RHODE ISLAND HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND HOSPITAL (EIN 05-0258954)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201332269349303533
Schema version
2011v1.5
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)
Timestamp2013-08-14T13:53:56-07:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Line1Two Financial Center 60 South StAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050258954EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMary A WakefieldName
TitleEVP & CFOTitle
Date Signed2013-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6179881000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1262597828GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.rhodeislandhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1863YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionThe mission of Rhode Island Hospital (RIH) is to be at the forefront of patient care by creating, applying and sharing the most advanced knowledge in health care.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees8480TotalNbrEmployees
Total Nbr Volunteers845TotalNbrVolunteers
Total Gross UBI7228874TotalGrossUBI
Net Unrelated Business Txbl Income549563NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9233076ContributionsGrantsPriorYear
Contributions Grants Current Year9607808ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1029306980ProgramServiceRevenuePriorYear
Program Service Revenue CY1053129634ProgramServiceRevenueCY
Investment Income Prior Year14793122InvestmentIncomePriorYear
Investment Income Current Year40980195InvestmentIncomeCurrentYear
Other Revenue Prior Year26332667OtherRevenuePriorYear
Other Revenue Current Year14769459OtherRevenueCurrentYear
Total Revenue Prior Year1079665845TotalRevenuePriorYear
Total Revenue Current Year1118487096TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year217124GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1864959GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year537816239SalariesEtcPriorYear
Salaries Etc Current Year528885497SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year539568353OtherExpensePriorYear
Other Expenses Current Year553415144OtherExpensesCurrentYear
Total Expenses Prior Year1077601716TotalExpensesPriorYear
Total Expenses Current Year1084165600TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2064129RevenuesLessExpensesPriorYear
Revenues Less Expenses CY34321496RevenuesLessExpensesCY
Total Assets BOY1237237170TotalAssetsBOY
Total Assets EOY1265159851TotalAssetsEOY
Total Liabilities BOY556839476TotalLiabilitiesBOY
Total Liabilities EOY577763350TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY680397694NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY687396501NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of Rhode Island Hospital (RIH) is to be at the forefront of patient care by creating, applying and sharing the most advanced knowledge in health care.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense800935813Expense
Grants1829959Grants
Revenue1008025273Revenue
DescriptionPatient Care:RIH, the principal teaching hospital of The Warren Alpert Medical School of Brown University, provides a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients. RIH has particular expertise in cardiology, hematology/oncology, neurology, burn care, neurosurgery, orthopedics, pediatric care at RIH's pediatric division, Hasbro Children's Hospital, and emergency medicine, with RIH being the designated Level I Trauma Center for Rhode Island. Licensed to operate 719 acute care beds, RIH is the largest of the state's general acute care teaching hospitals, employing 6,387 full-time equivalents and providing comprehensive health services to most of Rhode Island and southeastern Massachusetts. (Cont. on Schedule O)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense96656693Expense
Revenue12806460Revenue
DescriptionMedical Education:RIH provides the setting for and substantially supports medical education in various clinical training and nursing programs. The total cost of direct medical education provided by the Hospital exceeded the reimbursement received from third-party payors by $83.9 million in fiscal year 2012.(Continued on Schedule O)Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense51010375Expense
Revenue39692991Revenue
DescriptionResearch:RIH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in the National Institutes of Health programs. In addition, the Hospital sponsors many clinical trials, which provide valuable research information as well as cutting edge treatment for patients in the region. Federal support accounts for approximately 68% of all externally funded research at the Hospital. Researchers focus on clinical trials which investigate prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac issues, neurological problems, orthopedic advancements, and mental health concerns. RIH provided $11.3 million in support of research activities in fiscal year 2012.(Cont. on Schedule O)Description
FieldValueIRS element (for citing)
Total Program Service Expense948602881TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded 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 With1096534NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees8480NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1167 Point StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Brian J Zink MD
Trustee3.00X000
Jane Williams RN PhD
Secretary5.00X000X
Fred J Schiffman MD
Trustee1.20X000
Lawrence B Sadwin
Trustee2.00X000
James A Procaccianti
Trustee2.00X000
Michael J Perik
Trustee1.00X000
David A Marcoux MD
Trustee2.00X000
Joseph J MarcAurele
Trustee4.00X000
Alan H Litwin
Trustee2.00X000
Bertram M Lederer
Vice Chairman2.00X000X
Phillip Kydd
Trustee2.50X000
Mary Jo Kaplan
Trustee0.50X000
Dayle H Joseph MS EdD
Trustee4.00X000
Michael L Hanna
Treasurer4.00X000X
Brian Goldner
Trustee0.50X000
Edward D Feldstein
Trustee2.00X000
Jonathan J Elion MD
Trustee2.00X000
Penelope H Dennehy MD
Trustee2.00X199992021912
Ellen A Collis
Trustee1.50X000
Jeffrey G Brier
Trustee1.00X000
Edmund C Bennett
Vice Chairman2.00X000X
Roger N Begin
Trustee2.00X000
Emanuel Barrows
Trustee1.50X000
Timothy J Babineau MD
President & CEO23.00X0833462145667X
Lawrence A Aubin Sr
Chairman5.00X000X
Mary A Wakefield
EVP & CFO16.000677833101701X
Frederick J Macri
Executive VP40.00051695484267X
Barbara Riley RN
Chief Nursing Officer40.00321908063639X
John B Murphy MD
SVP-Medical Affairs & CMO40.00361980070957X
Garth Cosgrove MD
Physician40.001222811038540X
Robert B Klein MD
Physician40.00429223033045X
Paul Y Liu MD
Physician40.00394999027487X
Latha R Pisharodi MD
Physician40.00483955037743X
Murray B Resnick MD
Physician40.00513035035486X
George A Vecchione
President & CEO0.000784792828548X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3927903TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9876177TotalReportableCompFrmRltdOrgs
Total Other Compensation688992TotalOtherCompensation
Number Individuals GT100 K630NumberIndividualsGT100K
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
University Surgical Associates
72 Newman AvenueRumfordRI02916Medical Services7409464
University Medicine Foundation
17 Virginia AveProvidenceRI02905Medical Services20714150
Neurology Foundation
34 Parsonage StreetProvidenceRI02903Medical Services4150126
Brown University
75 Waterman StreetProvidenceRI02912Subcontracted Svcs.3411016
APG Security Services
171 Service AvenueWarwickRI02886Security Services4185015
FieldValueIRS element (for citing)
Number Of Contractors GT100 K80NumberOfContractorsGT100K
Related Organizations7884627RelatedOrganizations
Government Grants1219845GovernmentGrants
All Other Contributions503336AllOtherContributions
Total Contributions9607808TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Temp Restricted (SPF's)90009998257269825726
Rental53112032943183294318
Patient Service Revenue900099984129248984129248
Laboratory62150053990105399010
Direct Rev from Research9000995048133250481332
FieldValueIRS element (for citing)
Total Program Service Revenue1053129634TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5998960TotalRevenueColumn
Exclusion$5,998,960ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column2287TotalRevenueColumn
Exclusion$2,287ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

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Real3523963Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1882741Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1641222Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1641222TotalRevenueColumn
Exclusion$1,641,222ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities177206939Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities142227991Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities34978948Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column34978948TotalRevenueColumn
Exclusion$34,978,948ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Linen Services81230019871061612062375044
Indirect Rev from Grants9000991103462911034629
Cafeteria Revenue7222103879717$3,879,717

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-3773215TotalRevenueColumn
Related Or Exempt Function Income-5251601RelatedOrExemptFunctionIncome
Unrelated Business Revenue1454820UnrelatedBusinessRevenue
Exclusion$23,566ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue13128237TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1118487096TotalRevenueColumn
Related Or Exempt Function Income1055125714RelatedOrExemptFunctionIncome
Unrelated Business Revenue7228874UnrelatedBusinessRevenue
Exclusion$46,524,700ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1829959Total
Program Services1829959ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total35000Total
Program Services35000ProgramServices

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)
Total1059288Total
Program Services219589ProgramServices
Management And General839699ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total403436782Total
Program Services399738335ProgramServices
Management And General3698447ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total22928069Total
Program Services22679077ProgramServices
Management And General248992ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total71619136Total
Program Services70895749ProgramServices
Management And General723387ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total29842222Total
Program Services29518145ProgramServices
