FURP.ORG / PUBLIC DATA EXPLORER

LIFESPAN CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIFESPAN CORPORATION (EIN 22-2861978)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201442279349300429
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T06:05:13-07:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN222861978EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lifespan CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIFENameControl
Phone4014443500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1167 Point StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode

Officer Officer

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

Preparer Preparer

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

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTimothy J Babineau MDNameOfPrincipalOfficerPerson
Gross Receipts143494055GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.lifespan.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionDelivering health with care while pursuing a vision of a comprehensive, integrated, academic health system. Lifespan provides support services to its affiliates to assure the delivery of quality health services, professional education, and biomedical research.ActivityOrMissionDescription
Nbr Voting Members Governing Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees776TotalNbrEmployees
Total Nbr Volunteers81TotalNbrVolunteers
Total Gross UBI-258203TotalGrossUBI
Net Unrelated Business Txbl Income-339699NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year5600ContributionsGrantsCurrentYear
Program Service Revenue Prior Year129702838ProgramServiceRevenuePriorYear
Program Service Revenue CY142885319ProgramServiceRevenueCY
Investment Income Prior Year4532435InvestmentIncomePriorYear
Investment Income Current Year603136InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year134235273TotalRevenuePriorYear
Total Revenue Current Year143494055TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year332048GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY274054GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year77865432SalariesEtcPriorYear
Salaries Etc Current Year71787276SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year67098375OtherExpensePriorYear
Other Expenses Current Year73474642OtherExpensesCurrentYear
Total Expenses Prior Year145295855TotalExpensesPriorYear
Total Expenses Current Year145535972TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-11060582RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2041917RevenuesLessExpensesCY
Total Assets BOY36702352TotalAssetsBOY
Total Assets EOY33185223TotalAssetsEOY
Total Liabilities BOY76642326TotalLiabilitiesBOY
Total Liabilities EOY65066033TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-39939974NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-31880810NetAssetsOrFundBalancesEOY
Mission DescriptionDelivering health with care.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense145535972Expense
Grants274054Grants
Revenue142885319Revenue
DescriptionLifespan Corporation (Lifespan) plans, directs, and establishes policies to assure the development and delivery of quality health services, professional education, and biomedical research by hospitals and other affiliated organizations on an integrated, cost-effective basis. 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, contracting, and investment management, for which each affiliate is charged a fee equivalent to the net costs incurred by Lifespan in providing these services.Description
Total Program Service Expense145535972TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096156NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees776NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryOCNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Brian Zink MD
Director1.003.00X010000
Shivan Subramaniam
V. Chair -10/230.601.40X000X
Hon Bruce M Selya
Director2.506.50X000
Fred Schiffman MD
Director0.000.00X000
Lawrence Sadwin
Director3.005.00X000
Lloyd Robertson
Director3.0018.00X000
Steven Pare
Director2.0010.50X000
Charles J McDonald
Director0.000.00X000
Stephen P Massed
Director10.006.50X000
Joseph MarcAurele
Director0.000.00X000
Alan H Litwin
Director4.0016.00X000
Bertram Lederer
Director8.006.00X000
Scott B Laurans
Chairman6.505.00X000X
Marie J Langlois
Director2.001.00X000
Dayle Joseph
Director1.005.00X000
Pamela Harrop MD
Director2.002.00X000
Michael Hanna
Director0.000.00X000
David Gorelick MD
Director0.502.50X000
Jason Fowler
Director0.000.00X000
Edward Feldstein
Director0.306.70X000
Jonathan Fain
V. Chair -10/233.004.00X000X
Michael Ehrlich MD
Director6.007.00X9672600
Ellen Collis
Director3.004.50X000
George Caruolo
Director0.000.00X6750000
Peter Capodilupo
Director0.808.20X000
David A Brown
Director3.004.50X000
Emanuel Barrows
Director0.301.70X000
Timothy J Babineau MD
President5.0035.00X14867270205277X
Lawrence Aubin Sr
Vice Chair3.0012.00X000X
Sr M Therese Antone
Director1.505.00X000
Thomas Anders MD
Director1.006.50X000
Mary A Wakefield
Treas/EVP/CFO14.0026.007980780297927X
Kenneth E Arnold
Secretary19.0021.003554467029606X
Carole M Cotter
Chief Information Officer40.000.00529184026390X
Mary R Cooper
SVP- Chief Quality40.000.007107600368995X
Richard Goldberg
SVP- Psychiatry40.000.00665667033372X
Kathleen C Hittner MD
SVP- Comm. Health40.000.007082690894820X
Frederick J Macri
EVP & RIH COO40.000.005923360225606X
Karen Rosene-Montella MD
SVP- Women's Med40.000.00592373071708X
George A Vecchione
Former President0.000.004825896030258X
FieldValueIRS element (for citing)
Total Reportable Comp From Org14627983TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1000TotalReportableCompFrmRltdOrgs
Total Other Compensation2183959TotalOtherCompensation
Number Individuals GT100 K161NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Siemens Medical Solutions
51 Valley Stream ParkwayMalvernPA19355Patient Billing/Sprt7829466
Navisite
PO Box 10138UniondaleNY11555Consulting770921
KPMG LLP
60 South StreetBostonMA02111Audit & Tax723000
Digital Prospectors Corp
100 Domain DriveExeterNH03833Consulting992473
Automatic Data Processing
5800 Windward ParkwayAlpharettaGA30005Payroll Processing1899387
FieldValueIRS element (for citing)
Number Of Contractors GT100 K50NumberOfContractorsGT100K
Related Organizations5600RelatedOrganizations
Total Contributions5600TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Support - Related Orgs551112142242666142242666
Other Program Svc Rev551112642653642653
FieldValueIRS element (for citing)
Total Program Service Revenue142885319TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column598804TotalRevenueColumn
Unrelated Business Revenue-262535UnrelatedBusinessRevenue
Exclusion$861,339ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4332Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4332Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4332TotalRevenueColumn
Unrelated Business Revenue4332UnrelatedBusinessRevenue

