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      <ForeignGrants>
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      <BenefitsToMembers>
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      <FeesForServicesManagement>
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      <FeesForServicesLegal>
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        <ProgramServices>2990244</ProgramServices>
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      <FeesForServicesAccounting>
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        <ProgramServices>616200</ProgramServices>
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      <FeesForServicesLobbying>
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        <ProgramServices>457078</ProgramServices>
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      <FeesForServicesProfFundraising>
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      <FeesForServicesInvstMgmntFees>
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        <ProgramServices>429719</ProgramServices>
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      <FeesForServicesOther>
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        <ProgramServices>13811654</ProgramServices>
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      <Advertising>
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        <ProgramServices>1523395</ProgramServices>
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      <OfficeExpenses>
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        <ProgramServices>3722470</ProgramServices>
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      <InformationTechnology>
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        <ProgramServices>17222076</ProgramServices>
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      <Royalties>
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      </Royalties>
      <Occupancy>
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      <Travel>
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        <ProgramServices>186641</ProgramServices>
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      <TravelEntrtnmntPublicOfficials>
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      <ConferencesMeetings>
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        <ProgramServices>497788</ProgramServices>
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      <Interest>
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      <PaymentsToAffiliates>
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      <DepreciationDepletion>
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      <OtherExpenses>
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        <OrganizedInUS>true</OrganizedInUS>
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        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
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      <SupportedOrgInformation>
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        <OrganizedInUS>true</OrganizedInUS>
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      <SupportedOrgInformation>
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      <RalliesDemonstrations>false</RalliesDemonstrations>
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        <ReturnReference>Part II-B, Line 1i - Other Activities Description</ReturnReference>
        <Explanation>Lobbying 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 2012 are as follows:Association of American Medical Colleges: $6,420.Greater New York Hospital Association: $5,693.National Association of Urban Hospitals: $3,600.National Association of Children's Hospitals: $415.</Explanation>
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      <OtherAssets>
        <Description>Other Investments</Description>
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      <OtherAssets>
        <Description>Investment in VHA, Inc.</Description>
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      <OtherAssets>
        <Description>Investment in R.I. Sound Enterprises Ins</Description>
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      <OtherAssets>
        <Description>Investment in Lifespan Physicians PSO</Description>
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      </OtherAssets>
      <OtherAssets>
        <Description>CSV of Life Insurance</Description>
        <BookValue>133559</BookValue>
      </OtherAssets>
      <OtherAssets>
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      <TotalBookValueOtherAssets>18249736</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Other Long-term Liabilities</Description>
        <Amount>921379</Amount>
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      <OtherLiabilities>
        <Description>Noncurrent Pension Liability</Description>
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      <OtherLiabilities>
        <Description>Executive SERP Liabilities</Description>
        <Amount>5870984</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>457(b) Plan Liability</Description>
        <Amount>4361722</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>32620285</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>Lifespan 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 of being 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, 2012.</Explanation>
      </Form990ScheduleDPartXIV>
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        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Dividend from R. I. Sound Enterprises Insurance Co. Ltd. $4000000 Funded Status of Pension Plan $ -5270658 Excludable Subpart F Income $ -3809100</Explanation>
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    </IRS990ScheduleD>
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        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>395034935</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalAmountSpent>395034935</SubtotalAmountSpent>
      <TotalAmountSpent>395034935</TotalAmountSpent>
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      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>true</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
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        <Identifier>Additional Supplemental Information</Identifier>
        <Explanation>Lifespan 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>
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          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
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        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Cancer Family Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Thundermist Health Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>450 Clinton Street</AddressLine1>
          <City>Woonsocket</City>
          <State>RI</State>
          <ZIPCode>02895</ZIPCode>
        </AddressUS>
        <EINOfRecipient>050355097</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>7525</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Charitable Sponsorship</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Salve Regina University</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>100 Ochre Point Avenue</AddressLine1>
          <City>Newport</City>
          <State>RI</State>
          <ZIPCode>02840</ZIPCode>
        </AddressUS>