Management And General324077ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total12251Total
Program Services7055ProgramServices
Management And General5196ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1683643Total
Management And General1683643ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total65092691Total
Program Services65083524ProgramServices
Management And General9167ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total302298Total
Program Services242298ProgramServices
Management And General60000ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total170976156Total
Program Services172163599ProgramServices
Management And General-1187443ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total16933246Total
Program Services14788066ProgramServices
Management And General2145180ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1611677Total
Program Services1596824ProgramServices
Management And General14853ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1495414Total
Program Services1458964ProgramServices
Management And General36450ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total13865339Total
Program Services7182ProgramServices
Management And General13858157ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total34849327Total
Management And General34849327ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7987690Total
Program Services7987690ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
All Other Expenses2170762921035393672236
License Fee4634439646344396
Provision for bad debts6199675761996757
Purch Svs & Equip Cont1083391363075778577581351

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total217494Total
Program Services217494ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1084165600Total
Program Services948602881ProgramServices
Management And General135562719ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY20326272BOY
EOY5311680EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY145BOY
EOY21574EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4598112BOY
EOY3894294EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY127316769BOY
EOY137974046EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY12282409BOY
EOY13478601EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1962588BOY
EOY2222685EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1075946047LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec582132711LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY488332581BOY
EOY493813336EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY294393085BOY
EOY327750511EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY151291701BOY
EOY156413408EOY

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)
BOY136733508BOY
EOY124279716EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1237237170BOY
EOY1265159851EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY64386872BOY
EOY63992879EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY262912704BOY
EOY254889799EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY229539900BOY
EOY258880672EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY556839476BOY
EOY577763350EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY390119508BOY
EOY375532685EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY218428494BOY
EOY238460723EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY71849692BOY
EOY73403093EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY680397694BOY
EOY687396501EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1237237170BOY
EOY1265159851EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses34321496ReconcilationRevenueExpenses
Reconcilation Other Changes-27322689ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$12,251OtherActivitiesAmount
Total Lobbying Expenditures IIB12251TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationRhode Island Hospital pays membership fees to the Hospital Association of Rhode Island, the National Association of Children's Hospitals, and the Trauma Center Association of America. A portion of the membership dues paid to these organizations is allocated to their lobbying efforts.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance475612207BeginningOfYearBalance
Contributions72081127Contributions
Investment Earnings Or Losses11034904InvestmentEarningsOrLosses
Other Expenditures79888527OtherExpenditures
End Of Year Balance478839711EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance402076328BeginningOfYearBalance
Contributions106066104Contributions
Investment Earnings Or Losses42054008InvestmentEarningsOrLosses
Other Expenditures74584234OtherExpenditures
End Of Year Balance475612206EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.48390BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.07720PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.43890TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis667344795OtherCostOrOtherBasis
Depreciation321753056Depreciation
Book Value345591739BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis356442456OtherCostOrOtherBasis
Depreciation260379655Depreciation
Book Value96062801BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis32033773OtherCostOrOtherBasis
Book Value32033773BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings493813336TotalOfBookValueLandBuildings
Total Of Book Value Securities156413408TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivables14808048
Other Non-Current Assets4501506
Interest in Net Assets of RIH Foundation53892136
Intercompany Receivables3940697
Deferred Financing Costs5833519
FieldValueIRS element (for citing)
Total Book Value Other Assets124279716TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Third-party Payor Settlements$39,922,103
Post-retirement Benefit Liability$23,077,400
Other Liabilities$27,836,874
Health Care Benefit Self-insurance$3,693,495
Accrued Pension Liability$164,350,800
FieldValueIRS element (for citing)
Total Of Amounts258880672TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteRhode Island Hospital (the Hospital), 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 Hospital 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 Hospital did not recognize the effect of any income tax positions during the fiscal year ended September 30, 2012.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesIncrease in Net Assets of RIHF $2048615 Transfer from Hospital Properties, Inc. $114316 Change in funded status of pension and other postretirement $ -40877452
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.Rhode Island Hospital's (RIH's) endowment funds consist of both donor-restricted endowment funds and funds designated by RIH to function as endowments. RIH's largest permanently restricted endowments support patient care, particularly cardiology, hematology/oncology, and neurology, as well as pediatric care at RIH's pediatric division, Hasbro Children's Hospital (HCH), research, and charity care. RIH's unrestricted endowment includes designated assets set aside by RIH's Board for future capital improvements, over which the Board retains control and may at its discretion subsequently use for other purposes.Significant temporarily restricted funds held by RIH are used for the purposes of: (1) pediatric orthopedic research; (2) the care and treatment of crippled children; (3) the advancement of cardiac patient care, research and education; (4) pediatric and adult oncology; and (5) HCH's Palliative Care and Pain Program and other pediatric needs.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Sub-Saharan Africa00Program ServicesResearch5975
Europe00Program ServicesResearch43768
East Asia & the Pacific00Program ServicesResearch140664
FieldValueIRS element (for citing)
Subtotal Amount Spent190407SubtotalAmountSpent
Total Amount Spent190407TotalAmountSpent
No Recipient Over5 KXNoRecipientOver5K
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriestrueBoycottCountries

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense62937003TotalCommunityBenefitExpense
Direct Offsetting Revenue14924271DirectOffsettingRevenue
Net Community Benefit Expense48012732NetCommunityBenefitExpense
Percent Of Total Expense0.04700PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense178689072TotalCommunityBenefitExpense
Direct Offsetting Revenue179637022DirectOffsettingRevenue
Net Community Benefit Expense-947950NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense241626075TotalCommunityBenefitExpense
Direct Offsetting Revenue194561293DirectOffsettingRevenue
Net Community Benefit Expense47064782NetCommunityBenefitExpense
Percent Of Total Expense0.04700PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense361467TotalCommunityBenefitExpense
Direct Offsetting Revenue56679DirectOffsettingRevenue
Net Community Benefit Expense304788NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense96656693TotalCommunityBenefitExpense
Direct Offsetting Revenue12806460DirectOffsettingRevenue
Net Community Benefit Expense83850233NetCommunityBenefitExpense
Percent Of Total Expense0.08200PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense29221298TotalCommunityBenefitExpense
Direct Offsetting Revenue20223652DirectOffsettingRevenue
Net Community Benefit Expense8997646NetCommunityBenefitExpense
Percent Of Total Expense0.00880PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense51010375TotalCommunityBenefitExpense
Direct Offsetting Revenue39692991DirectOffsettingRevenue
Net Community Benefit Expense11317384NetCommunityBenefitExpense
Percent Of Total Expense0.01110PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense647225TotalCommunityBenefitExpense
Net Community Benefit Expense647225NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense177897058TotalCommunityBenefitExpense
Direct Offsetting Revenue72779782DirectOffsettingRevenue
Net Community Benefit Expense105117276NetCommunityBenefitExpense
Percent Of Total Expense0.10280PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense419523133TotalCommunityBenefitExpense
Direct Offsetting Revenue267341075DirectOffsettingRevenue
Net Community Benefit Expense152182058NetCommunityBenefitExpense
Percent Of Total Expense0.14980PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$17,712,196BadDebtExpenseAmount
Amount Attributable To1968155AmountAttributableTo
Amount Reimbursed By Medicare172223301AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare157426599CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall14796702MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Rhode Island HospitalBusinessNameLine1