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column143494055TotalRevenueColumn
Related Or Exempt Function Income142885319RelatedOrExemptFunctionIncome
Unrelated Business Revenue-258203UnrelatedBusinessRevenue
Exclusion$861,339ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total274054Total
Program Services274054ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4122914Total
Program Services4122914ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total53839913Total
Program Services53839913ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5331907Total
Program Services5331907ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4344207Total
Program Services4344207ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4148335Total
Program Services4148335ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2252468Total
Program Services2252468ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total621450Total
Program Services621450ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total423593Total
Program Services423593ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total258737Total
Program Services258737ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13899011Total
Program Services13899011ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total1474246Total
Program Services1474246ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6021244Total
Program Services6021244ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total19227705Total
Program Services19227705ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4543455Total
Program Services4543455ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total174035Total
Program Services174035ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total374968Total
Program Services374968ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total21763480Total
Program Services21763480ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Taxes306921306921
Printing and Publications482442482442
Membership Dues496338496338
Recruitment/Ee Recognition762883762883

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total391666Total
Program Services391666ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total145535972Total
Program Services145535972ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8749136BOY
EOY1645620EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1821266BOY
EOY1899111EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY2114731BOY
EOY2204493EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY280410BOY
EOY307803EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5487073BOY
EOY7837189EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18249736BOY
EOY19291007EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36702352BOY
EOY33185223EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY44022041BOY
EOY38107892EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY32620285BOY
EOY26958141EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY76642326BOY
EOY65066033EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-39939974BOY
EOY-31880810EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-39939974BOY
EOY-31880810EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36702352BOY
EOY33185223EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2041917ReconcilationRevenueExpenses
Reconciliation Unrealized Invest37181ReconciliationUnrealizedInvest
Reconcilation Other Changes10063900ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
Gateway Healthcare Inc
0503090439truefalsefalse$0
Newport Hospital
0502589143truefalsefalse$0
Emma Pendleton Bradley Hospital
0502588063truefalsefalse$0
The Miriam Hospital
0502589053truefalsefalse$0
Rhode Island Hospital
0502589543truefalsefalse$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$408,146DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$15,447OtherActivitiesAmount
Total Lobbying Expenditures IIB423593TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationLobbying activities include contacts by the Lifespan government relations staff and volunteers with state legislators concerning matters pending in the Rhode Island legislature, municipal elected officials and their staffs, and state government regulatory officials. On the Federal level, there was contact with Congressional office holders and their staffs concerning issues of interest to Lifespan's hospitals.Lifespan is a member of various agencies which engage in lobbying activities on behalf of their members. The agencies and amounts charged to Lifespan for such activities in fiscal year 2013 are as follows:Association of American Medical Colleges: $3,744.Greater New York Hospital Association: $6,499.National Association of Urban Hospitals: $4,800.National Association of Children's Hospitals: $404.Explanation

