resnick MD 403164 28063 14495 19676 465398 Mary A Wakefield 531513 175000 91565 281479 16448 1096005 68467 Kenneth A Arnold 451707 145000 2957760 12500 17106 3584073 2094059 John B Murphy MD 334633 73000 55109 57767 19756 540265 32117 George A Vecchione 1008865 576516 3240515 7500 22758 4856154 Garth Cosgrove MD 1192952 29523 14495 24229 1261199 Frederick J Macri 404313 107000 81023 207794 17812 817942 53550 Douglas C Anthony MD 348266 75000 31776 13287 22375 490704 Barbara Riley RN 241436 68000 52269 44493 19731 425929 33210 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above The 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 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Tax Indemnification and Gross-up Payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii).Housing Allowances or Residences for Personal Use:A temporary housing allowance may be provided on a case-by-case basis as part of the recruitment of key executives. The allowance is documented in the individual employment contract or employment offer. In calendar year 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. B Rhode Island Health and Education Building Corporation 521300173 762243K36 2009-03-30 72570461 see Schedule K, Part V false false true A Rhode Island Health and Education Building Corporation 521300173 762243SS3 2006-02-14 160884410 see Schedule K, Part V false false true B 72570461 7244359 1069664 1256743 55899199 7100496 false false false true A 25779390 150795375 160884410 1377349 3827355 155679706 2006 false true true true B false false false true true 0.00500 0.00500 false false true A false false false true true 0.00500 0.00500 false false true B false false false true false false false true A false false false true false false false true B true A true Supplemental Information Part VI Schedule 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. University Orthopedics President 511529 Medical Services false Lifespan MSO Inc Related Org 272664 Expense Reimbursemnt false Roberts Carroll Feldstein Peirce Partner 150088 Legal Services false * 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. Form 990, Schedule K, Part V The 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 2 While 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 cont Base Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her assessment of individual performance or other pertinent information, for the Committee's consideration.New Participants in Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, 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&b The 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 12c Lifespan 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, continued Major areas of research include:Cancer: RIH participates in clinical trials of new therapeutic agents in both adult and pediatric medicine. These trials are supported by 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, continued Under an affiliation agreement with The Warren Alpert Medical School of Brown University (Brown), RIH participates jointly in various clinical training programs and research activities. In 2010, Brown named RIH its Principal Teaching Hospital. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. 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, continued In 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 6 Volunteers 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. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from Hospital Properties, Inc. = $81976 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Decrease in Net Assets of RIHF = -$463150 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Change in funded status of pension and other postretirement = $58446400 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lifespan and the Lifespan Obligated Group, which consists of RIH, The Miriam Hospital, Emma Pendleton Bradley Hospital, Rhode Island Hospital Foundation, and The Miriam Hospital Foundation, currently make their annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. In addition, copies of 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 11b Form 990, Part VI, Line 11b: Form 990 Review Process The preparation and filing of the Form 990 and supporting schedules is the responsibility of the 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 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Lifespan has the responsibility for planning, directing and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Lifespan, in addition to those noted above, include: to approve amendment of the Articles of Incorporation and Bylaws and other Charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The 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 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lifespan Corporation is the sole corporate member of Rhode Island Hospital. Form 990, Part VI, Line 4 Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Effective October 23, 2012, the Board of Directors of Lifespan and the Boards of Trustees of Rhode Island Hospital, The Miriam Hospital, Newport Health Care Corporation, Newport Hospital, and 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 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Kenneth 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. Radiosurgery Center of Rhode Island LLC 593 Eddy Street Providence RI 02903 262171671 Radiosurgery RI 182845 4293658 Rhode Island Hospital Lifespan Pharmacy LLC 167 Point Street Providence RI 02903 461697290 Pharmaceutical Sales RI 402493 639890 Rhode Island Hospital RI Sound Enterprises Insurance Co Ltd 65 Front Street Hamilton BD HM 12 Offshore Insurance Captive BD N/A N/A Lifespan Corporation false Westerly Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 