NEWPORT HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NEWPORT HOSPITAL (EIN 05-0258914)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-14
IRS object ID
201212279349302321
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-14T13:20:00-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 Financial Center 60 South StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050258914EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Newport HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEWPNameControl
Phone4018466400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Friendship StreetAddressLine1
CityNewportCity
StateRIState
ZIP Code02840ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMary A WakefieldName
TitleCFOTitle
Date Signed2012-08-14DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonAugust B CordeiroNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111 Friendship StreetAddressLine1
CityNewportCity
StateRIState
ZIP Code02840ZIPCode
FieldValueIRS element (for citing)
Gross Receipts152451254GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.lifespan.org/newport/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1873YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionNewport Hospital (the Hospital) is a 129-bed nonprofit acute care hospital providing inpatient, outpatient and emergency care services to the southern Rhode Island community.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees944TotalNbrEmployees
Total Nbr Volunteers205TotalNbrVolunteers
Total Gross UBI175226TotalGrossUBI
Contributions Grants Prior Year238489ContributionsGrantsPriorYear
Contributions Grants Current Year7867456ContributionsGrantsCurrentYear
Program Service Revenue Prior Year105896467ProgramServiceRevenuePriorYear
Program Service Revenue CY111214526ProgramServiceRevenueCY
Investment Income Prior Year2981701InvestmentIncomePriorYear
Investment Income Current Year1716939InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year109116657TotalRevenuePriorYear
Total Revenue Current Year120798921TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year52979538SalariesEtcPriorYear
Salaries Etc Current Year56356833SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year56169524OtherExpensePriorYear
Other Expenses Current Year57930378OtherExpensesCurrentYear
Total Expenses Prior Year109149062TotalExpensesPriorYear
Total Expenses Current Year114287211TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-32405RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6511710RevenuesLessExpensesCY
Total Assets BOY304235611TotalAssetsBOY
Total Assets EOY307062130TotalAssetsEOY
Total Liabilities BOY52934898TotalLiabilitiesBOY
Total Liabilities EOY42404165TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY251300713NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY264657965NetAssetsOrFundBalancesEOY
Mission DescriptionNewport Hospital (the Hospital) is a 129-bed nonprofit acute care hospital providing inpatient, outpatient and emergency care services to the southern Rhode Island community. See Schedule O, Part III, Line 1MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense47568859Expense
Revenue55069200Revenue
DescriptionDuring the year ended September 30, 2011, the Hospital reported 25,333 inpatient days, 4,903 discharges, 583 newborn deliveries and 1,632 inpatient surgeries. The Hospital provides a range of diagnostic therapeutic healthcare services including: behavioral medicine, cardiac services, childbirth, orthopedics and pulmonary medicine. See Schedule O, Part III, Line 4aDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense32819864Expense
Revenue41999439Revenue
DescriptionThe Hospital also provides healthcare services on an outpatient basis. In fiscal year 2011, the Hospital experienced 42,888 equivalent outpatient days and performed 4,906 outpatient surgeries. See Schedule O, Part III, Line 4bDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8296841Expense
Revenue14145887Revenue
DescriptionThe Emergency Department at Newport Hospital had 31,188 patient visits in fiscal year 2011. The Emergency Department is responsible for treating everything from minor injuries and illnesses to urgent and life-threatening medical needs. It is open and staffed 24 hours a day, 365 days a year, with emergency medicine physicians and specially trained physician assistants, nurses, and nursing assistants. The Emergency Department, in accordance with the Hospital's mission and civic obligations, treats every person who seeks care, regardless of their ability to pay. It is often used as a primary care facility by people who do not have their own primary care physician.Description
FieldValueIRS element (for citing)
Total Program Service Expense88685564TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109667NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees944NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerFormerFormer
Valerie Martin
Intrm Dir Surg Svc40.00X126325027691
Todd Cipriani
VP Professional Services40.00240388055071X
Terrence R McWilliams MD
VP Medical Affairs40.00X293386037038
Suzette D Schochet
Secretary6.00000XX
Stephen P Massed
Chairman8.00000XX
Rita B Gewirz
Trustee2.50000X
Peter M DiBari
Trustee1.50000X
Mary A Wakefield
CFO3.000726687103289X
Marielen Maguire
Lead Sonographer40.00X122093010341
M Lynne Francis
Trustee2.00000X
Louis A Fazzano
Trustee2.00000X
Leonard C Taddei DMD
Trustee4.00000X