Schedule D IRS990ScheduleD

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
Workers' Comp Trust9372436
Travel Advances to Employees32922
Other Investments100
Investment in VHA, Inc.200003
Investment in R.I. Sound Enterprises Ins3000000
Investment in Lifespan Physicians PSO110127
457(b) Plan Assets6575419
FieldValueIRS element (for citing)
Total Book Value Other Assets19291007TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Other Long-term Liabilities$1,105,241
Noncurrent Pension Liability$15,708,900
Executive SERP Liabilities$3,568,581
457(b) Plan Liability$6,575,419
FieldValueIRS element (for citing)
Total Of Amounts26958141TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationLifespan Corporation, 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. The organization recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. The organization did not recognize the effect of any income tax positions during the fiscal year ended September 30, 2013.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Europe00Investments64187408
Central America & the Caribbean00Investments367579367
FieldValueIRS element (for citing)
Subtotal Amount Spent431766775SubtotalAmountSpent
Total Amount Spent431766775TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierAdditional Supplemental InformationIdentifier
ExplanationLifespan Corporation administers a pooled investment fund (the Pool) on behalf of its affiliated organizations. For purposes of reporting both unrelated business income on Form 990-T and the aggregate value of foreign investments directly held by the Pool on Schedule F, all such amounts have been included on the returns filed by Lifespan Corporation. For purposes of reporting investment income and the balance sheet value attributable to each Lifespan affiliate, such amounts have been reported on the respective affiliate's return.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
University of RI
79 Upper College RoadKingstonRI02881056000522501(c)(3)150000Charitable Sponsorship
Tomorrow Fund
593 Eddy StreetProvidenceRI02903050450569501(c)(3)107500Cancer Family Support
RI Institute for Nursing
700 Butler DriveProvidenceRI02906300390935501(c)(3)100000Charitable Sponsorship
March of Dimes
260 W Exchange StreetProvidenceRI02903131846366501(c)(3)80000Partner Sponsorship/ Baby Health
Inst for Study & Practice of NonViolence
9 Central StreetProvidenceRI02907050517863501(c)(3)1022760Community Health Prog Sponsor
City of Providence
25 Dorrance StreetProvidenceRI02903056000329Gov't Org.100000Charitable Support
Bryant University
1150 Douglas PikeSmithfieldRI02917050258810501(c)(3)75000Charitable Sponsorship
American Heart Association
One State Street Suite 200ProvidenceRI02908135613797501(c)(3)425000Support Cardiovascular Health
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationThe Lifespan External Affairs Department is responsible for administering the charitable giving of Lifespan Corporation. The organizations that are granted assistance are non-profit organizations (typically 501(c)(3)) whose missions are similar to that of Lifespan, including healthcare, research, education, and/or improving the health status of the southern New England community.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Timothy J Babineau MD
President81191828235239245718203223245169200487782
Richard Goldberg
SVP- Psychiatry4036031080001540641500018372699039
Mary R Cooper
SVP- Chief Quality323175105000282585350624183711079755108161
Mary A Wakefield
Treas/EVP/CFO5315131750009156528147916448109600568467
Kenneth E Arnold
Secretary4517071450002957760125001710635840732094059
Kathleen C Hittner MD
SVP- Comm. Health388655120000199614875273195471603089
Karen Rosene-Montella MD
SVP- Women's Med4492631180002511071140568664081
George A Vecchione
Former President100886557651632405157500227584856154
Frederick J Macri
EVP & RIH COO404313107000810232077941781281794253550
Carole M Cotter
Chief Information Officer345918109000742661000016390555574

