THE MIRIAM HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: THE MIRIAM HOSPITAL (EIN 05-0258905)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-14
IRS object ID: 201332269349303648
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-14T14:02:04-07:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2 Financial Center 60 South St	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02111	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	050258905	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	The Miriam Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MIRI	NameControl
Phone	4017932500	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	164 Summit Avenue	AddressLine1
City	Providence	City
State	RI	State
ZIP Code	02906	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Mary A Wakefield	Name
Title	EVP & CFO	Title
Date Signed	2013-08-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6179881000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Timothy J Babineau MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	164 Summit Avenue	AddressLine1
City	Providence	City
State	RI	State
ZIP Code	02906	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	479098337	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.miriamhospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1926	YearFormation
State Legal Domicile	RI	StateLegalDomicile
Activity Or Mission Description	The mission of The Miriam Hospital(TMH) is to inspire one another to improve the health and spirit of the lives we touch.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	2846	TotalNbrEmployees
Total Nbr Volunteers	874	TotalNbrVolunteers
Total Gross UBI	2645449	TotalGrossUBI
Net Unrelated Business Txbl Income	152121	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3004364	ContributionsGrantsPriorYear
Contributions Grants Current Year	8435033	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	391208224	ProgramServiceRevenuePriorYear
Program Service Revenue CY	411609404	ProgramServiceRevenueCY
Investment Income Prior Year	1825832	InvestmentIncomePriorYear
Investment Income Current Year	8701381	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8994542	OtherRevenuePriorYear
Other Revenue Current Year	15532616	OtherRevenueCurrentYear
Total Revenue Prior Year	405032962	TotalRevenuePriorYear
Total Revenue Current Year	444278434	TotalRevenueCurrentYear
Grants And Similar Amnts CY	507193	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	179893033	SalariesEtcPriorYear
Salaries Etc Current Year	183243201	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	220130266	OtherExpensePriorYear
Other Expenses Current Year	233040198	OtherExpensesCurrentYear
Total Expenses Prior Year	400023299	TotalExpensesPriorYear
Total Expenses Current Year	416790592	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5009663	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	27487842	RevenuesLessExpensesCY
Total Assets BOY	372660071	TotalAssetsBOY
Total Assets EOY	400605850	TotalAssetsEOY
Total Liabilities BOY	135106742	TotalLiabilitiesBOY
Total Liabilities EOY	138226843	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	237553329	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	262379007	NetAssetsOrFundBalancesEOY
Mission Description	The mission of The Miriam Hospital(TMH) is to inspire one another to improve the health and spirit of the lives we touch.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	315813554	Expense
Grants	507193	Grants
Revenue	400021178	Revenue
Description	Patient Care:Services and programs provided by TMH include general medicine; general surgery; emergency medicine; cardiovascular care; orthopedics; nuclear cardiology; radiology; laboratory; renal dialysis; urology; gastroenterology; endocrinology; gynecology; nephrology; neurology; ophthalmology; trauma care; computerized tomography; and magnetic resonance imaging (MRI). During November 2011, the Total Joint Center, a program of the Orthopedic Institute at Rhode Island Hospital, began operations at TMH. (Continued on Schedule O).	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	27674800	Expense
Revenue	23990800	Revenue
Description	Research:Since 1969, the level of research has increased from seven projects totaling $127,000 involving nine investigators to 355 projects totaling $27.7 million involving 76 investigators and 162 employees. The following represents significant areas of research being conducted at the Hospital: cancer treatment and prevention, epidemiological research, clinical trials in AIDS and HIV infection (including vaccine development), coronary heart disease, nutrition, exercise, weight control and lifestyle risk factors affecting health. TMH provided $3.7 million in support of research activities in fiscal year 2012. (Continued on Schedule O).	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	21455237	Expense
Revenue	2790585	Revenue
Description	Medical Education:TMH provides the setting for and substantially supports medical education in various clinical training and nursing programs. TMH is designated as a major teaching affiliate of The Warren Alpert Medical School of Brown University. The total cost of direct medical education provided by the Hospital exceeded the reimbursement received from third-party payors by $18.7 million in fiscal year 2012. (Continued on Schedule O).	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	364943591	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	191	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2846	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Mary A Wakefield	NamePerson
Telephone Number	4014447093	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	167 Point Street	AddressLine1
City	Providence	City
State	RI	State
ZIP Code	02903	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Brian J Zink MD
Trustee	2.00	X	0	0	0
Jane Williams RN PhD
Trustee	0.00	X	0	0	0
Fred J Schiffman MD
Trustee	1.20	X	0	0	0
Lawrence Sadwin
Trustee	3.00	X	0	0	0
James A Procaccianti
Trustee	2.00	X	0	0	0
Michael J Perik
Trustee	1.00	X	0	0	0
David A Marcoux MD
Trustee	2.00	X	0	0	0
Joseph J MarcAurele
Trustee	2.00	X	0	0	0
Alan H Litwin
Chairman	6.00	X	0	0	0	X
Bertram M Lederer
Vice Chairman	3.00	X	0	0	0	X
Phillip Kydd
Trustee	3.00	X	0	0	0
Mary Jo Kaplan
Secretary	3.00	X	0	0	0	X
Dayle H Joseph MSEdD
Trustee	4.00	X	0	0	0
Michael L Hanna
Treasurer	4.00	X	0	0	0	X
Brian Goldner
Trustee	0.50	X	0	0	0
Edward D Feldstein
Trustee	2.00	X	0	0	0
Jonathan J Elion MD
Trustee	2.00	X	0	0	0
Penelope H Dennehy MD
Trustee	2.00	X	0	199992	21912
Ellen A Collis
Trustee	1.50	X	0	0	0
Jeffrey G Brier
Trustee	2.00	X	0	0	0
Edmund C Bennett
Vice Chairman	2.00	X	0	0	0	X
Roger N Begin
Trustee	2.00	X	0	0	0
Emanuel Barrows
Trustee	1.50	X	0	0	0
Timothy J Babineau MD
President & CEO	13.00	X	0	833462	145667	X
Lawrence A Aubin Sr
Trustee	1.00	X	0	0	0
Mary A Wakefield
EVP & CFO	12.00		0	677833	101701	X
Arthur J Sampson
Executive Director	40.00		0	481412	87140		X
Maria Ducharme
Chief Nursing Officer	40.00		221784	0	62460		X
Jeffrey M Burock MD
Physician	40.00		255080	0	35802			X
Robert W Corwin MD
Senior VP & CMO	40.00		365058	0	23054			X
Lisa Goldstein MD
Physician	40.00		252241	0	23119			X
Rogers C Griffith MD
Physician	40.00		339259	0	35463			X
Rena R Wing
Psychologist	40.00		273484	0	25765			X
Kathleen Hittner MD
President & CEO	0.00		0	834997	29278				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1706906	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3027696	TotalReportableCompFrmRltdOrgs
Total Other Compensation	591361	TotalOtherCompensation
Number Individuals GT100 K	183	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
University Medicine Foundation Inc
17 Virginia Ave	Providence	RI	02905	Medical Services	8607623
Sodexo Inc
25 Royal Little Drive	Providence	RI	02904	Dietary/Cafe Svs	1301003
Quest Diagnostics Inc
12436 Collections Drive	Chicago	IL	60693	Laboratory Services	1267571
Narragansett Bay Anesthesia
164 Summit Avenue	Providence	RI	02906	Medical Services	1851798
Brown University
75 Waterman Street	Providence	RI	02912	Subcontracted Svcs.	1727794