Kathleen H Ross
Trustee4.00000X
Karen L Smith RN
Dir Emergency Svcs40.00X118568015767
John H Ellis
Trustee2.00000X
James A Purviance
Trustee3.00000X
Frank J Byrne
Director of Finance/Treasurer40.00020440843456X
David S Gordon
Trustee3.00000X
David G Bazarsky Esq
Trustee2.00000X
Christopher Luttman MD
Trustee1.00000X
Christine A Gill MD
Vice Chairman1.50000XX
Charles L Stengel MD
Trustee2.00000X
Cathy E Duquette
VP Nursing40.00243404051659X
Bruce G Tucker
Trustee3.00000X
Bartholomew Grimes
Admin Director40.00X154882033986
August B Cordeiro
President & CEO28.00037448873367XX
Arthur J Sampson
President & CEO0.00050173888638X
Ann M Kashmanian
Treasurer0.00034287559315X
Alan R Feinberg DMD
Trustee2.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1299046TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2150196TotalReportableCompFrmRltdOrgs
Total Other Compensation599618TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Apollo Security
262 Washington StreetBostonMA02111Security services429004
University Surgical Associates
2 Dudley StreetProvidenceRI02903Medical, health care675236
Providence Anesthesiologists
75 Newman AvenueRumfordRI02916Medical services340000
NHCC Medical Associates
11 Friendship StreetNewportRI02840Medical, health care1124647
Newport Emergency Physicians
11 Friendship StreetNewportRI02840Medical, health care3120891
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations7748919RelatedOrganizations
All Other Contributions118537AllOtherContributions
Total Contributions7867456TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Lifespan Laboratory621150175226175226
Inpatient Service Revenue6221105506920055069200
Cafe./ Misc Pharm sales6221101796117961
Auxiliary6221102058120581
Ancillary OP Service Rev.6221105593155855931558
FieldValueIRS element (for citing)
Total Program Service Revenue111214526TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1183374TotalRevenueColumn
Exclusion$1,183,374ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities32185898Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities31652333Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities533565Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column533565TotalRevenueColumn
Exclusion$533,565ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column120798921TotalRevenueColumn
Related Or Exempt Function Income111039300RelatedOrExemptFunctionIncome
Unrelated Business Revenue175226UnrelatedBusinessRevenue
Exclusion$1,716,939ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total303961Total
Program Services245389ProgramServices
Management And General58572ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total41366053Total
Program Services38211874ProgramServices
Management And General3154179ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2989600Total
Program Services2765380ProgramServices
Management And General224220ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8567519Total
Program Services7924955ProgramServices
Management And General642564ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3129700Total
Program Services2910621ProgramServices
Management And General219079ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total293724Total
Management And General293724ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5638724Total
Program Services5638724ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total36640Total
Program Services36640ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total244067Total
Program Services216487ProgramServices
Management And General27580ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6417064Total
Program Services5582846ProgramServices
Management And General834218ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total71710Total
Program Services66690ProgramServices
Management And General5020ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1225910Total
Management And General1225910ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6453963Total
Management And General6453963ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total634707Total
Program Services583930ProgramServices
Management And General50777ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
State license fee49956824995682
Purchased services12444162200310010441062
Provision for bad debts668782951161891571640
Other program expenses11906971750321015665
Medical & surgical supplies1153838611538411423002

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total57113Total
Program Services50659ProgramServices
Management And General6454ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total114287211Total
Program Services88685564ProgramServices
Management And General25601647ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3866314BOY
EOY6089009EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11757666BOY
EOY10800251EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1627157BOY
EOY1617996EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY248744BOY
EOY237082EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis148401159LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec85970831LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY65459651BOY
EOY62430328EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY46470114BOY
EOY47336457EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY24090928BOY
EOY26750744EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY150715037BOY