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

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

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonMichael Ehrlich MDNamePerson
Purpose Of LoanLife InsurancePurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$2,114,731OriginalPrincipalAmount
Balance Due2114731BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due2114731TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
VNA Technicare Inc
Related Org.1640031Expense Reimbursemntfalse
Lifespan MSO Inc
Related Org.1756354Expense Reimbursemntfalse
Factory Mutual Insurance
Officer/Director1043733Insurance Coveragefalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationPart II: Michael G. Ehrlich, MD, a Director of Lifespan Corporation, is the Surgeon-in-Chief, Department of Orthopedics, RIH/TMH. The loan balance due represents cumulative life insurance premiums paid by Lifespan on behalf of Dr. Ehrlich.Part IV: Shivan Subramaniam, Vice Chair of Lifespan Corporation, is the Chairman and CEO of FM Global. Lifespan purchases property insurance coverage from Factory Mutual Insurance Company, a member of FM Global. Payments to FM Global totaled $1,043,733 in fiscal year 2013.Lifespan 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 Lifespan for various expenses that Lifespan paid on its behalf. The reimbursement of expenses amounted to $1,756,354 during fiscal year 2013.Lifespan and VNA Technicare, Inc. (VNA), a related for-profit organization, share officers and board members, resulting in a business relationship which is disclosed in Schedule O in further detail. VNA reimbursed Lifespan for a portion of expenses that Lifespan paid on its behalf and Lifespan covered the costs of various expenses incurred by VNA. Total expenses paid for by Lifespan on behalf of VNA amounted to $1,640,031 during fiscal year 2013.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Schedule A, Part I, Line 11hLifespan Corporation, in fulfillment of its exempt function as the parent organization of the Lifespan health system, provides support services to its affiliates for which each affiliate is charged a fee equivalent to the costs incurred by Lifespan Corporation in providing these services. Support services include the following: information services, telecommunications, risk management, legal, communications and public affairs, fundraising, facility development, strategic planning, internal audit/compliance, human resources, finance, contracting, and investment management.
Form 990, Part XII, Line 2While Lifespan Corporation did not produce an audited financial statement as of and for the year ended September 30, 2013, it was included in Lifespan Corporation's audited consolidated financial statements, in which one column is used for Lifespan Corporation combined with certain related organizations. There are no regulatory or creditor stipulations which require the preparation of a separate audited financial statement for Lifespan Corporation.The Lifespan Audit and Compliance Committee assumes responsibility for oversight of the audit of Lifespan Corporation's consolidated financial statements and the selection of Lifespan Corporation's independent accountant.
Form 990, Part VII, Section A, Line 1a* George Caruolo, Esq., Director of Lifespan Corporation until October 23, 2012, provides independent consulting services to Lifespan. Lifespan's consulting relationship with Mr. Caruolo is based on his technical expertise and predates his Board appointment. He is compensated at a rate consistent with industry standards, which in calendar year 2012 totaled $67,500. * Michael Ehrlich, MD, a Director of Lifespan Corporation, provides consulting services to Lifespan relating to various physician arrangements. He is compensated at a rate consistent with industry standards, which in calendar year 2012 totaled $91,667. Additionally in 2012, Dr. Ehrlich earned $5,059 of imputed interest income on the life insurance policies disclosed on Schedule L, Part II.
Form 990, Part VI, Line 1b:Lawrence Aubin, Vice Chair, is the owner of Lawrence Investments, LLC, which owns West Bay Medical Center Building and leases a portion of its space to The Miriam Hospital.Edward Feldstein, Director, is a partner in Roberts, Carroll, Feldstein, and Peirce, a law firm that provides legal services to Lifespan Risk Services, Inc.David Gorelick, Director, is an officer of Aquidneck Medical Associates, a physician practice which has a professional service contract with Newport Hospital.During calendar year 2012, Brian Zink, Director, received taxable tuition reimbursement paid for by Rhode Island Hospital.
Form 990, Part VI Section B, Line15 contBase Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her assessment of individual performance or other pertinent information, for the Committee's consideration.New Participants in Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, the Office of the President works with the Committee's independent compensation consultant or relies on information previously provided by the consultant to establish a range of reasonable cash compensation within which recruitment is expected to conclude through acceptance of a reasonable compensation offer.