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	30	NumberOfContractorsGT100K
Related Organizations	8295633	RelatedOrganizations
Government Grants	31808	GovernmentGrants
All Other Contributions	107592	AllOtherContributions
Total Contributions	8435033	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Temp Restricted (SPFs)	900099	1493063	1493063
Patient Service Rev	900099	381326593	381326593
Laboratory	621500	2591091		2591091
Direct Rev from Research	900099	26198657	26198657

Field	Value	IRS element (for citing)
Total Program Service Revenue	411609404	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3174806	TotalRevenueColumn
Exclusion	$3,174,806	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1069	TotalRevenueColumn
Exclusion	$1,069	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	799990	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	509440	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	290550	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	290550	TotalRevenueColumn
Unrelated Business Revenue	5451	UnrelatedBusinessRevenue
Exclusion	$285,099	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	39835969	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	34310463	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5525506	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	5525506	TotalRevenueColumn
Exclusion	$5,525,506	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Joint Venture Revenue	900099	7192533	7192533
Indirect Rev from Grants	900099	5104216	5104216
Cafeteria Revenue	722210	1158807	1158807

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1786510	TotalRevenueColumn
Related Or Exempt Function Income	1737603	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	48907	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	15242066	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	444278434	TotalRevenueColumn
Related Or Exempt Function Income	424211472	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2645449	UnrelatedBusinessRevenue
Exclusion	$8,986,480	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	507193	Total
Program Services	507193	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	290399	Total
Program Services	290399	ProgramServices

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	142737464	Total
Program Services	138230141	ProgramServices
Management And General	4507323	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5599051	Total
Program Services	5422525	ProgramServices
Management And General	176526	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	24547747	Total
Program Services	23879932	ProgramServices
Management And General	667815	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10068540	Total
Program Services	9751101	ProgramServices
Management And General	317439	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	3043	Total
Program Services	3043	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	372617	Total
Management And General	372617	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19578036	Total
Program Services	19495226	ProgramServices
Management And General	82810	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	122224	Total
Program Services	117777	ProgramServices
Management And General	4447	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	86853768	Total
Program Services	86594109	ProgramServices
Management And General	259659	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8958019	Total
Program Services	8175679	ProgramServices
Management And General	782340	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	703093	Total
Program Services	651154	ProgramServices
Management And General	51939	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	419310	Total
Program Services	398253	ProgramServices
Management And General	21057	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3493138	Total
Management And General	3493138	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11132284	Total
Management And General	11132284	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2119628	Total
Program Services	2119628	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
All Other Expenses	13169425	12248034	921391
License Fee	17700799	17700799
Provision for bad debts	24013379	24013379
Purch Svs & Equip Cont	44344484	15288268	29056216

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	56951	Total
Program Services	56951	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	416790592	Total
Program Services	364943591	ProgramServices
Management And General	51847001	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	14168190	BOY
EOY	14068133	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1464558	BOY
EOY	1514332	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	36464708	BOY
EOY	41439931	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	508141	BOY
EOY	318703	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4956106	BOY
EOY	5968500	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	888645	BOY
EOY	3427774	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	328083336	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	169223297	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	154894765	BOY
EOY	158860039	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	61584178	BOY
EOY	73630205	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	31534911	BOY
EOY	35075511	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	66195869	BOY
EOY	66302722	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	372660071	BOY
EOY	400605850	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	26928215	BOY
EOY	30020939	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	66056166	BOY
EOY	63953017	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	42122361	BOY
EOY	44252887	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	135106742	BOY
EOY	138226843	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	205353302	BOY
EOY	223650887	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	19575215	BOY
EOY	25771614	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12624812	BOY
EOY	12956506	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	237553329	BOY
EOY	262379007	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	372660071	BOY
EOY	400605850	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	27487842	ReconcilationRevenueExpenses
Reconcilation Other Changes	-2662164	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$3,043	OtherActivitiesAmount
Total Lobbying Expenditures IIB	3043	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	The Miriam Hospital pays membership fees to the Hospital Association of Rhode Island (HARI), a portion of which is allocated to HARI's lobbying efforts.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	97696217	BeginningOfYearBalance
Contributions	35666188	Contributions
Investment Earnings Or Losses	10411008	InvestmentEarningsOrLosses
Other Expenditures	32606107	OtherExpenditures
End Of Year Balance	111167306	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	96830355	BeginningOfYearBalance
Contributions	25953487	Contributions
Investment Earnings Or Losses	678572	InvestmentEarningsOrLosses
Other Expenditures	25766197	OtherExpenditures
End Of Year Balance	97696217	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	73337707	BeginningOfYearBalance
Contributions	40371010	Contributions
Investment Earnings Or Losses	8097713	InvestmentEarningsOrLosses
Other Expenditures	24976075	OtherExpenditures
End Of Year Balance	96830355	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.84750	BoardDesignatedEOYBalance
Term Endowment EOY Balance	0.15250	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4288032	OtherCostOrOtherBasis
Book Value	4288032	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	197681947	OtherCostOrOtherBasis
Depreciation	74455425	Depreciation
Book Value	123226522	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	121927103	OtherCostOrOtherBasis
Depreciation	94767872	Depreciation
Book Value	27159231	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4186254	OtherCostOrOtherBasis
Book Value	4186254	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	158860039	TotalOfBookValueLandBuildings
Total Of Book Value Securities	35075511	TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Trustee-held funds-bond indenture	8821673
Other	164318
Interest in Net Assets of TMH Foundation	53385328
Deferred financing costs	1469813

