2011-08-11T16:48:18-07:00 2010-09-30 KPMG LLP 2 Financial Center 60 South Street Boston MA 02111 990 2009-10-01 222861978 Lifespan Corporation LIFE 4014446800 167 Point Street Providence RI 02903 Mary A Wakefield 2011-08-11 2009 2016-02-24 21:20:13Z George A Vecchione 167 Point Street Providence RI 02903 124420566 false false X www.lifespan.org X 1994 RI Lifespan's mission is to improve the health status of the people it serves through the provision of customer friendly, geographically accessible, high value services via a comprehensive, integrated health system. 17 12 738 60 -313687 -315636 0 119094691 113134140 13119235 11286426 0 132213926 124420566 278898 382458 0 64433130 66682906 0 0 55945343 56285469 120657371 123350833 11556555 1069733 39332987 43558538 58010967 69057625 -18677980 -25499087 Lifespan's mission is to improve the health status of the people it serves through the provision of customer friendly, geographically accessible, high value services via a comprehensive, integrated health system. false false 123350833 382458 113134140 Lifespan Corporation plans, directs and establishes policies to assure the development and delivery of quality health services, professional education and biomedical research by hospitals and other affiliated organizations on an integrated, cost-effective basis. Lifespan Corporation provides support services to its affiliates, such as information services, telecommunications, risk management, legal, communications and public affairs, fundraising, 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. 123350833 true false false true false false false false false false true false true false false true false false false false false false true false true false false false false false false false false false false true false false false false false true true false false true 148 0 true 738 true true true true BD false false false false false false false false 0 false false false false false false false false 17 12 true false false false false false false true true false false false true true true true true true true true false false X X Mary A Wakefield 4014447914 167 Point Street Providence RI 02903 V Duncan Johnson 1.00 X 0 0 0 Timothy J Babineau MD 40.00 X 1022149 0 109707 Stephen P Massed 4.00 X 0 0 0 Sr M Therese Antone 1.00 X 0 0 0 Shivan Subramaniam 4.00 X 0 0 0 Scott B Laurans 2.00 X X 0 0 0 Peter Capodilupo 4.00 X 0 0 0 Michael Ehrlich MD 2.50 X 50000 0 0 Mary R Cooper MD 40.00 X 480962 0 85415 Mary A Wakefield 40.00 X 703615 0 93428 Marie J Langlois 2.00 X 0 0 0 Louis Fazzano 0. X 0 0 0 Lawrence A Aubin Sr 3.00 X 0 0 0 Kenneth E Arnold 40.00 X 631953 0 721572 Kathleen C Hittner MD 40.00 X 698871 0 99231 Jonathan Fain 1.50 X 0 0 0 Joel M Kaufman MD 40.00 X 530607 0 79575 Hon Bruce M Selya 4.00 X 0 0 0 George D Caruolo 7.00 X 49583 0 0 George A Vecchione 40.00 X X 1419662 0 1506864 Frederick J Macri 0. X 554317 0 80596 Edward Feldstein 2.00 X 0 0 0 David A Brown 1.00 X 0 0 0 Charles J McDonald MD 1.00 X 0 0 0 Carole M Cotter 40.00 X 603859 0 24949 Armeather Gibbs 2.00 X 0 0 0 Alfred J Verrecchia 8.00 X X 0 0 0 6745578 2801337 118 false true false Siemens Medical Solutions 51 Valley Stream Parkway Malvern PA 19355 Patient Billing/Sprt 7426760 Ropes & Gray One International Place Boston MA 02110 Legal 643674 KPMG LLP PO Box 120001 Dallas TX 75312 Audit & Tax 744844 Edwards Angell Palmer & Dodge 2800 Financial Plaza Providence RI 02903 Legal 1186216 Automatic Data Processing 5800 Windward Parkway Alpharetta GA 30005 Payroll Processing 1323166 43 0 Support - Related Orgs 551112 112748135 112748135 Other Program Svc Rev 551112 386005 386005 113134140 11286426 -313687 11600113 0 0 0 0 0 0 0 0 124420566 113134140 -313687 11600113 382458 382458 0 0 0 6182463 6182463 0 48499313 48499313 5044414 5044414 3402196 3402196 3554520 3554520 0 2132942 2132942 597504 597504 349105 349105 0 336427 336427 9050775 9050775 1118158 1118158 4425552 4425552 14919168 14919168 0 2009396 2009396 216082 216082 0 302490 302490 0 0 0 19244261 19244261 Unrelated Business Income Tax 917 917 Recruitment Activities/ Awards 558528 558528 Property Taxes 89400 89400 Membership Dues 323318 323318 All Other Expense 611446 611446 0 123350833 123350833 0 0 880990 880790 12911135 10484400 0 1763827 2385020 0 0 631775 631775 0 5426347 5766310 0 0 0 0 0 17718913 23410243 39332987 43558538 32999693 36710764 25011274 32346861 58010967 69057625 X -18677980 -25499087 -18677980 -25499087 39332987 43558538 X false true true X false false X X false false false Newport Hospital 050258914 3 true false false 0 Emma Pendleton Bradley Hospital 050258806 3 true false false 0 The Miriam