EOY151800263EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY304235611BOY
EOY307062130EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8092560BOY
EOY7744246EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY23535000BOY
EOY22780000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY21307338BOY
EOY11879919EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY52934898BOY
EOY42404165EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY190651784BOY
EOY200437618EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY53896929BOY
EOY53683698EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6752000BOY
EOY10536649EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY251300713BOY
EOY264657965EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY304235611BOY
EOY307062130EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6511710ReconcilationRevenueExpenses
Reconcilation Other Changes6845542ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$2,475OtherActivitiesAmount
Total Lobbying Expenditures IIB2475TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationNewport Hospital pays membership dues 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

FieldValueIRS element (for citing)
Beginning Of Year Balance76534229BeginningOfYearBalance
Contributions7867456Contributions
Investment Earnings Or Losses1187929InvestmentEarningsOrLosses
Other Expenditures6362169OtherExpenditures
End Of Year Balance79227445EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance73235178BeginningOfYearBalance
Contributions238489Contributions
Investment Earnings Or Losses6505097InvestmentEarningsOrLosses
Other Expenditures3444535OtherExpenditures
End Of Year Balance76534229EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance78583362BeginningOfYearBalance
Contributions1585979Contributions
Investment Earnings Or Losses-1569783InvestmentEarningsOrLosses
Other Expenditures5337380OtherExpenditures
End Of Year Balance73262178EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.20860BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.12590PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.66550TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1470585OtherCostOrOtherBasis
Book Value1470585BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis91687052OtherCostOrOtherBasis
Depreciation45978198Depreciation
Book Value45708854BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis55243522OtherCostOrOtherBasis
Depreciation39992633Depreciation
Book Value15250889BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings62430328TotalOfBookValueLandBuildings
Total Of Book Value Securities26750744TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Trustee-held funds-bond indenture497587
Outside trusts1083508
Interest in Net Assets of NH Foundation139717380
Intercorporate financing5349788
Deferred financing costs & other assets1094701
Cash and short-term investments4057299
FieldValueIRS element (for citing)
Total Book Value Other Assets151800263TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Third-party liabilities$2,837,000
Postretirement life ins. liability$859,078
Health care benefit self-insurance$185,241
Accrued pension liability$7,998,600
FieldValueIRS element (for citing)
Total Of Amounts11879919TotalOfAmounts
Total Revenue120798921TotalRevenue
Total Expenses114287211TotalExpenses
Excess Or Deficit For Year6511710ExcessOrDeficitForYear
Other$7,524,577OtherAmount
Total Adjustments7524577TotalAdjustments
Excess Or Deficit Per FS14036287ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt112391595TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-296481NetUnrealizedGainsInvestments
Other Revenues-361926OtherRevenues
Revenue Not Rptd F990-658407RevenueNotRptdF990
Revenue Subtotal113050002RevenueSubtotal
Other Revenues Not Included7748919OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt7748919RevenueNotRptdOnFinStmt
Total Revenue Per Form990120798921TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt114287211TotExpensesEtcAuditedFinclStmt
Expenses Subtotal114287211ExpensesSubtotal
Total Expenses Per Form990114287211TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/STransfers from Newport Hospital Foundtn $7748919
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesFunded status of pension plan $7524577 $ -0 $ -0 Auxiliary $ -20628 Interest in Foundation Net Assets $ -361926
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.The Hospital's endowment consists of many funds established for a variety of purposes, including both donor-restricted endowment funds and funds designated by the Hospital to function as endowments. The majority of Newport Hospital's endowments are intended to be used in the areas of patient care, which includes a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients. The endowment funds are used to maintain and support the Hospital and to provide care to patients suffering from illnesses or disabilities.The largest board-designated endowment held by the Hospital is used to support and maintain the facilities of the Hospital. Three large funds are used for the purchase and replacement of medical equipment, to offset the cost of charity care, and to support the operations of the Emergency Department, respectively. The Hospital's largest permanently restricted endowment funds support the Hospital's emergency department, as well as promote athletic activity and wellness among youth and families of Newport County.