611439766 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Wentworth Corporation 249 Roosevelt Avenue Pawtucket RI 02860 050488520 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false TLR Realty 249 Roosevelt Avenue Pawtucket RI 02860 043742771 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false The Neurology Foundation Inc 34 Parsonage Street Providence RI 02903 050448314 Medical Care RI 501(c)(3) 11 NA false The Miriam Hospital Foundation 167 Point Street Providence RI 02903 050377502 Philanthropic Activities RI 501(c0(3) 7 Lifespan Corporation false The Miriam Hospital 164 Summit Avenue Providence RI 02906 050258905 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false The Autism Project 1516 Atwood Avenue Johnston RI 02919 050512037 Services for Children with Autism RI 501(c)(3) 9 Gateway Healthcare Inc false Shore Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 050504003 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false RIH Ventures 593 Eddy Street Providence RI 02903 050448686 Parking Facilities/Phlebotomy Services RI 501(c)(3) 11 Lifespan Corporation false Rhode Island Hospital Foundation 167 Point Street Providence RI 02903 050468736 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Pathways Inc 249 Roosevelt Avenue Pawtucket RI 02860 050393004 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Obed Apartments Inc 249 Roosevelt Avenue Pawtucket RI 02860 050422771 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false NHCC Medical Associates 11 Friendship Street Newport RI 02840 050472268 Health Care Services RI 501(c)(3) 11 Newport Health Care Corporation false Newport Hospital Foundation Inc 11 Friendship Street Newport RI 02840 222535533 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Newport Hospital 11 Friendship Street Newport RI 02840 050258914 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Newport Health Property Management 11 Friendship Street Newport RI 02840 222335539 Property Management RI 501(c)(3) 11 Newport Health Care Corporation false Newport Health Care Corporation 11 Friendship Street Newport RI 02840 222535537 Holding Company/Mgmnt Services RI 501(c)(3) 7 Lifespan Corporation false Mill River Community Housing Corporation 249 Roosevelt Avenue Pawtucket RI 02860 050427152 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false LJR Corporation 249 Roosevelt Avenue Pawtucket RI 02860 030508346 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Lifespan School Solutions Inc 167 Point Street Providence RI 02903 464910847 Educational Services RI Applied For Emma Pendleton Bradley Hospital false Lifespan Physician Group Inc 167 Point Street Providence RI 02903 050389801 Health Care Services RI 501(c)(3) 9 Lifespan Corporation false Lifespan of Massachusetts Inc c/o Archstone Law 245 Winter St Providence MA 02451 043408517 Holding Company MA 501(c)(3) 11 Lifespan Corporation false Lifespan Foundation 167 Point Street Providence RI 02903 050493219 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Lifespan Diversified Services Inc 167 Point Street Providence RI 02903 050258935 Holding Company/Mgmnt Services RI 501(c)(3) 11 Lifespan Corporation false Lifespan Corporation 167 Point Street Providence RI 02903 222861978 Holding Company/Mgmnt Services RI 501(c)(3) 11 NA false JM Apartments Inc 249 Roosevelt Avenue Pawtucket RI 02860 050435537 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Human Services Realty Inc 249 Roosevelt Avenue Pawtucket RI 02860 050398161 Housing for Elderly and Mentally Ill RI 501(c)(2) N/A Gateway Healthcare Inc false Hospital Properties 167 Point Street Providence RI 02903 222869743 Property Management RI 501(c)(4) N/A Lifespan Corporation false Gateway Healthcare Inc 249 Roosevelt Avenue Pawtucket RI 02860 050309043 Subst. Abuse & Psych Health Care Svcs RI 501(c)(3) 9 Lifespan Corporation false Gateway Foundation 249 Roosevelt Avenue Pawtucket RI 02860 464002163 Philanthropic Activities RI Applied For Lifespan Corporation false Families Reaching Into Each New Day Inc 249 Roosevelt Avenue Pawtucket RI 02860 050504841 Bereavement Services for Children RI 501(c)(3) 7 Gateway Healthcare Inc false Emma Pendleton Bradley Hospital 1011 Veterans Memorial Parkway East Providence RI 02914 050258806 Pediatric Psychiatric Health Care Svcs RI 501(c)(3) 3 Lifespan Corporation false Capital City Community Centers Inc 249 Roosevelt Avenue Pawtucket RI 02860 050259090 Daycare Services RI 501(c)(3) 7 Gateway Healthcare Inc false Bradley Foundation 167 Point Street Providence RI 02903 050500688 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Bayberry Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 204590384 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Alternative Living Concepts 249 Roosevelt Avenue Pawtucket RI 02860 050442015 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Radiosurgury Center of Rhode Island LLC 593 Eddy Street Providence RI 02903 262171671 Radiosurgery RI NA Related -702538 2610998 false true 0.55000 Gateway Professional Group Inc 249 Roosevelt Avenue Pawtucket RI 02860 050498391 Psychotherapy RI Gateway Healthcare C Corp false AHB Will co Bank of America 11 Westminster Street Providence RI 029032305 Philanthropic RI NA T 16679 416791 1.00000 false VNA Technicare Inc 622 George Washington Highway Lincoln RI 02865 050472710 DME Sales RI LDS Inc C false Lifespan Risk Services Inc 167 Point Street Providence RI 02903 050459767 Risk Mgmnt RI Lifespan Corp C false Lifespan MSO Inc 167 Point Street Providence RI 02903 050508717 Mgmnt Svcs RI Lifespan Corp C false false true true true false false false false false true true true true true true true true false false Hospital Properties k 996464 Accrual Hospital Properties c 81876 Accrual