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Rhode Island HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Permit Other ActionsXPermitOtherActions
Collection ActivitiestrueCollectionActivities
LawsuitXLawsuit
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities24NumberOfOtherFacilities

Other Facilities OtherFacilities (24 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MRICT of Providence LLC
695 Eddy StreetProvidenceRI02903Diagnostic Imaging Facility
RIH Outpatient Psychiatry
146 West River StreetProvidenceRI02904Outpatient Psychiatric and Behavioral Health Services
Ophthalmology Clinic
1 Hoppin Street Suite 200ProvidenceRI02903General and Specialty Ophthalmic Examinations, Testing and Procedures
Orthopedic MRI of RI LLC
100 Butler DriveProvidenceRI02906Medical Imaging Services
RIH Outpatient Rehabilitation Services
765 Allens Avenue 1st Floor Suite 1ProvidenceRI02905Adult Physical and Occupational Therapy
Southern New England Rehabilitation Ptr
200 High Service AvenueNorth ProvidenceRI02904Rehabilitation Services
RIH Lab at the Office of Louis Moran MD
1035 Post RoadWarwickRI02886Outpatient Phlebotomy
Pediatric and Adult Medicine
900 Warren Avenue 2nd FloorEast ProvidenceRI02914Pediatric and Adult Medicine
Rhode Island Hospital Child Research Center
1 Hoppin StreetProvidenceRI02903Outpatient Psychiatric Services
RIH Pediatric and Adolescent Health Care Center
One Hoppin Street Suite 3055ProvidenceRI02903Outpatient Adolescent Services
Radiosurgery Center of RI LLC
593 Eddy StreetProvidenceRI02903Radiosurgery Services
RI Hospital Molecular Laboratory
167 Point Street Coro East 3rd FlooProvidenceRI02903Molecular Diagnostic Testing
General Internal Medicine Research Group
111 Plain StreetProvidenceRI02903Research Studies
Hallett Center for Diabetes & Endocrinology
900 Warren AvenueEast ProvidenceRI02914Multidisciplinary Care Treating Diabetes and Other Endocrine Disorders
Respiratory and Immunology Center
593 Eddy Street - Hasbro Lower LeveProvidenceRI02903O/P Pedi Asthma/Allergy, Cystic Fibrosis, Immunology, Pulmonology and Rheumatology
RIH Outpatient Psychiatry
235 Plain StreetProvidenceRI02905Outpatient Psychiatric Services
Audiology and Speech Pathology Department
115 Georgia AvenueProvidenceRI02903Speech Language Pathology and Audiology Services
RIH Lab at the Office of Hugo Yamada MD
6 Blackstone Valley PlaceLincolnRI02865Outpatient Phlebotomy
RI Hospital Hasbro Childrens Outpatient Rehab Services
765 Allens Avenue 2nd Floor Suite 2ProvidenceRI02905Children's Physical and Occupational Therapy
RIH Sleep Disorders Center
70 Catamore BoulevardEast ProvidenceRI02914Outpatient Professional & Technical Evaluation of Sleep Disorders
RI Hospital Outpatient Rehabilitation Services
1 Hoppin Street Coro West 1ProvidenceRI02903Physical Therapy and Occupational Therapy
RIH Pediatric Heart Center
1 Hoppin Street Suite 304ProvidenceRI02903Outpatient Pediatric Cardiology Services
Rhode Island Hospital Surgery Center at Wayland Square
17 Seekonk StreetProvidenceRI02906Outpatient Surgery
Dialysis Center of Rhode Island Hospital
22 Baker StreetProvidenceRI02905Hemodialysis, Peritoneal Dialysis, Home Hemodialysis (and Training)

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - Affilated Health Care System Roles and PromotionLifespan's mission is to improve the health status of the people it serves in RI and in southern New England through the provision of customer friendly, geographically accessible, high value services in the environment of an integrated academic health system. Lifespan affiliates provide comprehensive inpatient and outpatient medical, surgical and psychiatric services for adults and children. Lifespan and its affiliates employ more than 12,500 people. The Lifespan system has over 2,300 physicians on the medical staffs of its affiliated hospitals, operates 1,155 licensed beds in four hospital complexes, and in 2012 generated approximately $1.6 billion in total operating revenue. By each of these measures, Lifespan is RI's largest health system, serving a population of over 1.5 million. Three of its hospital members, Rhode Island Hospital (RIH), The Miriam Hospital (TMH) and Bradley Hospital (EPBH), are teaching affiliates of The Warren Alpert Medical School of Brown University with 78 percent of the residents and fellows in this program based at RIH, TMH, and EPBH.Lifespan is a RI nonprofit corporation that is community-based and community-governed. As a nonprofit organization, Lifespan is run by a voluntary Board of Directors who are community representatives. Lifespan and all of its nonprofit hospital affiliates have received written notification from the Internal Revenue Service that they have been recognized as being organized and operated as entities described in Internal Revenue Code (IRC) Section 501(c)(3) and are generally exempt from income taxes under IRC Section 501(a).As of September 30, 2012, Lifespan Corporation employed approximately 700 full-time and part-time personnel, most of whom are located in Providence, RI. Lifespan Corporation provides support services to its affiliates, such as information services, telecommunications, risk management, legal, communications and public affairs, fundraising, facility development, strategic planning, internal audit/compliance, human resources, finance, and investment management, for which each affiliate is charged a fee equivalent to the costs incurred by Lifespan in providing these services.Corporate Authority and RoleLifespan Corporation has no members and is governed by its Board of Directors. The Board has responsibility for planning, directing and establishing policies intended to assure the development and delivery of quality health services, professional education and biomedical research on an integrated, cost-effective basis. The Board's powers include the power to set accounting policies for its affiliates, develop, negotiate and approve all managed care agreements, develop affiliations with other institutions for educational and research purposes, and approve human resource plans, executive compensation and benefits for system affiliates. The bylaws of RIH confer certain reserved powers on Lifespan to provide it with the means of effective oversight, coordination and support of the system. Powers reserved to Lifespan as sole member include: to elect and remove trustees; to approve the election of and to remove certain officers; to approve the amendment of the Articles of Incorporation and Bylaws and other Charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness.For a complete listing of affiliated members of Lifespan's integrated healthcare delivery system, please refer to Schedule R.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeRhode Island Hospital is governed by a Board of Trustees, which is composed of 20 voting members; 17 who are elected by Lifespan Corporation as sole member of the Hospital, and three who serve ex officio. Lifespan approves the elected Trustees to serve one-year terms, until his/her successor is duly authorized and elected at the next Annual Meeting. The ex officio members of the Board with a vote are the President and Chief Executive Officer of the Hospital along with the Chair of Rhode Island Hospital Foundation and the Chair of The Miriam Hospital Foundation. Additionally, the Chairman and the President and CEO of Lifespan Corporation are ex officio members of the Board without a vote. The Hospital's Board prescribes the duties and powers of committees appointed by the Chair and appoints members of the Medical Staff. The physicians on the Hospital's medical staff are both hospital-based and community-based.
Part VI - Community Building ActivitiesThe Hospital substantially subsidizes various health services including the following programs: adult psychiatry, dental, adolescent, and Alzheimer's, as well as the Center for Special Children, early intervention, and certain other specialty services. The Hospital also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation, immunization and nutrition programs, diabetes education, stroke and burn survivor support groups, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions.
Part VI - Community InformationRhode Island Hospital, located in Providence, Rhode Island, is a 719-bed nonprofit general acute care teaching hospital with university affiliation providing a comprehensive range of diagnostic and therapeutic services (excluding obstetrics) for the acute care of patients principally from RI and southeastern Massachusetts. As a complement to its role in service and education, the Hospital actively supports research. The Hospital is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and participates as a provider primarily in Medicare, Blue Cross and Medicaid programs. The Hospital is also a member of Voluntary Hospitals of America, Inc. (VHA).In 1969, the Hospital and certain other Rhode Island hospitals entered into an affiliation agreement to participate jointly in various clinical training programs and research activities with The Warren Alpert Medical School of Brown University (Brown). In 2010, Brown named the Hospital its Principal Teaching Hospital. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. The Hospital currently sponsors 46 graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring another 26 hospital-approved residency and fellowship programs.With respect to nursing education, the Hospital has developed formal and informal educational affiliations with a number of accredited New England colleges and universities. The Hospital does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.The Hospital conducts extensive medical research and is in the forefront of biomedical health care delivery research and is among the leaders nationally in National Institutes of Health programs.
Part VI - Patient Education of Eligibility for AssistanceRhode Island Hospital has multilingual signage in the Hospital's main lobby and waiting areas which provides information on financial aid contacts. The Registration Department meets with patients at the outset of care to discuss eligibility for assistance. The Registration staff provides interested patients with a "Welcome" booklet which includes information on patient rights and responsibilities. The signage and booklets contain a telephone number which connects patients with Registration staff who can answer any additional questions that may arise after the patient has left the Hospital. Assistance eligibility is also summarized on the Hospital's website.