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense5428246TotalCommunityBenefitExpense
Direct Offsetting Revenue1605215DirectOffsettingRevenue
Net Community Benefit Expense3823031NetCommunityBenefitExpense
Percent Of Total Expense0.03350PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense12573238TotalCommunityBenefitExpense
Direct Offsetting Revenue11041735DirectOffsettingRevenue
Net Community Benefit Expense1531503NetCommunityBenefitExpense
Percent Of Total Expense0.01340PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense18001484TotalCommunityBenefitExpense
Direct Offsetting Revenue12646950DirectOffsettingRevenue
Net Community Benefit Expense5354534NetCommunityBenefitExpense
Percent Of Total Expense0.04690PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense325826TotalCommunityBenefitExpense
Direct Offsetting Revenue6759DirectOffsettingRevenue
Net Community Benefit Expense319067NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense15113417TotalCommunityBenefitExpense
Direct Offsetting Revenue10982324DirectOffsettingRevenue
Net Community Benefit Expense4131093NetCommunityBenefitExpense
Percent Of Total Expense0.03610PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense33450TotalCommunityBenefitExpense
Net Community Benefit Expense33450NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense15472693TotalCommunityBenefitExpense
Direct Offsetting Revenue10989083DirectOffsettingRevenue
Net Community Benefit Expense4483610NetCommunityBenefitExpense
Percent Of Total Expense0.03920PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense33474177TotalCommunityBenefitExpense
Direct Offsetting Revenue23636033DirectOffsettingRevenue
Net Community Benefit Expense9838144NetCommunityBenefitExpense
Percent Of Total Expense0.08610PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,538,700BadDebtExpenseAmount
Amount Attributable To1158015AmountAttributableTo
Amount Reimbursed By Medicare22517572AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare28511487CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5993915MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Newport HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line111 Friendship StreetAddressLine1
CityNewportCity
StateRIState
ZIP Code02840ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Newport HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Permit Other ActionsXPermitOtherActions
Collection ActivitiestrueCollectionActivities
LawsuitXLawsuit
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Newport Hand Surgery
77 Turnpike AvenuePortsmouthRI02871Orthopedic Medicine
Newport Dermatology
79 Turnpike AvenuePortsmouthRI02871Specialty Medicine
Jamestown Family Practice Center
20 Southwest AvenueJamestownRI02835Primary Care Offices
Family Physicians of Newport
19 Friendship Street Suite 130NewportRI02840Primary Care Offices
Family Physicians of Tiverton & Little Compton
1800 Main RoadTivertonRI02878Primary Care Offices
NHCC Medical Associates Inc
19 Friendship Street Suite 150-160NewportRI02840General & Specialty Medicine
Portsmouth Imaging Center
69 Turnpike AvenuePortsmouthRI02871Diagnostic Imaging Services

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - Affilated Health Care System Roles and PromotionLifespan's mission is to improve the health status of the people it serves in RI and in southern New England through the provision of customer friendly, geographically accessible, high value services in the environment of an integrated academic health system. Lifespan affiliates provide comprehensive inpatient and outpatient medical, surgical and psychiatric services for adults and children. Lifespan and its affiliates employ more than 12,400 people. The Lifespan system has over 2,200 physicians on the medical staffs of its affiliated hospitals, operates 1,155 licensed beds in four hospital complexes, and in 2011 generated approximately $1.7 billion in total operating revenue. By each of these measures, Lifespan is RI's largest health system, serving a population of over 1.5 million. Three of its hospital members, Rhode Island Hospital (RIH), The Miriam Hospital (TMH) and Bradley Hospital, are teaching affiliates of the Warren Alpert Medical School of Brown University with 79 percent of the residents and fellows in this program based at RIH, TMH and Bradley Hospital.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, 2011, Lifespan Corporation employed approximately 700 full-time and part-time personnel, most of whom are located at Lifespan's headquarters in Providence, RI. Lifespan Corporation provides support services to its affiliates, such as information services, telecommunications, risk management, legal, communications and public affairs, fundraising, payor contracting, 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 the Hospital 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 PurposeNewport Hospital is governed by a Board of Trustees, which is composed of community members who are elected by Newport Health Care Corporation. The Hospital's vision is to work collaboratively with physicians, our employees, other health care organizations, and the community to create a measurably healthier Newport County through the provision of high quality, cost-effective, customer-focused health care services in an environment that promotes patient safety. The Hospital monitors the healthcare needs of its service area, to ensure alignment of its resources with its mission. The Hospital measures the results of the programs and services it provides based on the value added to the community and to the organization. The Hospital is organized and operated for the benefit of the community it serves.