Hospital 050258905 3 true false false 0 Rhode Island Hospital 050258954 3 true false false 0 4 false false false true false 10000 false false false true 328513 false true 10592 349105 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Lobbying activities include contacts with: state legislators concerning matters pending in the Rhode Island legislature, municipal elected officials and their staffs, and state government regulatory officials. On the Federal level, there was contact with congressional office holders and their staffs concerning issues of interest to Lifespan's hospitals.Lifespan is a member of various agencies which engage in lobbying activities on behalf of their members. The agencies and amounts charged to Lifespan for such activities in fiscal year 2010 are as follows:Greater New York Hospital Association: $7,592.National Association of Urban Hospitals: $3,000. Workers' Comp Trust 8654739 Travel Advances to Employees 44708 SERP Deposits 5259600 Other Receivables 598631 Other Investments 100 Investment in VHA, Inc. 200003 Investment in R.I. Sound Enterprises Ins 3000000 Investment in Lifespan Physicians PSO 111630 CSV of Life Insurance 2750716 457(b) Plan Assets 2790116 23410243 Third-party liabilities 2926504 Other long-term liabilities 1645666 Noncurrent Pension Liability 16631600 Executive SERP Liabilities 8352975 457(b) Plan Liability 2790116 32346861 Europe 0 0 Investments 0 Central America & the Caribbean 0 0 Investments 0 0 0 0 X true Urban League 246 Prairie Avenue Providence RI 02905 050258939 501(c)(3) 5500 0 Charitable Sponsorship Tomorrow Fund 593 Eddy Street Providence RI 02903 050450569 501(c)(3) 11500 0 Sponsorship Cancer Family Support RI Institute for Nursing 700 Butler Drive Providence RI 02906 300390935 501(c)(3) 15000 0 Charitable Sponsorship Northwest Community Healthcare PO Box 312 Pascoag RI 02859 050258811 501(c)(3) 50000 0 Sponsorship Community Health Program March of Dimes 260 W Exchange Street Providence RI 02903 131846366 501(c)(3) 5500 0 Partner Sponsorship/ Baby Health Inst for Study & Practice of NonViolence 9 Central Street Providence RI 02907 050517863 501(c)(3) 158750 0 Sponsorship Community Health Program Boy Scouts of America- Narragans PO Box 14777 East Providence RI 02914 050308384 501(c)(3) 10000 0 Charitable Sponsorship American Heart Association One State Street Suite 200 Providence RI 02908 135613797 501(c)(3) 48000 0 Support Cardiovascular Health 8 0 Grantmaker's Description of How Grants are Used The External Affairs Department is responsible for administering the charitable giving of Lifespan Corporation. The organizations that are granted assistance are non-profit, typically 501(c)(3) organizations, whose missions are similar to that of Lifespan, being either healthcare, research, education, or improving the health status of the southern New England community. X X X true true X X X X X false true false false false false false true false false Timothy J Babineau MD 573675 379376 69098 92035 17672 1131856 Mary R Cooper MD 350303 108000 22659 62307 23108 566377 Mary A Wakefield 442966 168351 92298 79018 14410 797043 67165 Kenneth E Arnold 389789 153351 88813 706626 14946 1353525 60691 Kathleen C Hittner MD 451016 145651 102204 79234 19997 798102 71454 Joel M Kaufman MD 340508 103851 86248 63737 15838 610182 54460 George A Vecchione 853024 522051 44587 1485197 21667 2926526 Frederick J Macri 345921 128141 80255 64556 16040 634913 53894 Carole M Cotter 299722 106616 197521 14700 10249 628808 137582 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above The 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 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 1a Part 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).The Lifespan CEO's employment contract provides for reimbursement of financial and estate planning counseling expenses, including the federal and state taxes associated with the cost of the benefit. The amount of such benefit is included in Medicare wages, more specifically on Schedule J, Part II, column B (iii).Housing allowance or residences for personal use:A temporary housing allowance may be provided on a case-by-case basis as part of the recruitment of key executives. The allowance is documented in the individual employment contract or employment offer. In calendar year 2009 Lifespan provided this benefit to one new executive and the taxable amounts paid for relocation are included in Medicare wages, more specifically on Schedule J, Part II, column B (iii).Social Club Dues:The job responsibilities of certain executives include development of relationships with business leaders and