Part VI - Needs AssessmentLifespan's Office of Strategic Planning and Analysis performs population-based studies for the Hospital regarding the need for inpatient medical and surgical services for both adults and children and a wide range of outpatient services including: primary care office visits, specialty care, emergency services, imaging, ambulatory surgery, and specific high technology services such as radiation therapy and bone marrow transplantation. A population-based study examines the growth and changes in the population, the resources in the community, and the changing prevalence of diseases. In addition to this approach, Lifespan Strategic Planning also examines experience with wait times, the level of staffing, and the changing standards of care. All of this information is used to assess the demand for additional services to provide access to high quality care.In addition to population approaches to assessing and estimating need, all specialties and services monitor demand at the service-specific level by considering changing patterns of care and methods of treatment for the specific medical problem, wait times for visits/queues, and community resources. The service leadership then goes through a review process to add staff, expanded hours, and/or new sub-components to round out core services on an as-needed basis. At times, expansion requires more space, equipment, and staff, but often accommodation of community demand is achieved through expanded hours. Facilities are added as needed to accommodate these expansions, but most often minor renovations of existing locations with better, more modern layouts and equipment allow for greater patient access.The RI State Certificate of Need program requires a focused study of need for all projects over $5.25 million, which is an important part of the program development process across Lifespan.Based on a broad understanding of community health needs, the Hospital provides a wide range of services to both its primary and secondary areas. Lifespan and its hospital affiliates monitor health trends in Rhode Island in an effort to identify areas of unmet demands regarding clinical services. For example, over the past decade, the Hospital added a new state-of-the-art emergency department and opened the 110-room Bridge Building expansion, with three new floors dedicated to the care of cardiac, medical, and surgical patients. The Hospital's pediatric division, Hasbro Children's Hospital, is the state's only facility dedicated to pediatric care. The Hospital has continued its pioneering work on treatments for inoperable tumors as well as radiofrequency ablation. Also of note is Hasbro's Medical/Psychiatric Program. This program is expressly designed for children and adolescents with both challenging mental health and medical conditions who require hospitalization. A collaboration with Bradley Hospital, it is the only program in the region created to meet the complex needs of these children. Children ages 6 to 18 are treated in a newly renovated, secure 8-bed unit located on the 6th floor of Hasbro Children's Hospital. The unit was designed with input from both pediatrics and psychiatry to provide the very best care for children with psychiatric and medical illness. The safe, comfortable environment offers both private and semi-private rooms and areas for family, group and milieu therapy.
Part V, Line 19d - Other Billing Determination of Individuals Without InsuranceUninsured patients receive an automatic 50% Community Benefit discount on Hospital charges. In no case was there a situation where an uninsured patient paid more than amounts charged through Medicare or negotiated commercial insurance rates.Number of Hospital Faciltiy - 0
Part V, Line 16e - Other Collection Actions by Facility or Third Party EngagedThe Hospital engages third parties to perform certain collection actions on its behalf. A pre-collect company is used for all self-pay accounts. Additionally, a collection agency is used if there is no payment activity on such accounts after 120 days. The collection process is explained in further detail in the response to Question 15e above.Number of Hospital Faciltiy - 0
Part V, Line 15e - Other Collection Actions Against a PatientOnce an account balance or a portion thereof is classified as self-pay, it is placed with the Hospital's pre-collect company until the balance is paid in full, a monthly payment plan is in place, or insurance information is provided for billing.After 120 days, if there is no payment activity, the account qualifies for bad debt and the pre-collect company returns the account to Patient Financial Services, which in turn forwards it to a collection agency.The collection agency sends 3 to 5 notices to the patient requesting payment. If there are no responses after the notices are sent, collection calls are made. If there is no response after 120 days, the account is reviewed for legal action in the appropriate court.If there are no assets to pursue, the collection agency deems the account uncollectible and returns it to Patient Financial Services for writeoff.Note: In accordance with Center for Medicare and Medcaid Services mandates, Medicare patient accounts are held 130 days from last payment, after which if there has been no activity, the account is referred to collection.Number of Hospital Faciltiy - 0
Part V, Line 13g - Other Means Hospital Facility Publicized the PolicyAn abbreviated version of the Hospital's financial assistance policy is posted in various admitting and outpatient areas of the Hospital. Additionally, registration personnel refer uninsured and/or low income patients to Patient Financial Counselors to discuss the policy and/or answer any questions they might have.Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsThe Hospital uses an outside pre-collection agency for all self-pay receivables. The pre-collection agency attempts to collect the debt for 120 days. During this time, 3 letters are sent to the patient's address of record and, for balances in excess of $50, attempts are made to reach the patient by telephone. If the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered. (Please refer to the Charity Care Eligibility Criteria and Additional Information sections for further detail on those processes.) If the pre-collection agency is unsuccessful in contacting the patient or no response is received within 120 days, the account is forwarded to a collection agency.The collection agency also sends statements and attempts to reach the patient via telephone. Again, if the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered. If no response is received, the claim is referred to small claims court and the patient is summoned to appear. If the patient does not appear, the Hospital will receive a judgment in its favor. If the Hospital learns that the claim has a related settlement, i.e., an automobile accident, the Hospital can put a lien on such settlement. Alternatively, if the collection agency deems the account uncollectible, it will be written off.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitMedicare shortfall has not been treated as a community benefit.The source of the Medicare allowable costs reported on Part III, Section B, Line 6 is the Medicare cost report, Form 2552-10.
Part III, Line 4 - Bad Debt ExpenseAccounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Hospital analyzes its past history and identifies its revenue trends for each of its major payors to estimate the appropriate allowance for doubtful accounts and the associated provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant allowance for doubtful accounts and provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates, if applicable) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.The Hospital's allowance for doubtful accounts for self-pay patients decreased from 81% of self-pay accounts receivable at September 30, 2011 to 79% of self-pay accounts receivable at September 30, 2012. The Hospital's self-pay writeoffs for the years ended September 30, 2012 and 2011 amounted to approximately $53,361,000 and $55,880,000, respectively. The Hospital did not change its charity care or uninsured discount policies during the years ended September 30, 2012 and 2011, respectively. The Hospital does not maintain a material allowance for doubtful accounts from third-party payors, nor did it have significant writeoffs from third-party payors in either 2012 or 2011.The Hospital provided $61,996,757 for uncollectible patient accounts during the year ended September 30, 2012. The associated cost reported on Line 2 of Part III was determined by applying an operating cost to charge ratio (exclusive of community benefit costs and charges) to the provision amount.Schedule H, Part III, Section A, Line 2The amount reported as bad debt expense is determined by applying the ratio of cost to charges (RCC) to the total charges written off to bad debt. The RCC rate is determined using data from the Hospital's cost accounting system and is adjusted for medical education, internally funded research, subsidized health services, community services, and charitable contributions. Discounts and payments are applied to patient accounts before such account balances are transferred to bad debt.Schedule H, Part III, Section A, Line 3Accounts pending transfer to bad debt are reviewed by the Hospital's patient advocate staff to determine qualification for financial assistance under the Hospital's policy. Accounts with insufficient information to determine eligibility are assigned a separate identifying code. These accounts are ultimately transferred to bad debt if the appropriate qualifying documentation is not received. The amount reported on Schedule H, Part III, Section A, Line 3 represents the account balances at charge written off to bad debt from the pending code, which are in turn converted to cost by applying the RCC rate as identified in Schedule H, Part III, Section A, Line 2.
Part I, Line 7, Column F - Explanation of Bad Debt ExpenseThe calculation of percentages disclosed for Schedule H, Part I, Line 7, column (f) "percent of total expense", does not include bad debt expense. Form 990, Part IX, Line 25 includes bad debt expense of $61,996,757.