Part VI - Community Building ActivitiesNewport Hospital connects with the community in several ways, both within the Hospital walls and at other venues. More than a dozen monthly support groups are held at the Hospital, some facilitated by medical professionals and others by community members. An annual health fair provides hundreds of screenings for diseases and health conditions and follows up with individuals whose tests identify a problem. Screenings for breast and prostate cancers are conducted free of charge at various times during the year.Several Hospital committees exist to provide interaction between the Hospital and the community. The Hospital supports community initiatives such as Rebuilding Together, the Newport Partnership for Families, a full-time physician with a nonprofit practice, a local mentoring program, and a program to identify middle school children who require help. In addition, the Hospital has partnered with a local philanthropist to form a committee to oversee a grant funded by the Hospital to help children become active and healthy. The committee began distributing grants in 2011. Parenting and breastfeeding support are available through the Hospital's birthing center, and a series of bimonthly presentations and lectures on relevant health topics is scheduled for the community to attend free of charge.
Part VI - Community InformationNewport Hospital is the only hospital on Aquidneck Island and in Newport County, which comprises a population of approximately 100,000. Located in Newport, the southernmost town in Newport County, the Hospital is approximately 20 miles from other hospitals; bridges link Newport and Aquidneck Island with the rest of the State (two bridges to the west, one to the northwest, and one to the north). The community includes people on government assistance, working-class and middle-class constituents, U.S. Navy personnel and retirees, students from three colleges, and a small percentage of families of significant wealth.
Part VI - Patient Education of Eligibility for AssistanceNewport Hospital does not deny necessary medical treatment to anyone, regardless of insurance status or ability to pay. Financial counselors of Newport Hospital inform patients personally about their potential eligibility for assistance with Hospital charges. In addition, at such public events as health fairs the Hospital actively promotes this service so that anyone who might qualify can easily learn about the programs. When patients believe they might be eligible, financial counselors set up appointments to talk with them privately to determine their eligibility. Applications for financial assistance are provided in the registration office, emergency department, financial counseling office, and in other departments providing care.Uninsured patients receive an automatic 50% reduction of charges. Medicare patients may receive waivers of cost-sharing amounts if they qualify based on financial need; qualification is determined through an application for charity care. Further discounts may apply, depending on where a patient falls in the income guidelines.
Part VI - Needs AssessmentNewport Hospital continually assesses community needs in several ways. The Hospital has a formal survey process for patient feedback but more importantly, the Hospital uses a physician liaison position to facilitate physician communication with the Hospital. Doctors in the community provide information on what services patients need. Recent examples of the usefulness of this information include Newport Hospital's establishment of a wound care service, a dermatology practice, and a hand surgery practice. In addition, the Hospital reviews volumes in service areas to glean information on the use of various types of care. Newport Hospital functions as the first line of defense against illness, injury and disease for its communities. With an Emergency Department that is open and staffed 24 hours a day with the ability to evaluate and treat everything from minor to urgent care and stroke, to a dedicated, award-winning nursing staff that provides care for inpatients, the Hospital's importance to the community cannot be overstated. Newport Hospital is the designated disaster planning leader for its region of the State and as such holds regular meetings and drills with first responders from the various municipalities within the region, as well as representatives from other facilities (e.g., nursing homes, hotels, physician groups).Newport's significant seasonal employee population and large numbers of uninsured patients present financial challenges that the Hospital strives to deal with each year as part of its mission. Uncompensated care provided to members of the community signals commitment to the residents and visitors of Newport County and its surrounding towns.