Form 990, Part VI Section B, Line 15 a&bEXECUTIVE 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 Committee.Lifespan's Chief Executive Officer works closely with the Committee to make recommendations on the above topics and keep the Committee informed about contemplated compensation changes for executives and other key employees, as well as candidates for these roles. The CEO also provides periodic updates to the Committee regarding Lifespan's performance relative to compensation-related performance objectives. The Committee's deliberations and actions are documented in minutes prepared for each meeting.PROCESS FOR DETERMINING COMPENSATION Valuation of Total Cash and Total Remuneration: No less frequently than annually, the Committee receives and reviews a total cash compensation valuation of all existing executive compensation program participants prepared by its independent compensation consultant. Annually, the Committee also receives and reviews a total remuneration valuation of all existing executive compensation participants.
Form 990, Part VI Section B, Line 12cLifespan Corporation has a Conflict of Interest Policy that is administered by the 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 Director, 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 V, Line 4bThe foreign countries listed on Lifespan Corporation's 2012 FINCEN114 include the following: Bermuda, British Virgin Islands, Canada, Cayman Islands, England, and Ireland.
Other Changes In Net Assets Or Fund Balances - Other IncreasesDividend from R. I. Sound Enterprises Insurance Co. Ltd. = $4000000Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in Funded Status of Pension & Other Postretirement = $6063900Form 990, Part XI, Line 9
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableLifespan currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. In addition, copies of Lifespan's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of Lifespan's Chief Financial Officer, either in person or by mail.Form 990, Part VI, Line 19
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe preparation and filing of the Form 990 and supporting schedules is the responsibility of the Chief Financial Officer and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP. The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit and reviewed by the Corporate Services Tax Compliance Manager. Further review is performed by the Director of Finance and the Vice President of Finance - Corporate Services. Once the draft Form 990 is complete, the Director of Finance forwards it with all supporting worksheets to KPMG, which then reviews the completed form in detail. The Director of Finance answers questions as they arise and provides additional information as needed. KPMG provides the Director of Finance with any recommended changes which are reviewed, and if agreed upon, are incorporated into the return. The draft Form 990 is then provided to the Chief Financial Officer for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form, along with a video presentation detailing form highlights, are posted to Lifespan's Board of Directors website portal in advance of its next Board meeting, at which all questions and concerns of the members of the Board are addressed by the Chief Financial Officer and incorporated into the Form 990 when appropriate. Once the Form 990 is complete and ready to be filed, the members of the Board are notified via email that a copy of the final version of the Form 990 is accessible through the same password protected website portal. The Chief Financial Officer is authorized to file the Form 990.Form 990, Part VI, Line 11b
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsEffective October 23, 2012, the Board of Directors of Lifespan and the Boards of Trustees of Rhode Island Hospital, The Miriam Hospital, Newport Health Care Corporation, Newport Hospital, and Emma Pendleton Bradley Hospital approved a restructuring of their governance. The restructuring has increased governance effectiveness and has streamlined governance operation, as well as provided a single strategic perspective for the Lifespan system hospitals. Pursuant to the restructuring, the Bylaws of Lifespan were amended such that the composition of the Boards of Trustees of each of the hospitals and of Newport Health Care Corporation is defined as those persons serving from time to time as the directors of Lifespan. As a result, the Boards of each entity are comprised of the same individuals. The Board of each entity retains its responsibilities and authorities notwithstanding the revision in its composition. The Board of Directors of Lifespan consists of not less than fourteen nor more than thirty-one directors, including the President and CEO of Lifespan, who serves ex-officio with vote, and the following ex-officio voting directors: the chair of each of Rhode Island Hospital Foundation, The Miriam Hospital Foundation, Newport Hospital Foundation, Bradley Hospital Foundation, and Gateway Foundation.Effective July 1, 2013, the Lifespan Bylaws were amended further to include Gateway Healthcare, Inc., the Board of which is comprised of those persons serving as the directors of Lifespan.Form 990, Part VI, Line 4