Part I, Line 7 - Explanation of Costing MethodologyThe Hospital's costing methodology used to calculate the amounts reported in Part I, Line 7 is as follows:a) Financial Assistance at cost- involves utilization of a ratio derived from dividing patient costs, as defined, by patient charges, as defined, and applying that percentage to total charity care expense.Patient costs are calculated based on Medicare principles of reimbursement by reducing total operating expenses by items such as bad debt expense, the cost of medical education, internally funded research, subsidized health services, community services, charitable contributions, and other operating revenue. Patient costs are then divided by patient charges to determine a ratio of cost to charges (RCC). This RCC is applied as the costing methodology for determining charity care expense.b) Medicaid- Medicaid expense is determined by cost as calculated by the Hospital's cost accounting system. The system applies historical costing methods applied to all patient segments based on various patient demographics and utilizations. These costing standards exclude bad debt, charity care, and the Medicaid portion of costs of health professions education which are reported on other areas of Line 7. These expenses include Medicaid provider taxes. Direct offsetting revenue is reported as amounts received from Medicaid, as well as other payments which include reimbursement under Federal "Upper Payment Limit" (UPL) and "Disproportionate Share Hospital" (DSH) programs.e) Community health improvement services and community benefit operations- Community benefit operations expense is recorded as direct expenses incurred as reported by the Hospital's Community Health Services department. Revenue received for these services is reported as direct offsetting revenue. f) Health professions education- Health professions education expenses represent direct costs related to amounts associated with resident and intern programs utilized at the Hospital. These costs are determined by reporting actual direct costs taken from the Medicare cost report. Direct offsetting revenue is reported as any direct Medicare reimbursements received for such services provided, as reported on the Hospital's Medicare cost report.g) Subsidized health services- Subsidized health services' community benefit expense is determined by the cost accounting system. These subsidized health services are recorded at cost in the Hospital's cost accounting system for all qualified subsidized health service divisions. This expense is adjusted to remove all related Graduate Medical Education (GME) expenses, as well as bad debt, Medicaid, and charity costs already reported in applicable sections of Line 7. Net patient service revenue is recorded as amounts received from various payer types related to these services. Revenue associated with Medicare GME and Medicaid is excluded from the amount disclosed for subsidized health services.h) Research- The Hospital conducts extensive medical research focused on the prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac disease, neurological problems, orthopedic advancements, and mental health concerns. For all internal and external research conducted, the costs associated with these activities is calculated by combining the direct and indirect costs as reported within the Hospital's cost accounting system. Revenue received for these services is reported as direct offsetting revenue. i) Cash and in-kind contributions for community benefit- Expenses for cash and in-kind contributions for community benefit are made by the Hospital, including an allocation of contributions made by Lifespan Corporation on the Hospital's behalf.
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)Rhode Island Hospital (the Hospital) uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test.The financial screening process at the Hospital is intended to define probable eligibility for public assistance (Medicaid or Community Free Service ("CFS")) for those patients who do not have the means to pay for hospital services rendered, as follows:1. Upon patient indication of an inability to pay required monies, the patient is offered the financial screening option to determine eligibility for public assistance. (Medicaid, CFS)2. The application for CFS is completed and includes information relative to income, expense, and other available resources and requires proof of such information which may include:- most recently filed Federal income tax return and W-2 form(s)- copies of most recent savings and/or checking account statements- two most recently received payroll check stubs- copy of rent receipts for the last six months for proof of residency- copy of utility bills for the last month for proof of residency3. If the patient's financial situation falls within the guidelines for eligibility for Medicaid, has a long term disability, RIte Care or CFS, the appropriate application process is completed. (Assistance to complete such applications is available from the Patient Financial Advocates (PFA) Office at the Hospital.)4. Uninsured patients receive an automatic 50% deduction at the Hospital.5. Eligibility for CFS above the 50% discount is provided for those applicants whose family gross income is at or below twice the Federal Poverty Guidelines, with a sliding scale for individuals up to four times the poverty level in effect at the time of application. Full charity care applicants with assets worth more than $8,500 for an individual (or $13,500 for a family) may not qualify for care without charge, but may qualify for discounted care. While the maximum 100% discount may not be available to all charity care applicants based on the results of their asset test, all uninsured patients who receive care are eligible for, at a minimum, the 50% charity care discount. 6. For patients who qualify for less than 100% of the financial assistance program, a payment schedule is determined and agreed upon (discussed further below). Payment arrangements are established prior to service for non-urgent care. 7. In either case, the final results of the financial screening are recorded in the comments section of the Hospital's billing system.Requests for Payment Arrangements:Patient Financial Advocates (PFA) will qualify patients that are receiving non-urgent, medically indicated procedures prior to services. The PFA will request 75% to 100% of estimated charges (net of the automatic 50% discount) if the balance is under $5,000 and 50% to 100% of estimated charges (net of the automatic 50% discount) if the estimated bill exceeds $5,000.For elective or non-urgent cases, the policy will require financial clearance prior to services or an exception from the Medical Director based on the clinical circumstances if the patient cannot meet the above payment agreement.Patients who do not qualify for the total or partial CFS, but who have difficulty in paying their bills after services are rendered, may request enrollment in a payment plan. Eligibility for the payment plan includes the following guidelines:1. Immediate payment in full will result in financial hardship to the patient or the patient's family.2. Deposit of one-half of the estimated total bill is requested prior to admission.3. The minimum monthly payment of $50.00.4. The maximum length of the payment plan is twenty-four months.The Customer Service staff will set up the payment plan using the above guidelines as well as complete the necessary information on the "Payment Agreement" form and mail to patient for signature.Account documentation will be done online. The pre-collect agency will be sent a copy of the payment agreement and all forms will be scanned into the PFS Optical Imaging System.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
UNAPRIH Education Trust Fund
375 Branch AvenueProvidenceRI02904412139381501(c)(3)1500000Employee Education Support
Thundermist Health Center
191 Social StreetWoonsocketRI02895050355097501(c)(3)753750Health Pgm Support
Rhode Island Medical Society
235 Promenade StreetProvidenceRI02908050250010501(c)(6)55000Health Pgm Support
Health Leads
2 Oliver Street 10th FloorBostonMA02109450484533501(c)(3)1345000Health Pgm Support
City of Providence
25 Dorrance StreetProvidenceRI02903056000329Gov't Org.5840000Payment in lieu of taxes
Brown University
164 Angell StreetProvidenceRI02912050258809501(c)(3)8489840General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEducational AssistanceTypeOfGrant
Number Of Recipients10NumberOfRecipients
Amount Of Cash Grant35000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationRhode Island Hospital is committed to community programs and provides support to various charitable organizations in Rhode Island and southeastern Massachusetts. Donations are made to organizations recognized by the IRS as being described in IRC Section 501(c)(3). All contributions are approved by management and are made to organizations whose missions and goals align with those of the Hospital.In 2012, Lifespan, on behalf of Rhode Island Hospital and The Miriam Hospital, reached an agreement with the City of Providence to make voluntary payments to help stabilize the city's financial health. Lifespan has always maintained a strong commitment to Providence through its many community-based programs, as well as through the charity care it provides. As an organization, Lifespan understands that Providence's fiscal health is vital to the economic health of the entire State of Rhode Island. The agreement is a groundbreaking partnership that demonstrates Lifespan's commitment to help ensure a strong and vital Providence.Individual scholarships are awarded annually to applicants by a joint decision making body comprised of both IBT (International Brotherhood of Teamsters) and RIH representatives. Payments are made directly to qualified educational institutions on behalf of scholarship recipients.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Timothy J Babineau MD
670179113906493771231942247397912921386
Robert B Klein MD
4126885250112851696616079462268
Penelope H Dennehy MD
19306424704458125949318221904
Paul Y Liu MD
39308319161069516792422486
Murray B Resnick MD
4969941300030411695318533548521
Mary A Wakefield
4995738429193969858531584877953467780
Latha R Pisharodi MD
470819900041361697320770521698
John B Murphy MD
30535056630512121974543293732493
George A Vecchione
928502390234652919273502119878764763456806
Garth Cosgrove MD
11940962871515485230551261351
Frederick J Macri
3717196366981566668031746460122155012
Barbara Riley RN
2285573910854243439221971738554734117

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 1aIdentifier
Return ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.ReturnReference
ExplanationTax Indemnification and Gross-up Payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii).Housing Allowances or Residences for Personal Use:A temporary housing allowance may be provided on a case-by-case basis as part of the recruitment of key executives. The allowance is documented in the individual employment contract or employment offer. In calendar year 2011 Lifespan provided this benefit to one new executive and the taxable amounts paid for the temporary housing resulting from relocation are included in Medicare wages, more specifically on Schedule J, Part II, column B (iii).Social Club Dues:The job responsibilities of certain executives include development of relationships with business leaders and donors. Those relationships are facilitated by the ability to meet in private sessions during which focused business discussions take place. The Hope and University Clubs, which require individual memberships, are places in Providence where businessmen and women, civic, community and social leaders can gather in a 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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Rhode Island Health and Education Building Corporation
521300173762243K362009-03-3072570461see Schedule K, Part Vfalsefalsetrue
Rhode Island Health and Education Building Corporation
521300173762243SS32006-02-14160884410see Schedule K, Part Vfalsefalsetrue

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletion
72570461724745510696641256743532469219749678falsefalsefalsetrue
16088441013773493827355falsetruetruetrue183939001507953751556797062006

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsetruetrue0.005000.00500true
falsefalsefalsetruetrue0.005000.00500true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonRoberts Carroll Feldstein PeirceNamePerson
FieldValueIRS element (for citing)
RelationshipPartnerRelationship
Amount Of Transaction196017AmountOfTransaction
Description Of TransactionLegal ServicesDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
Explanation* Edward Feldstein, Trustee, is a partner in Roberts, Carroll, Feldstein and Peirce, a law firm that provides legal services to a sister company, Lifespan Risk Services. The common parent of RIH and Lifespan Risk Services is Lifespan Corporation. During fiscal year 2012, Lifespan Risk Services paid Roberts, Carroll, Feldstein and Peirce $196,017 for services regarding RIH matters.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (18 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Schedule K, Part VThe Hospital has in place written post-issuance tax compliance procedures for tax-exempt obligations. To ensure that its bonds continue to qualify for tax-exempt status, the Hospital consults with bond counsel and other legal counsel and advisors, as needed, to ensure that all applicable post-issuance requirements are met. The Hospital has not identified any non-compliance with the requirements of its tax-exempt bonds.