Part V, Line 19d - Other Billing Determination of Individuals Without InsuranceUninsured patients receive an automatic 50% Community Benefit discount on Hospital charges.Number of Hospital Faciltiy - 0
Part V, Line 16e - Other Collection Actions by Facility or Third Party EngagedThe Hospital engages third-parties to perform certain collection actions on its behalf. A pre-collect company is used for all self-pay accounts. Additionally, a collection agency is used if there is no payment activity on such accounts after 120 days. The collection process is explained in further detail in the response to Question 15e above.Number of Hospital Faciltiy - 0
Part V, Line 15e - Other Collection Actions Against a PatientOnce an account balance or a portion thereof is classified as self-pay, it is placed with the Hospital's pre-collect company. The account remains with them until 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 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 then 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 no activity, the account is then referred to collection.Number of Hospital Faciltiy - 0
Part V, Line 13g - Other Means Hospital Facility Publicized the PolicyAn abbreviated version of the Hospital's financial assistance policy is posted in various admitting and outpatient areas of the Hospital. Additionally, registration personnel refer uninsured and/or low income patients to Patient Financial Counselors to discuss the policy and/or answer any questions they might have.Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsNewport Hospital does not bill for the excess of charges over agreed upon reimbursement amounts from third party payors. Rather, such differences are recorded as a reduction of revenue through contractual adjustments. Collection efforts are focused on co-payments, deductibles and amounts denied by insurers. After all collection attempts are exhausted, any remaining balances, including any co-payments and deductibles, are written off as a bad debt. The Hospital classifies its bad debts as uncompensated care. This does not apply to Medicaid, however, as there are no associated co-payments or deductibles for this payor.The Hospital does not require collateral or other security in extending credit to patients; however, it routinely obtains assignment of patients' benefits payable under their health insurance programs, plans or policies, primarily Medicaid. Uninsured patients are offered Community Free Service and/or payment plan options.Lifespan's Patient Financial Services Department (PFS) has the responsibility for administering collection policies and procedures to all patient accounts. PFS engages the services of various pre-collect agencies as necessary. The following are highlights of the overall collection effort:* If a patient presents for admission who is not insured, staff assists the family with a Medicaid application.* If the patient is ineligible for Medicaid, a financial screening is performed to determine status of qualification for Community Free Service.* If the patient does not qualify for Community Free Service, PFS or the pre-collect agency attempts at least four contacts with the responsible party within the first 120 days.* If the third-party carrier denies in writing any responsibility for payment, arrangements regarding an extended payment plan are discussed with the patient.* At 120 days, if there is no payment activity or no hold placed on the account, the account is transferred to the appropriate collection agency.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitMedicare shortfalls are not treated as community benefits because most Medicare patients are not indigent. The source of the Medicare allowable costs reported on Part III, Section B, Line 6 is the Medicare cost report, Form 2552-96.
Part III, Line 4 - Bad Debt ExpenseThe Hospital grants credit without collateral to its patients, most of whom are local residents and are insured under third party payor arrangements. Additions to the allowance for doubtful accounts are made by means of the provision for bad debts. Accounts deemed uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in federal and state governmental health care coverage, and other collection indicators.The Hospital provided $6,688,000 for uncollectible patient accounts during the year ended September 30, 2011. 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 per the Hospital's audited financial statements.
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)Newport Hospital uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test.The financial screening process at Newport Hospital (the Hospital) is intended to define probable eligibility for public assistance (Medicaid or Community Free Care ("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 income tax return- most recently received payroll check stub- copy of rent receipts for the last six months- copy of utility bills for the last month4. If the patient's financial situation falls within the guidelines for eligibility for Medicaid 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.)5. Uninsured patients receive an automatic 50% deduction at the Hospital.6. 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 $8,855 for an individual (or $13,281 for a family) may not qualify for care without charge, but may qualify for discounted care. Partial charity care applicants are subject to the same asset test and may not qualify for the highest discount on care, but may be eligible for a lesser discount. 7. 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. 8. 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 to enroll 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 $50.004. 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 J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Valerie Martin
11862676991036217329154016
Todd Cipriani
1724552797637379176922954593995717771
Terrence R McWilliams MD
222901319493476622723304243853622511
Mary A Wakefield
49589213200098795882381505182997666367
Frank J Byrne
1569332799419481247161874024786414778
Cathy E Duquette
1761142871333680179792950633857717748
Bartholomew Grimes
142974119081270221284188868
August B Cordeiro
2627616800043727545841878344785523293
Arthur J Sampson
3477638400069975729741566459037645014
Ann M Kashmanian
2546585643331784397911952440219022671

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveThe Lifespan Annual Incentive Compensation Plan provides a financial award opportunity for designated members of management, based on quantified objectives that are approved in advance by the Compensation Committee of the Lifespan Corporation Board of Directors. A specified level of financial performance must be met before any award is earned. The objectives vary from year to year and generally include various aspects of financial measures in addition to non-financial performance measures. For certain participants in the Annual Incentive Compensation Plan, the award opportunity is divided into two pools. The first pool represents 80% of any earned incentive award, based on the achievement of the team performance objectives. The remaining 20% pool is distributed on an individual basis to participants at the discretion of the CEO, in each case subject to approval by the Compensation Committee of the Lifespan Corporation Board of Directors.