Field	Value	IRS element (for citing)
Total Book Value Other Assets	66302722	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
Third-party payor settlements	$6,913,972
Post-retirement benefit liability	$63,100
Lease payable	$425,195
Health care benefit self-insurance	$2,867,296
Due to affiliates	$106,424
Accrued pension liability	$33,696,900
Abatement liability	$180,000

Field	Value	IRS element (for citing)
Total Of Amounts	44252887	TotalOfAmounts
Total Revenue	444278434	TotalRevenue
Total Expenses	416790592	TotalExpenses
Excess Or Deficit For Year	27487842	ExcessOrDeficitForYear
Net Unrealized GL On Investments	2162927	NetUnrealizedGLOnInvestments
Other	-$4,825,091	OtherAmount
Total Adjustments	-2662164	TotalAdjustments
Excess Or Deficit Per FS	24825678	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	417739714	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	2162927	NetUnrealizedGainsInvestments
Other Revenues	-4825091	OtherRevenues
Revenue Not Rptd F990	-2662164	RevenueNotRptdF990
Revenue Subtotal	420401878	RevenueSubtotal
Investment Expenses Not Included	372617	InvestmentExpensesNotIncluded
Other Revenues Not Included	23503939	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	23876556	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	444278434	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	392914036	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	392914036	ExpensesSubtotal
Investment Expenses Not Included2	372617	InvestmentExpensesNotIncluded2
Other Expenses Not Included	23503939	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	23876556	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	416790592	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X	Part X : FIN48 Footnote	The Miriam 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 XIII, Line 4b	Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S	Debt-financed rental expenses $-12005 Non-debt-financed rental expenses $-497435 Provision for bad debts $24013379
Part XII, Line 4b	Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S	Debt-financed rental expenses $-12005 Non-debt-financed rental expenses $-497435 Provision for bad debts $24013379
Part XI, Line 8	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	Increase in Net Assets of TMHF $4003082 Change in funded status of pension and other postretirement $ -8828173 Decrease in Net Assets of TMHF $ -0
Part V, Line 4	Part V, Line 4: Intended uses of the endowment fund.	The Miriam Hospital's unrestricted endowment consists of designated assets set aside by the Hospital's Board for future capital improvements, over which the Board retains control and may at its discretion subsequently use for other purposes. The largest temporarily restricted funds held by the Hospital are used to support: (1) renovations of the Hospital's Emergency Department (ED) to provide the capacity, privacy, and efficiency that the community needs. These renovations will also improve patient transportation, work flow, and collaboration among team members; (2) creation of a 21-bed ambulatory unit for patients coming to the Hospital for such procedures as cardiac catheterizations and electrophysiology, which will enhance cardiac care, while freeing beds in inpatient care units and facilitating faster admissions from the ED and expanding ED capacity; (3) replacement of the Hospital's hybrid catheterization laboratory; (4) purchase of an upgraded surgical robot; (5) the treatment and prevention of cancer, including the Cancer Patient Navigator Program, which assists cancer patients through the entire course of their care; (6) the Hospital's capital equipment and operating needs in providing services to patients; and (7) purchase of equipment for the operating rooms in the Total Joint Center, where orthopedic surgeons perform procedures that restore function to damaged joints, including total hip, knee, and shoulder replacement using minimally invasive surgical techniques.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (5 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
Europe	Program Services	Research	7840
Middle East & No. Africa	Program Services	Research	9698
Sub-Saharan Africa	Program Services	Research	372188
South Asia	Program Services	Research	17659
East Asia & the Pacific	Program Services	Research	250

Field	Value	IRS element (for citing)
Subtotal Amount Spent	407635	SubtotalAmountSpent
Total Amount Spent	407635	TotalAmountSpent
No Recipient Over5 K	X	NoRecipientOver5K
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	true	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15330787	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2609414	DirectOffsettingRevenue
Net Community Benefit Expense	12721373	NetCommunityBenefitExpense
Percent Of Total Expense	0.03240	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	35046201	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29571257	DirectOffsettingRevenue
Net Community Benefit Expense	5474944	NetCommunityBenefitExpense
Percent Of Total Expense	0.01390	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	50376988	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32180671	DirectOffsettingRevenue
Net Community Benefit Expense	18196317	NetCommunityBenefitExpense
Percent Of Total Expense	0.04630	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	361467	TotalCommunityBenefitExpense
Direct Offsetting Revenue	56679	DirectOffsettingRevenue
Net Community Benefit Expense	304788	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21455237	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2790585	DirectOffsettingRevenue
Net Community Benefit Expense	18664652	NetCommunityBenefitExpense
Percent Of Total Expense	0.04750	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15892971	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12513727	DirectOffsettingRevenue
Net Community Benefit Expense	3379244	NetCommunityBenefitExpense
Percent Of Total Expense	0.00860	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	27674800	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23990800	DirectOffsettingRevenue
Net Community Benefit Expense	3684000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00940	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	165271	TotalCommunityBenefitExpense
Net Community Benefit Expense	165271	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	65549746	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39351791	DirectOffsettingRevenue
Net Community Benefit Expense	26197955	NetCommunityBenefitExpense
Percent Of Total Expense	0.06670	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	115926734	TotalCommunityBenefitExpense
Direct Offsetting Revenue	71532462	DirectOffsettingRevenue
Net Community Benefit Expense	44394272	NetCommunityBenefitExpense
Percent Of Total Expense	0.11300	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$5,491,860	BadDebtExpenseAmount
Amount Attributable To	938857	AmountAttributableTo
Amount Reimbursed By Medicare	79436116	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	83760153	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4324037	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	0	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	The Miriam Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	164 Summit Avenue	AddressLine1
City	Providence	City
State	RI	State
ZIP Code	02906	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	The Miriam Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	false	CHNAConducted
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.0000	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Lawsuit	X	PermitLawsuit
Permit Other Actions	X	PermitOtherActions
Collection Activities	true	CollectionActivities
Lawsuit	X	Lawsuit
Other Actions	X	OtherActions
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	14	NumberOfOtherFacilities