Form 990, Schedule K, Part I, Line B, Column (f)The proceeds of the Series 2009A Bonds are being used for the purposes of financing projects consisting of: (i) the acquisition, construction, renovation, expansion and equipping of certain hospital and related health care facilities owned and operated or to be owned and operated by one or more of Rhode Island, The Miriam or Emma Pendleton Bradley Hospitals, located at and in the vicinity of the Hospital Campuses; (ii) equipping, furnishing and improving facilities and other depreciable assets used in health care operations on the Hospital Campuses; (iii) the funding of a debt service reserve fund for the Bonds; and (iv) the payment of certain expenses of issuance with respect to the Bonds.
Form 990, Schedule K, Part I, Line A, Column (f)The proceeds of the Series 2006A Bonds were used: (i) to advance refund a portion of the $214,585,000 Hospital Financing Revenue Bonds, Lifespan Obligated Group Issue, Series 1996; (ii) to advance refund a portion of the $78,000,000 Hospital Financing Revenue Bonds, Lifespan Obligated Group Issue, Series 2002 and (iii) to pay certain expenses incurred in connection with the issuance of the Series 2006A Bonds.
Form 990, Part XII, Line 2While the Hospital did not produce a separate audited financial statement as of and for the year ended September 30, 2012, it was included in Rhode Island Hospital and Affiliates' consolidated audited financial statements, which include Rhode Island Hospital, RIH Ventures, and Radiosurgery Center of Rhode Island, LLC. There are no regulatory or creditor stipulations which require the preparation of a separate audited financial statement for the organization.The Lifespan Audit and Compliance Committee assumes responsibility for oversight of the audit of RIH's consolidated financial statements and the selection of Lifespan's independent accountant.
Form 990, Part VI Section B, Lines 15 a&b contBase Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her assessment of individual performance or other pertinent information, for the Committee's consideration.New Participants in Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, the office of the 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 with acceptance of a reasonable compensation offer.
Form 990, Part VI Section B, Lines 15 a&bThe following applies to Lifespan and all of its affiliates, including Rhode Island Hospital:EXECUTIVE COMPENSATIONLifespan's executive compensation philosophy balances appropriate stewardship of resources and the need to be competitive in recruiting and retaining talented individuals. It incorporates market-competitive and performance-related principles, and covers the President and CEO of Lifespan as well as other officers, senior management and key employees. Lifespan's executive compensation program complies with both law and contemporary ethical norms, and is administered consistent with the organization's tax-exempt status under Section 501(c)(3) of the Internal Revenue Code (IRC) and the avoidance of transactions subject to intermediate sanctions under Section 4958 of the IRC. Executive compensation is also administered consistent with Lifespan's Corporate Compliance Policy on Excess Benefit Transactions.The Compensation Committee of the Lifespan Corporation Board of Directors (the Committee), comprised of disinterested Lifespan and affiliate Board members, is responsible for diligent oversight of executive compensation to ensure compliance with IRC requirements. Its duties include:* Approving eligibility for participation in the executive compensation program * Approving changes in compensation for existing executive participants * Approving guidelines, such as salary ranges and contract terms, on appropriate levels of compensation for other key employees* Approving new, and modifying or terminating existing, executive compensation plans including, but not limited to, annual 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.
Form 990, Part VI Section B, Line 12cLifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including Rhode Island Hospital, and administered by Lifespan's Corporate Compliance Department as follows: Each designated person subject to Lifespan's conflict of interest policy is required to provide Lifespan with an initial disclosure statement and thereafter an annual statement attesting that (i) the designated person has read and is familiar with this policy, and (ii) the designated person and, to the best of his/her knowledge, family members, have not in the past engaged in, are not presently engaging in, or plan to engage in, any activity which contravenes this policy.If, at any time during the course of employment or association, a designated person has reason to believe that an existing or contemplated activity may contravene this policy, the person shall submit a full written description of the activity to the Lifespan Compliance Officer or the Office of the General Counsel to seek a determination as to whether the contemplated activity does or does not contravene this policy. (For the bulk of Lifespan management staff knowledge 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 Trustee, a full written disclosure must be made to, and a determination sought from, the Chairman of the Board of Directors of Lifespan Corporation.Annually, the Lifespan Compliance Officer shall review and report to the Lifespan Executive Corporate Compliance Committee and to the Lifespan Audit and Compliance Committee on the administration of this policy.Failure on the part of any designated person to comply with this policy, including failure to submit in a timely fashion the conflict of interest disclosure statement, will be grounds for removal from his/her position and/or termination of his/her employment with Lifespan.
Form 990, Part III, Line 4c, continuedMajor areas of research include:Cancer: RIH participates in clinical trials of new therapeutic agents in both adult and pediatric medicine. These trials are supported by the National Cancer Institute and include the Cancer and Leukemia Group B (CALGB), Pediatric Oncology Group (POG), and National Surgical Adjuvant Breast and Bowel Project (NSABP). RIH is a participating hospital in the Brown University-sponsored Cancer Oncology group (BrUCOG).The Liver Research Center: The Liver Research Center emphasizes studies relating to the molecular biology of liver diseases such as Hepatitis B and C and cellular carcinoma.Heart Disease: Clinical research continues in antithrombolytic therapy and anticoagulant therapy. General research continues in areas of invasive therapy, such as angioplasty, artherectomy, coronary stenting, and laser treatment of coronary artery disease.Neurological Illness: The Alzheimer's Disease and Memory Disorder combines high quality neurological, neuropsychologic, and psychiatric services, thus creating a comprehensive diagnostic and treatment center for patients with memory disorders.Stroke: The Stroke Center at Rhode Island Hospital provides services to more than 900 adult and geriatric patients with suspected transient ischemic attack (TIA) or stroke annually in Rhode Island and Southeastern Massachusetts. As the region's only primary stroke center located within a Level 1 trauma center, Rhode Island Hospital is uniquely qualified to provide the most advanced clinical care to acute stroke patients. Other major research areas included multiple sclerosis, epilepsy, Parkinson's disease, and other movement disorders.