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtKenneth E. Arnold, Secretary, Timothy J. Babineau, MD, President, and Mary A. Wakefield, Treasurer, are officers of Lifespan Corporation. Mr. Arnold and Ms. Wakefield are officers of the same related for-profit organizations, Lifespan Management Services Organization, Inc (MSO) and Lifespan Risk Services, Inc. (LRS). Dr. Babineau and Ms. Wakefield are officers of the same related for-profit organization, VNA Technicare, Inc. (VNA). Scott B. Laurans, Chair, is an officer of VNA. Jonathan Fain, Director, is the CEO of Teknor Apex Co. Bertram Lederer, Director, is also a Director of Teknor Apex Co.Form 990, Part VI, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (36 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivitiesPrimaryActivitiesLegal Domicile Foreign CountryLegalDomicileForeignCountryExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
RI Sound Enterprises Insurance Co Ltd
65 Front StreetHamiltonBDHM 12Offshore Insurance CaptiveBDN/AN/ALifespan Corporationtrue
Westerly Courts Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860611439766RI
Wentworth Corporation
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860050488520RI
TLR Realty
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860043742771RI
The Miriam Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationtrue167 Point StreetProvidenceRI02903050377502RI
The Miriam Hospital
Health Care Services501(c)(3)3Lifespan Corporationtrue164 Summit AvenueProvidenceRI02906050258905RI
The Autism Project
Services for Children with Autism501(c)(3)9Gateway Healthcare Inctrue1516 Atwood AvenueJohnstonRI02919050512037RI
Shore Courts Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860050504003RI
RIH Ventures
Parking Facilities/Phlebotomy Services501(c)(3)11Lifespan Corporationtrue593 Eddy StreetProvidenceRI02903050448686RI
Rhode Island Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationtrue167 Point StreetProvidenceRI02903050468736RI
Rhode Island Hospital
Health Care Services501(c)(3)3Lifespan Corporationtrue593 Eddy StreetProvidenceRI02903050258954RI
Pathways Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860050393004RI
Obed Apartments Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860050422771RI
NHCC Medical Associates Inc
Health Care Services501(c)(3)11Newport Health Care Corporationtrue11 Friendship StreetNewportRI02840050472268RI
Newport Hospital Foundation Inc
Philanthropic Activities501(c)(3)7Lifespan Corporationtrue11 Friendship StreetNewportRI02840222535533RI
Newport Hospital
Health Care Services501(c)(3)3Lifespan Corporationtrue11 Friendship StreetNewportRI02840050258914RI
Newport Health Property Management Inc
Property Management501(c)(3)11Newport Health Care Corporationtrue11 Friendship StreetNewportRI02840222335539RI
Newport Health Care Corporation
Holding Company/ Mgmnt Services501(c)(3)7Lifespan Corporationtrue11 Friendship StreetNewportRI02840222535537RI
Mill River Community Housing Corporation
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860050427152RI
LJR Corporation
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860030508346RI
Lifespan School Solutions Inc
Educational ServicesApplied ForEmma Pendleton Bradley Hospitaltrue167 Point StreetProvidenceRI02903464910847RI
Lifespan Physician Group Inc
Health Care Services501(c)(3)9Lifespan Corporationtrue167 Point StreetProvidenceRI02903050389801RI
Lifespan of Massachusetts Inc
Holding Company501(c)(3)11Lifespan Corporationtruec/o Archstone Law 245 Winter StWalthamMA02451043408517MA
Lifespan Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationtrue167 Point StreetProvidenceRI02903050493219RI
Lifespan Diversified Services Inc
Holding Company/ Mgmnt Services501(c)(3)11Lifespan Corporationtrue167 Point StreetProvidenceRI02903050258935RI
JM Apartments Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860050435537RI
Human Services Realty Inc
Housing for Elderly and Mentally Ill501(c)(2)N/AGateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860050398161RI
Hospital Properties Inc
Property Management501(c)(4)N/ALifespan Corporationtrue167 Point StreetProvidenceRI02903222869743RI
Gateway Healthcare Inc
Subst. Abuse & Psych. Health Care Svcs501(c)(3)9Lifespan Corporationtrue249 Roosevelt AvenuePawtucketRI02860050309043RI
Gateway Foundation
Philanthropic ActivitiesApplied ForLifespan Corporationtrue249 Roosevelt AvenuePawtucketRI02860464002163RI
Families Reaching Into Each New Day Inc
Bereavement Services for Children501(c)(3)7Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860050504841RI
Emma Pendleton Bradley Hospital
Pediatric Psychiatric Health Care Svcs501(c)(3)3Lifespan Corporationtrue1011 Veterans Memorial ParkwayEast ProvidenceRI02915050258806RI
Capital City Community Centers Inc
Daycare Services501(c)(3)7Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860050259090RI
Bradley Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationtrue167 Point StreetProvidenceRI02903050500688RI
Bayberry Courts Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860204590384RI
Alternative Living Concepts
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Inctrue249 Roosevelt AvenuePawtucketRI02860050442015RI