Other Facilities OtherFacilities (14 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
TMH Pre-admission Testing Center
208 Collyer Street 3rd Floor	Providence	RI	02904	Outpatient Pre-admission assessment and education
TMH Behavioral Medicine Clinic
146 West River Street	Providence	RI	02904	Outpatient Clinic
RISE TB Clinic
14 Third Street	Providence	RI	02906	TB Clinic
TMH Laboratory
400 Bald Hill Road	Warwick	RI	02886	Phlebotomy Lab
TMH Laboratory
1 Commerce Street	Lincoln	RI	02865	Phlebotomy Lab
TMH Outpatient Rehabilitation
195 Collyer Street	Providence	RI	02904	Outpatient PT, OT and Speech Rehab
TMH Laboratory
1 Hoppin Street	Providence	RI	02903	Phlebotomy Lab
TMH Cardiac RehabPulmonary Rehab
208 Collyer Street	Providence	RI	02904	Outpatient Cardiac Clinic
TMH Immunology Research
11 Fourth Street	Providence	RI	02906	Outpatient Research & Education
TMH Immunology Research Center
14 Third Street	Providence	RI	02906	Outpatient Counseling
TMH Weight Control & Diabetes Research
196 Richmond Street	Providence	RI	02903	Outpatient Research & Education
Womens Medicine Collaborative
146 West River Street	Providence	RI	02904	Comprehensive Women's Outpatient Clinic
Behavioral Medicine Research
1 Hoppin Street	Providence	RI	02903	Outpatient Research & Education
TMH Diagnostic Imaging Center
195 Collyer Street Suite 101	Providence	RI	02904	Outpatient Radiology

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part VI - Affilated Health Care System Roles and Promotion	Lifespan'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 TMH confer certain reserved powers on Lifespan to provide it with the means of effective oversight, coordination and support of the system. Powers reserved to Lifespan as sole member include: to elect and remove trustees; to approve the election of and to remove certain officers; to approve the amendment of the Articles of Incorporation and Bylaws and other Charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness.For a complete listing of affiliated members of Lifespan's integrated healthcare delivery system, please refer to Schedule R.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	The Miriam 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 The Miriam Hospital Foundation and the Chair of Rhode Island Hospital Foundation. Additionally, the Chair 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 Activities	The Hospital substantially subsidizes various health services including the following programs: oncology, tuberculosis, and certain other specialty services. The Hospital also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation, immunization and nutrition programs, diabetes education, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions.
Part VI - Community Information	The Miriam Hospital, located in Providence, Rhode Island, is a 247-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). The Hospital is designated as a major teaching affiliate of Brown. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically.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 among the leaders nationally in National Institutes of Health programs.
Part VI - Patient Education of Eligibility for Assistance	The Miriam Hospital has multilingual signage in the Hospital's main lobby and waiting areas which provides information on financial aid contacts. The Registration Department meets with patients at the outset of care to discuss eligibility for assistance. The Registration staff provides interested patients with a "Welcome" booklet which includes information on patient rights and responsibilities. The signage and booklets contain a telephone number which connects patients with Registration staff who can answer any additional questions that may arise after the patient has left the Hospital. Assistance eligibility is also summarized on the Hospital's website.
Part VI - Needs Assessment	Lifespan's Office of Strategic Planning and Analysis performs population-based studies for the Hospital regarding the need for inpatient medical and surgical services for both adults and children and a wide range of outpatient services including: primary care office visits, specialty care, emergency services, imaging, ambulatory surgery, and specific high technology services such as radiation therapy and bone marrow transplantation. A population-based study examines the growth and changes in the population, the resources in the community, and the changing prevalence of diseases. In addition to this approach, Lifespan Strategic Planning also examines experience with wait times, the level of staffing, and the changing standards of care. All of this information is used to assess the demand for additional services to provide access to high quality care.In addition to population approaches to assessing and estimating need, all specialties and services monitor demand at the service-specific level by considering changing patterns of care and methods of treatment for the specific medical problem, wait times for visits/queues, and community resources. The service leadership then goes through a review process to add staff, expanded hours, and/or new sub-components to round out core services on an as-needed basis. At times, expansion requires more space, equipment, and staff, but often accommodation of community demand is achieved through expanded hours. Facilities are added as needed to accommodate these expansions, but most often minor renovations of existing locations with better, more modern layouts and equipment allow for greater patient access.The RI State Certificate of Need program requires a focused study of need for all projects over $5.25 million, which is an important part of the program development process across Lifespan.Based on a broad understanding of community health needs, the Hospital provides a wide range of services to both its primary and secondary service 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, in 2006, the Hospital was the first in the region to use a new technology to remove clots quickly, mitigating the debilitating effects of stroke. Over the past three years, the Hospital has expanded its groundbreaking robotic surgery program. The Hospital is home to the state's first Joint Commission-Certified Stroke Center and the only Women's Cardiac Center in Rhode Island.
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	Uninsured 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 Engaged	The Hospital engages third-parties to perform certain collection actions on its behalf. A pre-collect company is used for all self-pay accounts. Additionally, a collection agency is used if there is no payment activity on such accounts after 120 days. The collection process is explained in further detail in the response to Question 15e above.	Number of Hospital Faciltiy - 0
Part V, Line 15e - Other Collection Actions Against a Patient	Once an account balance or a portion thereof is classified as self-pay, it is placed with the Hospital's pre-collect company until the balance is paid in full, a monthly payment plan is in place, or insurance information is provided for billing.After 120 days, if there is no payment activity, the account qualifies for bad debt and the pre-collect company returns the account to Patient Financial Services, which in turn forwards it to a collection agency.The collection agency sends 3 to 5 notices to the patient requesting payment. If there are no responses after the notices are sent, collection calls are made. If there is no response after 120 days, the account is reviewed for legal action in the appropriate court.If there are no assets to pursue, the collection agency deems the account uncollectible and returns it to Patient Financial Services for writeoff.Note: In accordance with Center for Medicare and Medicaid 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 Policy	An abbreviated version of the Hospital's financial assistance policy is posted in various admitting and outpatient areas of the Hospital. Additionally, registration personnel refer uninsured and/or low income patients to Patient Financial Counselors to discuss the policy and/or answer any questions they might have.	Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	The Hospital uses an outside pre-collection agency for all self-pay receivables. The pre-collection agency attempts to collect the debt for 120 days. During this time, 3 letters are sent to the patient's address of record and, for balances in excess of $50, attempts are made to reach the patient by telephone. If the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered. (Please refer to the Charity Care Eligibility Criteria and Additional Information sections for further detail on those processes.) If the pre-collection agency is unsuccessful in contacting the patient or no response is received within 120 days, the account is forwarded to a collection agency.The collection agency also sends statements and attempts to reach the patient via telephone. Again, if the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered. If no response is received, the claim is referred to small claims court and the patient is summoned to appear. If the patient does not appear, the Hospital will receive a judgment in its favor. If the Hospital learns that the claim has a related settlement, i.e., an automobile accident, the Hospital can put a lien on such settlement. Alternatively, if the collection agency deems the account uncollectible, it will be written off.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Medicare 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 Expense	Accounts 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 $21,191,000 and $19,107,000, 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 $24,013,379 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 Expense	The calculation of percentages disclosed for Schedule H, Part I, Line 7, column (f) "percent of total expense", does not include bad debt expense. Form 990, Part IX, Line 25 includes bad debt expense of $24,013,379.
Part I, Line 7 - Explanation of Costing Methodology	The Hospital's costing methodology used to calculate the amounts reported in Part I, Line 7 is as follows:a) Financial Assistance at cost- involves utilization of a ratio derived from dividing patient costs, as defined, by patient charges, as defined, and applying that percentage to total charity care 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 profession 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, 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 determined by using direct costs recorded in the general ledger and adding 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)	The Miriam 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