Form 990, Part III, Line 4b, continuedUnder an affiliation agreement with The Warren Alpert Medical School of Brown University (Brown), RIH participates jointly in various clinical training programs and research activities. In 2010, Brown named RIH its Principal Teaching Hospital. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. The Hospital currently sponsors 46 graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring another 26 hospital-approved residency and fellowship programs. The Hospital serves as the principal setting for these clinical training programs, which encompass the following disciplines: internal medicine and medicine subspecialties, including hematology and oncology; orthopedics and orthopedic subspecialties; clinical neurosciences; general surgery and surgical specialties; pediatrics and pediatric specialties, including hematology and oncology; dermatology; radiology; pathology; child psychiatry; emergency medicine and emergency medicine specialties; dentistry; and medical physics. In 2012, Brown University enrolled 455 students in undergraduate medical education programs. All medical students at Brown receive training at RIH. The Hospital teaching faculty help to ensure that the experience for both undergraduate and graduate medical education trainees remains transformative - transforming novice practitioners into physicians able to think, act, and keep their focus on the ultimate goal of providing the best and most appropriate care for patients no matter what the setting or circumstances. The Hospital is also a participating clinical training site for another 200 residents and fellows based at other institutions in anesthesiology, general surgery, family medicine, infectious disease, pulmonary medicine, rheumatology, obstetrics/gynecology (OB/Gyn) and OB/Gyn subspecialties, otolaryngology, podiatry, psychiatry, geriatric psychiatry, orthopedics, pediatric dentistry, colorectal surgery, and radiation oncology programs.With respect to nursing education, the Hospital has developed educational affiliations with the University of Rhode Island College of Nursing; Rhode Island College School of Nursing; Community College of Rhode Island; Salve Regina University; Boston College; Yale University; Regis College; Simmons College; St. Joseph's Health Services' School of Nursing; the University of Massachusetts campuses at Dartmouth, Boston, Amherst and Worcester; the University of Connecticut; New England Technical Institute; Walden University; and the University of Pennsylvania, as well as other Schools of Nursing, pursuant to which their nursing students obtain clinical training and experience at the Hospital. The Hospital does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.RIH sponsors training programs in the following medical fields: medical technology; diagnostic medical sonography; nuclear medicine technology; radiologic technology; mammography; computed tomography; and magnetic resonance imaging. At RIH, clinical affiliations/student clinical training programs are provided through contracts with a number of colleges and universities in the professional areas of speech-language pathology and audiology, physical therapy, physical therapy assistants, occupational therapy, and certified occupational therapy assistants. In addition, RIH serves as the clinical setting for training programs in histology, cytology, phlebotomy, child development and social work. RIH also has clinical affiliations/student clinical training programs for pharmacy students provided through contracts with a number of colleges and universities.
Form 990, Part III, Line 4a, continuedIn 2012, RIH discharged 34,089 inpatients with total inpatient days of 179,378, treated 149,867 patients in its emergency departments, performed 22,354 inpatient and outpatient surgical procedures, and cared for 174,892 patients in outpatient clinics.Special services, facilities and programs provided by RIH include the Comprehensive Cancer Center for adults; Cardiovascular Institute, comprised of cardiac catheterization, balloon angioplasty and open heart surgery; critical care services; microvascular surgery; nuclear cardiology; radiology; laboratory; renal dialysis; computerized tomography; orthopedics, including minimally invasive carpal tunnel surgery and cartilage transplants for knee defects; and magnetic resonance imaging (MRI). RIH is the designated Level I Trauma Center for the State of Rhode Island and southeastern Massachusetts, with a state-of-the-art emergency department (ED) and a dedicated pediatric ED. RIH's adult ED includes a dedicated radiology unit, including 4-slice and 16-slice CT scanners, ultrasound and x-ray machines; an all-inclusive chest pain center; a critical care unit for the most seriously injured and ill; and private treatment rooms. In 2007, RIH was the first hospital in New England to place a cardiac catheterization lab in its ED, providing faster care and preserving heart muscle function for acute cardiac patients. RIH provides a full range of services to patients, with particular expertise in diagnostic imaging, cardiology, oncology (both medical and radiation), neurosciences and orthopedics. RIH offers imaging with the PET/CT technology for cancer staging, while cardiac MRI and 64-slice cardiac CT scanners are powerful tools for evaluating heart disease and function. The Anne C. Pappas Center for Breast Imaging is the only facility in the state to be designated a Breast Imaging Center of Excellence by the American College of Radiologists. In the area of cancer services, RIH pioneered image-guided tumor ablation, which shrinks or eliminates tumors by destroying them with heat (microwave ablation and radiofrequency ablation) or by freezing them (cryoablation). In addition, radiation oncology services include a linear accelerator for image-guided radiotherapy and stereotactic radiosurgery, as well as electronic brachytherapy for early-stage breast cancer patients, which reduces average treatment times from eight weeks to five days. In the area of surgical oncology, RIH is the only hospital in the state and one of only a few hospitals in New England to offer hyperthermic intraperitoneal chemoperfusion (HIPEC) for patients with advanced cancer of the abdomen. In the sphere of neurosurgery, RIH features one of the first gamma knife surgical centers in the United States, which offers intracranial stereotactic radiosurgery for the non-invasive treatment of brain lesions previously inaccessible or unsuccessfully treated by conventional therapies.Rhode Island Hospital provides a wide-range of adult, adolescent, and child behavioral health services. Related behavioral health services programs and research provided include: psychiatry emergency services for adults, adolescents, and children; psychiatry consultation liaison services; correctional psychiatry program; inpatient and geriatric psychiatry programs; mood disorders program; gambling treatment program; anxiety disorders program; body dysmorphic disorder program; behavioral sleep medicine program; substance abuse treatment program; neuropsychiatric services; adult and pediatric neuropsychology services; adult and pediatric partial hospitalization programs; family research program; and Bradley/ Hasbro Children's Research Center.
Form 990, Part I, Line 6Volunteers support and contribute to the mission of RIH and HCH every day, giving their time, energy and enthusiasm. Throughout the hospital, they are able to learn, meet other dedicated volunteers, better understand the healthcare environment, and gain personal satisfaction knowing they are making a difference to patients, families and visitors alike.Volunteer positions are available for both teens and adults in a wide variety of positions, including greeters, family liaisons, emergency room support, gift shop support, nurse aides, office support, pet therapy, physical therapy, patient visitors, recovery room support, art therapy, and central transporters. Volunteers also transport students and serve as guides, escorts, and interpreter aides.