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Gateway Professional Group Inc
249 Roosevelt AvenuePawtucketRI02860050498391PsychotherapyRIGateway HealthcareC Corpfalse
VNA Technicare Inc
622 George Washington HighwayLincolnRI02865050472710DME SalesRILDS IncC corpfalse
Lifespan Risk Services Inc
167 Point StreetProvidenceRI02903050459767Risk MgmntRILifespan CorpC corptrue146889901791.00000
Lifespan MSO Inc
167 Point StreetProvidenceRI02903050508717Mgmnt SvcsRILifespan CorpC corptrue11121020213831.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationtrueDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (21 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
VNA Technicare Inc
l90000Accrual
Lifespan Risk Services Inc
a74057Accrual
Lifespan MSO Inc
q211011Cash
The Miriam Hospital Foundation
q72994Accrual
The Miriam Hospital Foundation
o633018Accrual
The Miriam Hospital
p698645Accrual
The Miriam Hospital
l25884048Accrual
The Miriam Hospital
j1703675Accrual
RI Sound Enterprises Insurance Co Ltd
f4000000Cash
RI Sound Enterprises Insurance Co Ltd
r23686941Cash
Rhode Island Hospital Foundation
q224702Accrual
Rhode Island Hospital Foundation
o1643469Accrual
Rhode Island Hospital
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Rhode Island Hospital
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Rhode Island Hospital
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Newport Hospital Foundation Inc
q225613Accrual
Newport Hospital Foundation Inc
o315023Accrual
Newport Hospital
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Emma Pendleton Bradley Hospital
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Bradley Hospital Foundation
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Bradley Hospital Foundation
o380405Accrual