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
Thundermist Health Center
191 Social Street	Woonsocket	RI	02895	050355097	501(c)(3)	41250	0	Health Pgm Support
Mt Hope Neighborhood Assoc
199 Camp Street	Providence	RI	02906	222599257	501(c)(3)	8490	0	General Support
Mt Hope Learning Center
140 Cypress Street	Providence	RI	02906	050502405	501(c)(3)	9000	0	General Support
Jewish Alliance of Greater RI
401 Elmgrove Avenue	Providence	RI	02906	274127671	501(c)(3)	5250	0	General Support
Groundwork Providence
8 Third Street	Providence	RI	02906	050397766	501(c)(3)	18000	0	General Support
Family Service of RI Inc
PO Box 6688	Providence	RI	02940	050258858	501(c)(3)	6500	0	General Support
Downtown 5K Inc
183 Purgatory Road	Exeter	RI	02822	223047066	501(c)(3)	10000	0	General Support
City of Providence
25 Dorrance Street	Providence	RI	02903	056000329	Gov't Org.	216000	0	Payment in lieu of taxes
Brown University
164 Angell Street	Providence	RI	02912	050258809	501(c)(3)	149211	0	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	9	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Additional Supplemental Information	Identifier
Explanation	The Miriam Hospital is committed to community programs and provides support to various charitable organizations in Rhode Island. 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Timothy J Babineau MD
670179	113906	49377	123194	22473	979129	21386
Rogers C Griffith MD
							321352	10000	7907	15485	19978	374722
Robert W Corwin MD
							239319		125739	7298	15756	388112	77800
Rena R Wing
							266271		7213	17308	8457	299249
Penelope H Dennehy MD
193064	2470	4458	12594	9318	221904
Mary A Wakefield
499573	84291	93969	85853	15848	779534	67780
Maria Ducharme
							204843		16941	42760	19700	284244
Lisa Goldstein MD
							239174	11000	2067	14678	8441	275360
Kathleen Hittner MD
467419	79819	287759	9800	19478	864275	206559
Jeffrey M Burock MD
							206573	40000	8507	14617	21185	290882
Arthur J Sampson
350388	59400	71624	70685	16455	568552	45490

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part I, Line 1a	Identifier
Return Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	ReturnReference
Explanation	Tax Indemnification and Gross-up Payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii).Social Club Dues:The job responsibilities of certain executives include development of relationships with business leaders and donors. Those relationships are facilitated by the ability to meet in private sessions during which focused business discussions take place. The Hope and University Clubs, which require individual memberships, are places in Providence where businessmen and women, civic, community and social leaders can gather in a business-like atmosphere. The cost of membership is considered by Lifespan to be reasonable and necessary and thus a qualified business expense not taxable to the employee. IRS regulations regarding documentation requirements are followed for any payments made for meetings held at the respective club, including the business purpose and nature of the business benefit derived; the nature of the business discussion or activity; and the identity and business relationship of attendees.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
RI Health & Ed Bldg Corp
521300173	762243K36	2009-03-30	19582506	See Part V	false	false	true
RI Health & Ed Bldg Corp
521300173	762243SS3	2006-02-14	40725126	See Part V	false	false	true

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion
19582506	1955663	288639	339121	10338881	6660202	false	false	false	true
40725126		348652	968829			false	true	true	true	4656100	37924625	39407645	2006