        <EINOfRecipient>050259080</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Charitable Sponsorship</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>RI Medical Society Fdtn</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>235 Promenade Street</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02908</ZIPCode>
        </AddressUS>
        <EINOfRecipient>050401176</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Charitable Sponsorship</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>March of Dimes</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>260 W Exchange Street</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131846366</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>8000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Partner Sponsorship/ Baby Health</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Inst for Study &amp; Practice of NonViolence</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>9 Central Street</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02907</ZIPCode>
        </AddressUS>
        <EINOfRecipient>050517863</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>126000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Community Health Prog Sponsor</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Greater Prov Chamber of Com</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>30 Exchange Terrace</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
        </AddressUS>
        <EINOfRecipient>050203250</EINOfRecipient>
        <IRCSection>501(c)(6)</IRCSection>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Charitable Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Community College of RI</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1762 Louisquisset Pike</AddressLine1>
          <City>Lincoln</City>
          <State>RI</State>
          <ZIPCode>02865</ZIPCode>
        </AddressUS>
        <EINOfRecipient>050353872</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Charitable Sponsorship</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>City of Providence</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>25 Dorrance Street</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
        </AddressUS>
        <EINOfRecipient>056000329</EINOfRecipient>
        <IRCSection>Gov't Org.</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Charitable Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Bryant University</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1150 Douglas Pike</AddressLine1>
          <City>Smithfield</City>
          <State>RI</State>
          <ZIPCode>02917</ZIPCode>
        </AddressUS>
        <EINOfRecipient>050258810</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Charitable Sponsorship</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Arthritis Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>29 Crafts Street</AddressLine1>
          <City>Newton</City>
          <State>MA</State>
          <ZIPCode>02458</ZIPCode>
        </AddressUS>
        <EINOfRecipient>042113261</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Support Arthritis Prevention</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American Heart Association</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>One State Street Suite 200</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02908</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>37500</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Support Cardiovascular Health</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>12</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Grantmaker's Description of How Grants are Used</Identifier>
        <Explanation>The 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>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="11000144" softwareVersion="2011v1.5">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Timothy J Babineau MD</NamePerson>
        <BaseCompensationFilingOrg>670179</BaseCompensationFilingOrg>
        <BonusFilingOrg>113906</BonusFilingOrg>
        <OtherCompensationFilingOrg>49377</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>123194</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>22473</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>979129</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>21386</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary A Wakefield</NamePerson>
        <BaseCompensationFilingOrg>499573</BaseCompensationFilingOrg>
        <BonusFilingOrg>84291</BonusFilingOrg>
        <OtherCompensationFilingOrg>93969</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>85853</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15848</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>779534</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>67780</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kenneth E Arnold</NamePerson>
        <BaseCompensationFilingOrg>423597</BaseCompensationFilingOrg>
        <BonusFilingOrg>71466</BonusFilingOrg>
        <OtherCompensationFilingOrg>607595</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>735813</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>9396</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>1847867</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>576715</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kathleen C Hittner MD</NamePerson>
        <BaseCompensationFilingOrg>467419</BaseCompensationFilingOrg>
        <BonusFilingOrg>79819</BonusFilingOrg>
        <OtherCompensationFilingOrg>287759</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>19478</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>864275</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>206559</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Joel M Kaufman MD</NamePerson>
        <BaseCompensationFilingOrg>364469</BaseCompensationFilingOrg>
        <BonusFilingOrg>62353</BonusFilingOrg>
        <OtherCompensationFilingOrg>82760</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>65633</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16911</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>592126</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>54133</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>George A Vecchione</NamePerson>
        <BaseCompensationFilingOrg>928502</BaseCompensationFilingOrg>
        <BonusFilingOrg>390234</BonusFilingOrg>
        <OtherCompensationFilingOrg>6529192</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7350</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21198</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>7876476</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>3456806</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Frederick J Macri</NamePerson>
        <BaseCompensationFilingOrg>371719</BaseCompensationFilingOrg>
        <BonusFilingOrg>63669</BonusFilingOrg>
        <OtherCompensationFilingOrg>81566</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>66803</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17464</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>601221</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>55012</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Daniel J Wall</NamePerson>
        <BaseCompensationFilingOrg>282756</BaseCompensationFilingOrg>
        <BonusFilingOrg>48094</BonusFilingOrg>
        <OtherCompensationFilingOrg>177870</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14700</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16431</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>539851</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>121074</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Carole M Cotter</NamePerson>
        <BaseCompensationFilingOrg>323707</BaseCompensationFilingOrg>
        <BonusFilingOrg>54844</BonusFilingOrg>
        <OtherCompensationFilingOrg>72493</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12250</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15785</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>479079</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Brandon V Melton</NamePerson>
        <BaseCompensationFilingOrg>291012</BaseCompensationFilingOrg>
        <BonusFilingOrg>49731</BonusFilingOrg>
        <OtherCompensationFilingOrg>184502</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>8575</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17934</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>551754</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>125751</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>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 business-like 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="11000144" softwareVersion="2011v1.5">
      <LoanTable>
        <NamePerson>Michael G Ehrlich MD</NamePerson>
        <PurposeOfLoan>Life Insurance</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>2114731</OriginalPrincipalAmount>
        <BalanceDue>2114731</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>2114731</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Factory Mutual Insurance</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Officer/Director</Relationship>
        <AmountOfTransaction>1008812</AmountOfTransaction>
        <DescriptionOfTransaction>Insurance Coverage</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Explanation>Part II: Michael G. Ehrlich, MD, a Director of Lifespan Corporation, is the Surgeon-in-Chief, Department of Orthopaedics, RIH/TMH. The loan balance due represents cumulative life insurance premiums paid by Lifespan on behalf of Dr. Ehrlich.Part IV: Shivan Subramaniam, a Director of Lifespan Corporation, is the CEO of FM Global. Additionally, Alfred Verrecchia, a Director of Lifespan Corporation, is a compensated Director of FM Global. Lifespan purchases property insurance coverage from Factory Mutual Insurance Company, a member of FM Global. Payments to FM Global totaled $1,008,812 in fiscal year 2012.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.5">
      <GeneralExplanation>
        <ReturnReference>Schedule A, Part I, Line 11h</ReturnReference>
        <Explanation>Lifespan 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, and investment management.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part XII, Line 2</ReturnReference>
        <Explanation>While Lifespan Corporation did not produce an audited financial statement as of and for the year ended September 30, 2012, 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VII, Section A, Line 1a</ReturnReference>
        <Explanation>* George Caruolo, Esq., a Director of Lifespan Corporation, 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 2011 totaled $53,750. * 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 2011 totaled $100,000. Additionally in 2011, Dr. Ehrlich earned $9,111 of imputed interest income on the life insurance policies disclosed on Schedule L, Part II.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI Section B, Line15 cont</ReturnReference>
        <Explanation>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 Senior Vice President of Human Resources 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI Section B, Line 15 a&amp;b</ReturnReference>
        <Explanation>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 and long-term incentive and executive benefit plans* Approving performance objectives associated with Lifespan's annual and long-term incentive plans, 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(s)* 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI Section B, Line 12c</ReturnReference>
        <Explanation>Lifespan 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. (For the bulk of Lifespan management staff awareness of 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part V, Line 4b</ReturnReference>
        <Explanation>The foreign countries listed on Lifespan Corporation's 2011 Form TD F 90-22.1 include the following: Bermuda, British Virgin Islands, and Cayman Islands.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Lifespan currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification LLC), a disclosure dissemination agent for issuers of the 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>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 is sent to Lifespan's Board of Trustees in advance of its next Board meeting, at which the Chief Financial Officer discusses the highlights of the Form. 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 a password protected website portal. The Chief Financial Officer is authorized to file the Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Mary A. Wakefield, Treasurer, is employed by Lifespan Corporation and she is also an officer of VNA Technicare, Inc. (VNA), Lifespan Risk Services, Inc.(LRS), and Lifespan Management Services Organization, Inc. (MSO). Kenneth E. Arnold, Secretary, is also an officer of VNA, LRS, and MSO. Shivan Subramaniam, Director, is the CEO of FM Global. Alfred J. Verrecchia, Director, is also a Director of FM Global. Scott Laurans, Chairman, is also a Director of VNA.Edward Feldstein, Director, is a partner in Roberts, Carroll, Feldstein and Peirce, a law firm that provides legal services to Lifespan Risk Services. Lifespan Corporation is the parent company of Lifespan Risk Services.</Explanation>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rhode Island Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>j</TransactionType>
        <AmountInvolved>1674503</AmountInvolved>
        <MethodOfAmtDetermination>Accrual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rhode Island Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>i</TransactionType>
        <AmountInvolved>124032</AmountInvolved>
        <MethodOfAmtDetermination>Accrual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Newport Hospital Foundation Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>244833</AmountInvolved>
        <MethodOfAmtDetermination>Accrual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Newport Hospital Foundation Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>326181</AmountInvolved>
        <MethodOfAmtDetermination>Accrual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Newport Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>6322281</AmountInvolved>
        <MethodOfAmtDetermination>Accrual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Emma Pendleton Bradley Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>4047282</AmountInvolved>
        <MethodOfAmtDetermination>Accrual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Bradley Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>23698</AmountInvolved>
        <MethodOfAmtDetermination>Accrual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Bradley Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>314836</AmountInvolved>
        <MethodOfAmtDetermination>Accrual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>