RIH also offers pediatric services through its pediatric division, Hasbro Children's Hospital (HCH). HCH's specialties include cardiology, orthopedics, and hematology/oncology. HCH also has the area's only center for pediatric imaging, as well as the area's only pediatric intensive care unit, pediatric oncology and outpatient cardiac programs, pediatric emergency department, and pediatric surgical unit. It operates specialty clinics treating children ranging in age from newborn to 18 years. Services and programs include adolescent medicine, the Asthma and Allergy Center, the Children's Neurodevelopment Center, the Child Life Program, the Child Protection Program, dermatology, gastroenterology, infectious disease, the Injury Prevention Center, the Kidney Transplant Center, nephrology, neurosurgery, nutrition, the Partial Hospitalization Program, surgery, plastic surgery, primary care clinic, rehabilitation services, Sickle Cell Clinic, and urology.Additional special services, facilities and programs furnished by RIH include: the endovascular hybrid operating room suite (the only one of its kind in Rhode Island, the suite's design provides vascular surgeons with the flexibility to perform minimally invasive procedures and traditional open surgeries simultaneously with limited anesthesia); adult and pediatric kidney and pancreas transplant center; Alzheimer's disease and memory disorders center; an adult and pediatric hemostasis and thrombosis center; an adult and pediatric diabetes and endocrinology center; colorectal care center; and the transfusion-free medicine and surgery program, one of only two such formalized programs in New England. RIH also holds designation or certification as a bariatric surgery center of excellence; adult and pediatric burn center; breast imaging center of excellence, primary stroke center; and the distinction center for spine surgery, knee and hip replacement, and complex and rare cancers.RIH provides full charity care for individuals at or below twice the federal poverty level, with a sliding scale for individuals up to four times the poverty level. In addition, a substantial discount is offered to all other uninsured patients. The Hospital determines the costs associated with providing charity care by aggregating the applicable direct and indirect costs, including compensation and benefits, supplies, and other operating expenses, based on data from its costing system. The total cost, excluding medical education and research, incurred by the Hospital to provide charity care amounted to $48,012,732 in fiscal 2012. Charges forgone, based on established rates, amounted to $175,109,000.RIH substantially subsidized various health services including the following programs: adult psychiatry, dental, adolescent, and Alzheimer's, as well as the Center for Special Children, early intervention, and certain other specialty services at a cost of $8,997,646 in fiscal year 2012. RIH also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation, immunization and nutrition programs, diabetes education, stroke and burn survivor support groups, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions. The cost of these services amounted to $304,788 in fiscal 2012.In 2012, Lifespan, on behalf of Rhode Island Hospital and The Miriam Hospital, reached an agreement with the City of Providence to make voluntary payments of $800,000 a year for three years, for a total of $2.4 million to help stabilize the city's financial health. RIH's share of the voluntary payment is $584,000 a year, for a total of $1,752,000. Lifespan has always maintained a strong commitment to Providence through its many community-based programs, as well as through the charity care it provides. Community programs provide support to the city through various clinics, community health programs, employment training initiatives, youth employment and mentoring programs, and substantial financial support to various city programs. As an organization, Lifespan understands that the fiscal health of the City of Providence is vital to the economic health of the entire State of Rhode Island. The agreement is a groundbreaking partnership that demonstrates Lifespan's commitment to help ensure a strong and vital Providence.RIH is accredited by The Joint Commission, the Accreditation Council for Graduate Medical Education for residency and fellowship training, the Accreditation Council for Continuing Medical Education of the Rhode Island Medical Society, the American College of Surgeons' Commission on Cancer, the Joint Review Committees on Educational Programs in Nuclear Medicine Technology and Radiologic Technology, the Commission of Accreditation of Allied Health Education Programs, and the National Accrediting Agency for Clinical Laboratory Sciences.In 2012, Rhode Island Hospital's adult cardiothoracic intensive care unit received its second Beacon Award for Critical Care Excellence. Rhode Island Hospital's diagnostic imaging department was awarded Healthcare Technology Management's first Best Practices in Healthcare Technology Management Award. The award recognizes the Hospital's effort to establish and sustain a culture of safety. The Comprehensive Cancer Center at Rhode Island Hospital was recognized by the Quality Oncology Practice Initiative (QOPI) Certification Program for delivering high-quality patient care. The QOPI Certification Program, an affiliate of the American Society of Clinical Oncology, provides a three-year certification for outpatient hematology-oncology practices that meet the highest standards for quality cancer care. In addition, RIH was named one of the 25 best hospitals to work for in the U.S. by Healthcare Business & Technology.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableLifespan and the Lifespan Obligated Group, which consists of RIH, The Miriam Hospital, Emma Pendleton Bradley Hospital, Rhode Island Hospital Foundation, and The Miriam Hospital Foundation, currently make their annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification LLC), a disclosure dissemination agent for issuers of the tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. In addition, copies of the Hospital's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Lifespan Chief Financial Officer, either in person or by mail.Form 990, Part VI, Line 19
Form 990, Part VI, Line 11: 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 is sent to Rhode Island Hospital'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.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersLifespan has the responsibility for planning, directing and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Lifespan, in addition to those noted above, include: to approve amendment of the Articles of Incorporation and Bylaws and other Charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness.Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe bylaws of Rhode Island Hospital (RIH) confer certain reserved powers on Lifespan to provide it with the means of effective oversight, coordination and support of the system. Powers reserved to Lifespan include: to elect and remove trustees and to approve the election of and to remove certain officers. At each annual meeting of the RIH Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of RIH so that it can be approved and submitted to Lifespan for ratification and election.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderLifespan Corporation is the sole corporate member of Rhode Island Hospital.Form 990, Part VI, Line 6
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtTimothy J. Babineau, M.D., President, and Mary A. Wakefield, CFO, are employed by and officers of Lifespan Corporation. Ms. Wakefield is also an officer VNA Technicare, Inc.(VNA). Frederick J. Macri, Officer, is employed by Lifespan Corporation and an officer of VNA. Penelope H. Dennehy is employed by Rhode Island Hospital.Form 990, Part VI, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (19 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivitiesPrimaryActivitiesLegal Domicile Foreign CountryLegalDomicileForeignCountryExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
RI Sound Enterprises Insurance Co Ltd
65 Front StreetHamiltonBDHM 12Offshore Insurance CaptiveBDN/AN/ALifespan Corporationfalse
Lifespan Physician Group Inc
Health Care Services501(c)(3)9Lifespan Corporationfalse167 Point StreetProvidenceRI02903050389801RI
The Neurology Foundation Inc
Medical Care501(c)(3)11NAfalse34 Parsonage StreetProvidenceRI02903050448314RI
The Miriam Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050377502RI
The Miriam Hospital
Health Care Services501(c)(3)3Lifespan Corporationfalse164 Summit AvenueProvidenceRI02906050258905RI
Rhode Island Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050468736RI
RIH Ventures
Parking Facilities/ Phlebotomy Services501(c)(3)11Lifespan Corporationfalse593 Eddy StreetProvidenceRI02903050448686RI
NHCC Medical Associates Inc
Health Care Services501(c)(3)11Newport Health Care Corporationfalse11 Friendship StreetNewportRI02840050472268RI
Newport Hospital Foundation Inc
Philanthropic Activities501(c)(3)7Newport Health Care Corporationfalse11 Friendship StreetNewportRI02840222535533RI
Newport Hospital
Health Care Services501(c)(3)3Newport Health Care Corporationfalse11 Friendship StreetNewportRI02840050258914RI
Newport Health Property Management Inc
Property Management501(c)(3)11Newport Health Care Corporationfalse11 Friendship StreetNewportRI02840222335539RI
Newport Health Care Corporation
Holding Company/ Mgmnt Services501(c)(3)7Lifespan Corporationfalse11 Friendship StreetNewportRI02840222535537RI
Lifespan of Massachusetts Inc
Holding Company501(c)(3)11Lifespan Corporationfalsec/o Archstone Law 245 Winter StWalthamMA02451043408517MA
Lifespan Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050493219RI
Lifespan Diversified Services
Holding Company/ Mgmnt Services501(c)(3)11Lifespan Corporationfalse167 Point StreetProvidenceRI02903050258935RI
Lifespan Corporation
Holding Company/ Mgmnt Services501(c)(3)11NAfalse167 Point StreetProvidenceRI02903222861978RI
Hospital Properties Inc
Property Management501(c)(4)Lifespan Corporationfalse593 Eddy StreetProvidenceRI02903222869743RI
Emma Pendleton Bradley Hospital
Pediatric Psychiatric Health Care Services501(c)(3)3Lifespan Corporationfalse1011 Veterans Memorial ParkwayEast ProvidenceRI02915050258806RI
Bradley Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050500688RI

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Lubris LLC
111 Speen Street Suite 303FraminghamMA01701270582012TechnologyMANARelated-1410-1413falsefalse0.07500
Southern New England Rehabilitation Ptr
200 High Service AvenueNorth ProvidenceRI02904050482868Rehab SvcsRINARelated55664falsetrue0.50000
Radiosurgery Center of Rhode Island LLC
593 Eddy StreetProvidenceRI02903262171671Radiosurg.RINARelated-6082253038536falsetrue0.55000
Orthopedic MRI of Rhode Island LLC
100 Butler DriveProvidenceRI02906261293469Imaging SvcRINARelated101542212509falsefalse0.33330
MRICT of Providence LLC
20 Catamore BoulevardEast ProvidenceRI02914043563061Imaging SvcRINARelated-5088685039falsefalse0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipEINEINBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
AHB Will co Bank of America
11 Westminster StreetProvidenceRI029032305PhilanthropicRIN/AT158274037541.00000
VNA Technicare Inc
622 George Washington HighwayLincolnRI02865DME SalesRIC050472710LDS Inc
Lifespan Risk Services Inc
167 Point StreetProvidenceRI02903Risk MgmntRIC050459767Lifespan Corp
Lifespan MSO Inc
167 Point StreetProvidenceRI02903Mgmnt SvcsRIC050508717Lifespan Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Southern New England Rehabilitation Ptr
r314056Cash Basis
Radiosurgery Center of Rhode Island LLC
p438148Accrual
Radiosurgery Center of Rhode Island LLC
n344014Accrual
Radiosurgery Center of Rhode Island LLC
b275000Cash Basis
Radiosurgery Center of Rhode Island LLC
a110557Accrual
Hospital Properties Inc
j569021Accrual
Hospital Properties Inc
c114316Accrual

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