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	true	true	0.00500	0.00500	true
false	true	false	true	true	0.00970	0.00970	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Jessica Brier
Employee	102665	Employee Compensation	false
Roberts Carroll Feldstein & Peirce
Partner	113159	Legal Services	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS 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 TMH and Lifespan Risk Services is Lifespan Corporation. During fiscal year 2012, Lifespan Risk Services paid Roberts, Carroll, Feldstein and Peirce $113,159 for services regarding TMH matters.* The wife of Jeffrey Brier is employed by The Miriam Hospital as a Cardiovascular Clinical Nurse Specialist. In fiscal year 2012, The Miriam Hospital paid Jessica Brier $102,665 for her services.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (20 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Schedule K, Part V:	The Hospital has in place written post-issuance tax compliance procedures for tax-exempt obligations. To ensure that its bonds continue to qualify for tax-exempt status, the Hospital consults with bond counsel and other legal counsel and advisors, as needed, to ensure that all applicable post-issuance requirements are met. The Hospital has not identified any non-compliance with the requirements of its tax-exempt bonds.
Form 990, Schedule K, Part I, Line B, Column (f)	The proceeds of the Series 2009A Bonds are being used for the purposes of financing projects consisting of: (i) the acquisition, construction, renovation, expansion and equipping of certain hospital and related health care facilities owned and operated or to be owned and operated by one or more of Rhode Island, The Miriam, or Emma Pendleton Bradley Hospitals, located at and in the vicinity of the Hospital Campuses; (ii) equipping, furnishing, and improving facilities and other depreciable assets used in health care operations on the Hospital Campuses; (iii) the funding of a debt service reserve fund for the Bonds; and (iv) and 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 VI, Section B, Lines 15 a&b cont.	Base Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her assessment of individual performance or other pertinent information, for the Committee's consideration.New Participants in Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, the office of the 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&b	The following applies to Lifespan and all of its affiliates, including The Miriam 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 12c	Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including The Miriam 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 awareness of this requirement shall be acknowledged as part of the annual performance evaluation process.) If the activity in question involves either the Chief Executive Officer, the Senior Vice President and General Counsel, or a 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, 4c	In 1969, TMH and certain other Rhode Island hospitals entered into an affiliation agreement to participate jointly in various clinical training programs and research activities with Brown Medical School, renamed The Warren Alpert Medical School of Brown University (Brown). The goals of the partnership are to facilitate the expansion of joint educational and research programs to compete both clinically and academically.TMH participates in Brown programs in internal medicine and medicine subspecialties, general surgery and surgical subspecialties, psychiatry, emergency medicine, orthopedics, and dermatology and provides stipends to residents and physician fellows while in training. The Hospital is also a participating clinical training site for residents from other programs in infectious disease, OB/Gyn subspecialties, podiatry, psychiatry, geriatric psychiatry, and colorectal surgery. In addition, TMH Behavioral Medicine, in collaboration with Brown, sponsors research and clinical psychology training programs for interns, postdoctoral fellows, and faculty trainees. OTHER EDUCATIONAL AFFILIATIONS AND PROGRAMS:Nursing. TMH has developed formal and informal educational affiliations with the University of Rhode Island College of Nursing; Rhode Island College School of Nursing; Community College of Rhode Island (CCRI); 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 TMH. TMH does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.Sponsored Training Programs and Clinical Site Affiliations. TMH sponsors training programs for a variety of allied health care professionals including required clinical and fieldwork experiences in physical, speech, and occupational therapy to university students in each discipline through contracts with the various universities. TMH serves as a clinical training site for students from CCRI for the vascular and cardiology ultrasound programs and also provides training experiences for students in diagnostic radiology, medical technology, phlebotomy, and social work. The Hospital serves as a clinical training site for students from The Nuclear Medicine Institute of the University of Findlay (Ohio). TMH has clinical affiliations/student clinical training programs for pharmacy students provided through contracts with a number of colleges and universities.
Form 990, Part III, 4b	TMH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in National Institutes of Health programs.Major areas of research include:Cancer- TMH conducts clinical and behavioral research focusing on the many facets of cancer including prevention, education, and therapeutics, supported by the National Cancer Institute, CALGB, and NSABP. TMH is a participating hospital in the Brown Univiersity-sponsored Cancer Oncology Group (BrUCOG).HIV- At TMH, research focuses on the treatment and prevention of HIV infections, especially in hard-to-reach populations, both in the U.S. and abroad. There are international sites located in Cambodia, India, Kenya, Indonesia, The Phillipines, and South Africa. The Lifespan/Tufts/Brown Center for Aids Research conducts clinical, basic, and translational research programs. The TB Clinic performs research in the area of co-infections of HIV and tuberculosis.Depression- The Center for Behavioral and Preventive Medicine (CBPM) is comprised of major centers including: (1) Weight Control and Diabetes, (2) Nicotine & Tobacco Research, and (3) Physical Activity Research.The Weight Control and Diabetes Center conducts research programs that focus on diet, exercise, maintenance strategies, home environment, adolescent issues, and pediatric obesity. The Physical Activity Research Center conducts research in the workplace, community settings and health care facilities, involving all age groups and focusing on the effects of exercise in disease preventions and treatment.
Form 990, Part III, 4a, continued	TMH is licensed to operate 247 acute care beds by the Rhode Island Department of Health. Notable medical accomplishments of TMH include performance of Rhode Island's first lung operation, first kidney transplant and first aortic valvuloplasty (a procedure to clear blocked heart valves). In 2012, TMH discharged 15,606 inpatients, logged nearly 58,000 visits in its emergency department and performed over 10,000 inpatient and outpatient surgical procedures. Services provided in 2012 represent nearly 163,000 inpatient days and more than 71,000 clinic visits. TMH is staffed by more than 775 affiliated physicians, approximately 50 full-time house staff (medical school graduates), a nursing staff of 500 and more than 1,100 health care employees. In total, TMH employs more than 2,500 people. TMH is a major teaching hospital for The Warren Alpert Medical School of Brown University, providing clinical rotations for residents.TMH 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 cost 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 $12,721,373 in fiscal 2012. Charges forgone, based on established rates, amounted to $41,579,316.TMH substantially subsidized various health services including oncology, HIV, tuberculosis and men's health clinics at a cost of $3,379,244 in fiscal year 2012. TMH also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation, immunization and nutrition programs, diabetes education, community health training programs, patient advocacy, foreign language translation, physicianreferral services, and charitable contributions. The cost of these services amounted to $304,788 in fiscal year 2012.TMH subsidizes the cost of treating patients who receive government assistance where reimbursement is below cost. Medicaid is a means-tested health insurance program, jointly funded by state and federal governments. States administer the program and set rules for eligibility, benefits, and provider payments within broad federal guidelines. The program provides health care coverage to low-income children and families, pregnant women, long-term unemployed adults, seniors, and persons with disabilities. Eligibility is determined by a variety of factors, which include income relative to the federal poverty line, age and immigration status, and assets.