donors. Those relationships are facilitated by the ability to meet in a setting where 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. Factory Mutual Insurance Co See Schedule O 951062 Insurance Coverage false Edwards Angell Palmer Dodge LLP See Schedule O 554143 Legal Services false Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lifespan currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification LLC), a disclosure dissemination agent for issuers of the tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. In addition, copies of Lifespan's articles of incorporation, bylaws, and conflict of interest policy are available upon request from the office of Lifespan's Chief Financial Officer, either in person or by mail. Form 990, Part VI, Line 11 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 for initial review by the Director of Finance and the Vice President of Finance - Corporate Services. Once the draft 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 Lifespan's Board of Directors 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. The Chief Financial Officer is authorized to file the Form 990. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Shivan Subramaniam, Director, is the CEO of the FM Global Group and Alfred J. Verrecchia, Director, is also a Director of the FM Global Group.Mary A. Wakefield is an officer of The Miriam Hospital Foundation and Marie J. Langlois, Director, is also a Trustee of The Miriam Hospital Foundation. RI Sound Enterprises Insurance Co Ltd 65 Front Street Hamilton BD HM 12 Offshore Insurance Captive BD N/A The Miriam Hospital Foundation 167 Point Street Providence RI 02903 050377502 Philanthropic Activities RI 501(c)(3) 7 N/A The Miriam Hospital 164 Summit Avenue Providence RI 02906 050258905 Health Care Services RI 501(c)(3) 3 N/A RIH Ventures 593 Eddy Street Providence RI 02903 050448686 Parking Facilities/ Phlebotomy Services RI 501(c)(3) 11 N/A Rhode Island Hospital Foundation 167 Point Street Providence RI 02903 050468736 Philanthropic Activities RI 501(c)(3) 7 N/A Rhode Island Hospital 593 Eddy Street Providence RI 02903 050258954 Health Care Services RI 501(c)(3) 3 N/A NHCC Medical Associates Inc 11 Friendship Street Newport RI 02840 050472268 Health Care Services RI 501(c)(3) 11 N/A Newport Hospital Foundation Inc 11 Friendship Street Newport RI 02840 222535533 Philanthropic Activities RI 501(c)(3) 11 N/A Newport Hospital 11 Friendship Street Newport RI 02840 050258914 Health Care Services RI 501(c)(3) 3 N/A Newport Health Property Management Inc 11 Friendship Street Newport RI 02840 222335539 Property Management RI 501(c)(3) 11 N/A Newport Health Care Corporation 11 Friendship Street Newport RI 02840 222535537 Holding Company/ Mgmnt Services RI 501(c)(3) 7 N/A Lifespan of Massachusetts Inc c/o EAPD 111 Huntington Avenue Boston MA 02199 043408517 Holding Company MA 501(c)(3) 11 N/A Lifespan Foundation 167 Point Street Providence RI 02903 050493219 Philanthropic Activities RI 501(c)(3) 7 N/A Lifespan Diversified Services 167 Point Street Providence RI 02903 050258935 Holding Company/ Mgmnt Services RI 501(c)(3) 11 N/A Hospital Properties Inc 593 Eddy Street Providence RI 02903 222869743 Property Management RI 501(c)(4) N/A Emma Pendleton Bradley Hospital 1011 Veterans Memorial Parkway East Providence RI 02915 050258806 Pediatric Psychiatric Health Care Services RI 501(c)(3) 3 N/A Bradley Hospital Foundation 167 Point Street Providence RI 02903 050500688 Philanthropic Activities RI 501(c)(3) 7 N/A VNA Technicare Inc 622 George Washington Highway Lincoln RI 02865 050472710 DME Sales RI N/A C corp Lifespan Risk Services Inc 167 Point Street Providence RI 02903 050459767 Risk Mgmnt RI N/A C corp Lifespan MSO Inc 167 Point Street Providence RI 02903 050508717 Mgmnt Svcs RI N/A C corp true false false true false false false false false true true false false true true true true true VNA Technicare Inc k 180000 Lifespan Risk Services Inc a 74057 Lifespan MSO Inc p 1563135 The Miriam Hospital Foundation p 277412 The Miriam Hospital Foundation n 572445 The Miriam Hospital o 582390 The Miriam Hospital k 21340935 RI Sound Enterprises Insurance Co Ltd r 5000000 RI Sound Enterprises Insurance Co Ltd q 22291441 Rhode Island Hospital Foundation p 1090359 Rhode Island Hospital Foundation n 1707848 Rhode Island Hospital k 55265292 Rhode Island Hospital j 1962783 Newport Hospital Foundation Inc p 358147 Newport Hospital Foundation Inc n 461751 Newport Hospital k 6006480 Emma Pendleton Bradley Hospital k 3467763 Bradley Hospital Foundation p 121647 Bradley Hospital Foundation n 420637 Bradley Hospital Foundation d 360802