Sch J, Part I, Line 1aPart I, Line 1a: Relevant information in regards to selections on 1a.Tax Indemnification and Gross-up Payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii).

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Newport Emerg PhysiciansBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipOfficerRelationship
Amount Of Transaction3021258AmountOfTransaction
Description Of TransactionMed. staffing servicesDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationCharles L. Stengel, MD, a trustee of Newport Hospital, is the Vice President of Newport Emergency Physicians, a for-profit corporation that provides staffing services to Newport Hospital. In fiscal year 2011 Newport Hospital paid Newport Emergency Physicians $3,021,258 for such services.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section B, Lines 15a and b, cont.* 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. Base Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her assessment of individual performance or other pertinent information, for the Committee's consideration.New Participants in Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, the office of the Senior Vice President of Human Resources works with the Committee's independent compensation consultant or relies on information previously provided by the consultant to establish a range of reasonable cash compensation within which recruitment is expected to conclude through acceptance of a reasonable compensation offer.
Form 990, Part VI, Section B, Lines 15a and bThe following applies to Lifespan and all of its affiliates, including Newport 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 both with law and with 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.
Form 990, Part VI, Section B, Line 12cLifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including Newport 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, Line 4bOutpatient services include diagnostic medical imaging, laboratory, Vanderbilt Rehabilitation, wound care, and other notable services. The Hospital substantially subsidizes various health services including adult psychiatry, Vanderbilt Rehabilitation, occupational health, 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, patient advocacy, foreign language translation, physician referral services, and charitable contributions.
Form 990, Part III, Line 4aNewport Hospital received Magnet designation from the American Nurses Credentialing Center (ANCC) in 2004. Of more than 5,000 hospitals in the United States, only about 4 percent have achieved Magnet status. Magnet hospitals must demonstrate that their nursing services function beyond the level of excellence. Standards for Magnet status are rigorous and include not only outstanding patient care but also best practices in nursing, management philosophy, national standards for quality improvement, leadership by the chief nursing officer, nurse education levels and professional models of care. The Magnet process is continuous; Magnet redesignated Newport Hospital in 2009.The Noreen Stonor Drexel Birthing Center at Newport Hospital has received the prestigious Baby Friendly designation from the World Health Organization and UNICEF. Newport Hospital is recognized for providing an optimal environment for the promotion, protection, and support of breastfeeding. Hospitals are awarded this status only when trained, independent evaluators have determined that all hospital practices meet the rigorous Baby Friendly standards. The Hospital has developed formal and informal educational affiliations with the University of Rhode Island College of Nursing; Community College of Rhode Island; Salve Regina University; University of Massachusetts-Dartmouth and Yale University, pursuant to which their nursing students obtain clinical training and experience at the Hospital, which does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.
Form 990, Part III, Line 1 -Organization's MissionThe mission of Newport Hospital is to provide acute and outpatient health services to all the people of Newport County, Rhode Island and to work in collaboration with physicians, our employees, other health care organizations, and the community to create a measurably healthier community through the provision of high quality, cost-effective, customer-focused health care services in an environment that promotes patient safety. Newport Hospital is established for the care of persons suffering from illnesses or disabilities which require that the patient receive inpatient or outpatient hospital care or rehabilitation services, to carry on any educational activities related to the healthcare field, and to promote charitable, scientific and educational purposes.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableLifespan, as well as NHCC and Affiliates (NHCC), currently make their annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification LLC), a disclosure dissemination agent for issuers of the tax-exempt bonds which electronically posts and transmits Lifespan's and NHCC's financial information to repositories and investors alike. Newport Hospital's financial statements are included in NHCC's consolidated financial statements. In addition, copies of Newport Hospital's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Lifespan Chief Financial Officer, either in person or by mail.Form 990, Part VI, Line 19
Form 990, Part VI, Line 11: Form 990 Review ProcessThe preparation and filing of the Form 990 and supporting schedules is the responsibility of the Chief Financial Officer and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP. The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit for initial review 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. Any recommended changes 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 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 as appropriate. The Chief Financial Officer is authorized to file the Form 990.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe bylaws of Newport Hospital (the Affiliate), including the bylaws of NHCC, 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 Affiliate Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of the Affiliate so that it can be approved and submitted to Lifespan for ratification and election.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderLifespan Corporation is the sole corporate member of Newport Health Care Corporation ("NHCC") which in turn is the sole corporate member of Newport Hospital.Form 990, Part VI, Line 6
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtMary A. Wakefield is an officer of Lifespan Corporation. The following officer, former officer and key employee, respectively, of Newport Hospital are employed by Lifespan: August B. Cordeiro, Arthur J. Sampson and Frank J. Byrne.Form 990, Part VI, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivitiesPrimaryActivitiesLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatus
RI Sound Enterprises Insurance Co Ltd
65 Front StreetHamiltonBDHM 12Offshore Insurance CaptiveBDNAfalse
RIH Ventures
Parking Facilities/ Phlebotomy ServicesNAfalse593 Eddy StreetProvidenceRI02903050448686RI501(c)(3)11
The Miriam Hospital Foundation
Philanthropic ActivitiesNAfalse167 Point StreetProvidenceRI02903050377502RI501(c)(3)7
The Miriam Hospital
Health Care ServicesNAfalse164 Summit AvenueProvidenceRI02906050258905RI501(c)(3)3
Rhode Island Hospital Foundation
Philanthropic ActivitiesNAfalse167 Point StreetProvidenceRI02903050468736RI501(c)(3)7
Rhode Island Hospital
Health Care ServicesNAfalse593 Eddy StreetProvidenceRI02903050258954RI501(c)(3)3
NHCC Medical Associates Inc
Health Care ServicesNAfalse11 Friendship StreetNewportRI02840050472268RI501(c)(3)11
Newport Hospital Foundation Inc
Philanthropic ActivitiesNAfalse11 Friendship StreetNewportRI02840222535533RI501(c)(3)7
Newport Health Property Management Inc
Property ManagementNAfalse11 Friendship StreetNewportRI02840222335539RI501(c)(3)11
Newport Health Care Corportaion
Holding Company/ Mgmnt ServicesNAfalse11 Friendship StreetNewportRI02840222535537RI501(c)(3)7
Lifespan of Massachusetts Inc
Holding CompanyNAfalsec/o Archstone Law 245 Winter StWalthamMA02451043408517MA501(c)(3)11
Lifespan Foundation
Philanthropic ActivitiesNAfalse167 Point StreetProvidenceRI02903050493219RI501(c)(3)7
Lifespan Diversified Services
Holding Company/ Mgmnt ServicesNAfalse167 Point StreetProvidenceRI02903050258935RI501(c)(3)11
Lifespan Corporation
Holding Company/ Mgmnt ServicesNAfalse167 Point StreetProvidenceRI02903222861978RI501(c)(3)11
Hospital Properties Inc
Property MangementNAfalse593 Eddy StreetProvidenceRI02903222869743RI501(c)(4)
Emma Pendleton Bradley Hospital
Pediatric Psychiatric Health Care ServicesNAfalse1011 Veterans Memorial ParkwayEast ProvidenceRI02915050258806RI501(c)(3)3
Bradley Hospital Foundation
Philanthropic ActivitiesN Afalse167 Point StreetProvidenceRI02903050500688RI501(c)(3)7

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
VNA Technicare Inc
622 George Washington HighwayLincolnRI02865050472710DME SalesRINAC corp
Lifespan Risk Services Inc
167 Point StreetProvidenceRI02903050459767Risk MgmntRINAC corp
Lifespan MSO Inc
167 Point StreetProvidenceRI02903050508717Mgmnt ServicesRINAC corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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