Form 990, Part I, Line 6	Volunteers support and contribute to the mission of TMH every day. 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, visitors, and vendors 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, dietary, patient visitors, recovery room support, patient experience representatives, hand massage, and central transporters.
	TMH's surgeons are leaders in their field. TMH, as part of an academic medical center, prizes the mastery of new technologies in order to improve the quality of life for patients. TMH surgeons have successfully performed over 1,000 procedures using the da Vinci Surgical System and have made its use a cornerstone of cancer treatment at TMH. The Comprehensive Cancer Center brings together world-renowned physicians and a group of specialists from TMH, Rhode Island Hospital and Newport Hospital, forming a multidisciplinary team whose level of knowledge and experience are unparalleled in Rhode Island.The Hospital's Adult Outpatient Behavioral Medicine Services help individuals improve health through behavior change. Services are offered to help patients adjust to chronic medical conditions, including their associated physical and emotional distress; modify unhealthy ways of living (for example, smoking cessation) to help prevent the onset or progression of disease; and treat mood and anxiety disorders that interfere with management of medical conditions. Services are available to help individuals with behavioral and psychosocial management of medical conditions such as pain, cancer, heart disease (including those with implanted cardiac devices), pulmonary disease, and diabetes. The Weight Management Program provides comprehensive, medically supervised treatment for mildly, moderately, and severely overweight adults. Specialized programs are also available for adolescents and diabetics. Treatment combines medical monitoring, behavioral therapy, exercise instruction, three levels of calorie reduction, and nutrition education. The Hospital's clinicians include surgical oncologists, medical oncologists, radiation oncologists, hematologists, pathologists, physical therapists, radiologists, nurses, clinical social workers, patient advocates, pharmacists, and nutritionists. These dedicated specialists work with patients every step of the way, from diagnosis to treatment to follow-up care.To help patients and their families cope with breast cancer, TMH offers the Breast Health Navigator Program. The program assists breast cancer patients through the entire course of their cancer care with breast health navigators, registered nurses trained in oncology who possess an in-depth understanding of breast cancer, and theprocess undergone by patients. They guide patients through diagnosis, treatment andrecovery, while helping them make informed decisions and cope with the variety of issues they face.TMH and Rhode Island Hospital were named Blue Distinction Centers for Complex and Rare Cancers by Blue Cross and Blue Shield of Rhode Island. TMH and Rhode Island Hospital are the only two hospitals in the State to receive this distinction. Blue Distinction Centers for Complex and Rare Cancers are facilities within participating Blue Cross and Blue Shield network service areas that offer comprehensive inpatient cancer care programs for adults, delivered by multidisciplinary teams with subspecialty training and distinguished clinical expertise in treating complex and rare subtypes of cancer. TMH and Rhode Island Hospital have both been recognized for excellence in treating esophageal, gastric, liver, pancreatic, rectal, and thyroid cancer.The division of gastrointestinal and liver pathology is committed to providing high quality diagnostic services for gastrointestinal and liver diseases.Collectively, gastrointestinal cancers are among the most common form of malignancies suffered today, affecting nearly a quarter of a million Americans each year. To address this, the Comprehensive Cancer Center has brought together nationally recognized leaders in the treatment and research of gastrointestinal cancers.
	TMH has been named among the nation's 100 top hospitals for cardiovascular care by Thompson Healthcare. Thompson's annual study identifies hospitals that are setting benchmark levels of performance for cardiovascular services throughout the nation. It recognizes the hospitals and their management teams for superior clinical, operational and financial performance in the area of cardiovascular service.TMH's cardiac surgery department is led by four board certified cardiothoracic surgeons, each able to perform a wide variety of cardiac, thoracic and peripheral vascular procedures. They represent more than ninety years of cumulative experience.Anesthesiologists dedicated to the management of complex cardiothoracic and vascular procedures provide each patient with the latest measures of intraoperative therapy and assessment. Every patient is monitored with a transesophageal echocardiogram (sonogram). TMH's team of surgeons, anesthesiologists and cardiologists works closely together. This cooperative approach has led to outstanding results at all levels of complexity.Thanks to the latest evolution in surgical technology, physicians now have an effective alternative to traditional open surgery and laparoscopy that allows them to provide patients with the best of both approaches. This alternative is the da Vinci Surgical System and TMH uses this technology to treat different types of cancer.
	The Center's team-based approach provides state-of-the-art care for patients who have or are at risk for cancers of the upper gastrointestinal tract, such as pancreatic cancer, cancer of the esophagus, and tumors involving the liver.The gastrointestinal cancer care services available through the Comprehensive Cancer Center provide care for patients who have or are at risk for the following types of cancer: bile duct, esophagus, gallbladder, endocrine, and cystic tumors of the pancreas, liver and stomach.TMH also offers medical nutrition therapy on an outpatient basis designed to help prevent and control gastrointestinal disorders.
	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. TMH's share of the voluntary payment is $216,000 a year, for a total of $648,000. 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 cityprograms.The Total Joint CenterThe Total Joint Center at The Miriam Hospital is dedicated to providing the most technologically advanced and specialized procedures focused on the replacement of joints and rehabilitation and care in treating diseases of, or injuries to, hips, knees, and shoulders. The Miriam Hospital is a Blue Cross Blue Shield Blue Distinction Center for Knee and Hip Replacement, which is a designation given to hospitals that demonstrate an expertise in quality care by meeting objective clinical measures, resulting in better outcomes for patients.Medical and surgical services at the Total Joint Center are provided in a personalized, caring environment within the context of an academic medical center. All services focus on the patient experience from initial consultation through recovery.Multidisciplinary medical teams include many dedicated specialists - surgeons, internal medicine specialists, anesthesiologists, nurses, rehabilitation therapists and social workers who work with patients from diagnosis to treatment to follow-up care. The physical therapy and nursing teams work together after surgery to get patients moving for faster recovery, and physicians, nurses and therapists work collaboratively to follow up care.Each patient benefits from individualized treatment plans and rehabilitation to aid recovery and restore functionality as quickly as possible. Whenever possible, minimally invasive surgery techniques are used to perform surgery. These techniques have dramatically improved the quality of the post-operative and recovery experience for the patient. In some cases and when appropriate, computer navigation technology is used for knee and hip replacement surgeries. Computer navigation can assist the surgeon and improve the level of accuracy, bringing the precision of bone cuts and implant alignment in joint replacement surgery to a whole new level of accuracy, reliability and longevity.Award-Winning CareIn 2012, TMH's Stroke Center received a Gold Plus Performance Achievement Award from the American Heart Association/American Stroke Association. This is the association's highest honor for stroke care.National Stroke Center CertificationAlso in 2012, TMH earned the elite Gold Seal of Approval from The Joint Commission for Primary Stroke Centers, a national honor awarded to the country's top stroke programs. TMH, which was the first hospital in Rhode Island to be certified a Primary Stroke Center, holds distinction as the only facility in the state to be certified four times.National Stroke Performance Award In both 2011 and 2010, TMH received the American Heart Association/American Stroke Associations Get With The Guidelines Stroke (GWTG-Stroke) Gold Plus Performance Achievement Award. The award recognizes TMH's commitment and success in providing the highest standard of stroke care for patients, according to evidence-based guidelines. This is the Associations highest honor for stroke care. Outstanding Achievement Award from the Commission on Cancer Also in 2011, The Leonard and Adele R. Decof Family Comprehensive Cancer Center at TMH earned the Outstanding Achievement Award from the Commission on Cancer (CoC) of the American College of Surgeons, among only 90 programs nationwide to receive thishonor. This award recognizes the significant commitment by medical staff,administration and support staff to providing high-quality cancer care to their patients, as well as meeting and exceeding the standards set by the CoC. Center of Excellence DesignationTMH was named an American Society for Metabolic and Bariatric Surgery (ASMBS) Bariatric Surgery Center of Excellence. The designation recognizes surgical programs with a demonstrated track record of excellence in providing superior and comprehensive bariatric surgery care.Blue Distinction Center RecognitionIn both 2011 and 2010, TMH was named a Blue Distinction Center for Bariatric Surgery by Blue Cross and Blue Shield of Rhode Island following a comprehensive review of its spine surgery and knee and hip replacement services. The Blue Distinction program recognizes facilities that meet objective, evidence-based thresholds for clinical quality, developed in collaboration with expert physicians and medical organizations.AACVPR Program Certification During 2011, The Miriam Hospital pulmonary rehabilitation program was awarded certification from the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). Certified AACVPR programs are recognized as leaders in the field of cardiovascular and pulmonary rehabilitation because they offer the most advanced practices available.Magnet Hospital DesignationIn 2010, for the fourth consecutive time, TMH received Magnet designation for overall nursing care and excellence from the American Nurses Credentialing Center (ANCC). Only three other facilities in the United States have been designated a Magnet hospital four times, and TMH is the only hospital in New England to earn this honor. The program provides a framework to recognize excellence in the managementphilosophy and practice of nursing services, adherence to standards for improving the quality of patient care, and continued competence of nursing personnel. In addition, recipient hospitals must demonstrate attention to the cultural and ethnic diversity of patients and their significant others, as well as the care providers in the system. The Magnet Award for Nursing Excellence is the highest level of recognition the American Nurses Credentialing Center can bestow upon organized nursing services in health care organizations.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Lifespan and the Lifespan Obligated Group, which consists of The Miriam Hospital, Rhode Island 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 issues of the tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. In addition, copies of TMH'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 Process	The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Chief Financial Officer and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP. The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit and reviewed by the Corporate Services Tax Compliance Manager. Further review is performed by the Director of Finance and the Vice President of Finance - Corporate Services. Once the draft Form 990 is complete, the Director of Finance forwards it with all supporting worksheets to KPMG, which then reviews the completed form in detail. The Director of Finance answers questions as they arise and provides additional information as needed. KPMG provides the Director of Finance with any recommended changes which are reviewed, and if agreed upon, are incorporated into the return. The draft Form 990 is then provided to the Chief Financial Officer for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form is sent to The Miriam 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 Shareholders	Lifespan has the responsibility for planning, directing and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Lifespan, in addition to those noted above, include: to approve amendment of the Articles of Incorporation and Bylaws and other Charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness.	Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	The bylaws of The Miriam Hospital (TMH) 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 TMH Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of TMH 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 Shareholder	Lifespan Corporation is the sole corporate member of The Miriam Hospital.	Form 990, Part VI, Line 6
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Timothy J. Babineau, MD, President, and Mary A. Wakefield, CFO, are employed by and officers of Lifespan Corporation. Ms. Wakefield is also an officer of Lifespan Management Services Organization, Inc (MSO). Arthur J. Sampson, key employee, is employed by Lifespan Corporation. Kathleen Hittner, former President of The Miriam Hospital, is a director of MSO and is also employed by Lifespan Corporation.	Form 990, Part VI, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (19 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Primary ActivitiesPrimaryActivities	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Legal Domicile StateLegalDomicileState
RI Sound Enterprises Insurance Co Ltd
65 Front Street	Hamilton	BD	HM 12	Offshore Insurance Captive	BD	N/A	N/A	Lifespan Corporation	false
Lifespan Physician Group Inc
				Health Care Services		501(c)(3)	9	Lifespan Corporation	false	167 Point Street	Providence	RI	02903	050389801	RI
The Miriam Hospital Womens Assoc
				Patient Support		501(c)(3)	11	Lifespan Corporation	false	164 Summit Avenue	Providence	RI	02906	050268165	RI
The Miriam Hospital Foundation
				Philanthropic Activities		501(c)(3)	11	Lifespan Corporation	false	167 Point Street	Providence	RI	02903	050377502	RI
RIH Ventures
				Parking Facilities/ Phlebotomy Services		501(c)(3)	11	Lifespan Corporation	false	593 Eddy Street	Providence	RI	02903	050448686	RI
Rhode Island Hospital Foundation
				Philanthropic Activities		501(c)(3)	7	Lifespan Corporation	false	167 Point Street	Providence	RI	02903	050468736	RI
Rhode Island Hospital
				Health Care Services		501(c)(3)	3	Lifespan Corporation	false	593 Eddy Street	Providence	RI	02903	050258954	RI
NHCC Medical Associates Inc
				Health Care Services		501(c)(3)	11	Newport Health Care Corporation	false	11 Friendship Street	Newport	RI	02840	050472268	RI
Newport Hospital Foundation
				Philanthropic Activities		501(c)(3)	7	Newport Health Care Corporation	false	11 Friendship Street	Newport	RI	02840	222535533	RI
Newport Hospital
				Health Care Services		501(c)(3)	3	Newport Health Care Corporation	false	11 Friendship Street	Newport	RI	02840	050258914	RI
Newport Health Property Management Inc
				Property Management		501(c)(3)	11	Newport Health Care Corporation	false	11 Friendship Street	Newport	RI	02840	222335539	RI
Newport Health Care Corporation
				Holding Company/Mgmnt Services		501(c)(3)	7	Lifespan Corporation	false	11 Friendship Street	Newport	RI	02840	222535537	RI
Lifespan of Massachusetts Inc
				Holding Company		501(c)(3)	11	Lifespan Corporation	false	c/o Archstone Law 245 Winter St	Waltham	MA	02451	043408517	MA
Lifespan Foundation
				Philanthropic Activities		501(c)(3)	7	Lifespan Corporation	false	167 Point Street	Providence	RI	02903	050493219	RI
Lifespan Diversified Services
				Holding Company/Mgmnt Services		501(c)(3)	11	Lifespan Corporation	false	167 Point Street	Providence	RI	02903	050258935	RI
Lifespan Corporation
				Holding Company/Mgmnt Services		501(c)(3)	11	NA	false	167 Point Street	Providence	RI	02903	222861978	RI
Hospital Properties Inc
				Property Management		501(c)(4)		Lifespan Corporation	false	593 Eddy Street	Providence	RI	02903	222869743	RI
Emma Pendleton Bradley Hospital
				Pediatric Psychiatric Health Care Services		501(c)(3)	3	Lifespan Corporation	false	1011 Veterans Memorial Parkway	East Providence	RI	02915	050258806	RI
Bradley Hospital Foundation
				Philanthropic Activities		501(c)(3)	7	Lifespan Corporation	false	167 Point Street	Providence	RI	02903	050500688	RI

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity
VNA Technicare Inc
622 George Washington Highway	Lincoln	RI	02865	050472710	DME Sales	RI	LDS Inc	C Corp
Lifespan Risk Services Inc
167 Point Street	Providence	RI	02903	050459767	Risk Mgmnt	RI	Lifespan Corp	C Corp
Lifespan MSO Inc
167 Point Street	Providence	RI	02903	050508717	Mgmnt Services	RI	Lifespan Corp	C Corp

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg