THE MIRIAM HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- THE MIRIAM HOSPITAL (EIN 05-0258905)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-11
- IRS object ID
- 201102239349302680
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-11T16:57:20-07:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 Financial Center 60 South Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050258905 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Miriam Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MIRI | NameControl |
| Phone | 4017932500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 164 Summit Avenue | AddressLine1 |
| City | Providence | City |
| State | RI | State |
| ZIP Code | 02906 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mary A Wakefield | Name |
| Title | CFO | Title |
| Date Signed | 2011-08-11 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Timothy J Babineau MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 164 Summit Avenue | AddressLine1 |
| City | Providence | City |
| State | RI | State |
| ZIP Code | 02906 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 415479742 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c | X | Organization501c |
| Web Site | www.lifespan.org/partners/tmh | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1926 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | The mission of The Miriam Hospital(TMH) is to inspire one another to improve the health and spirit of the lives we touch. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2697 | TotalNbrEmployees |
| Total Nbr Volunteers | 919 | TotalNbrVolunteers |
| Total Gross UBI | 2340927 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 67460 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4105341 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3051477 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 355601744 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 376274529 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1120647 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3691557 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7235294 | OtherRevenuePriorYear |
| Other Revenue Current Year | 8027487 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 365821732 | TotalRevenuePriorYear |
| Total Revenue Current Year | 391045050 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 105512 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 31075 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 159894522 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 168554688 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 204333836 | OtherExpensePriorYear |
| Other Expenses Current Year | 211809727 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 364333870 | TotalExpensesPriorYear |
| Total Expenses Current Year | 380395490 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1487862 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 10649560 | RevenuesLessExpensesCY |
| Total Assets BOY | 354877512 | TotalAssetsBOY |
| Total Assets EOY | 376984402 | TotalAssetsEOY |
| Total Liabilities BOY | 135993470 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 139754581 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 218884042 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 237229821 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission of The Miriam Hospital(TMH) is to inspire one another to improve the health and spirit of the lives we touch. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 290297417 | Expense |
| Grants | 31075 | Grants |
| Revenue | 358075475 | Revenue |
| Description | Patient Care:Services and programs provided by TMH include general medicine; general surgery; emergency medicine; cardiovascular care; orthopedics; nuclear cardiology; radiology; laboratory; renal dialysis; urology; gastroenterology; endocrinology; gynecology; nephrology; neurology; ophthalmology; trauma care; computerized tomography; and magnetic resonance imaging (MRI). (Continued on Schedule O). | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 23174000 | Expense |
| Revenue | 20167000 | Revenue |
| Description | Research:Since 1969, the level of research has increased from seven projects totaling $127,000 involving nine investigators to 270 projects totaling $22.4 million involving 69 investigators and 183 employees. The following is a selection of research being conducted at the Hospital: cancer treatment and prevention, epidemiological research and clinical trials in AIDS and HIV infection including vaccine development, coronary heart disease, nutrition, exercise, weight control and lifestyle risk factors affecting health. TMH provided $3 million in support of research activities in 2010. (Continued on Schedule O). | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 20865000 | Expense |
| Revenue | 2489000 | Revenue |
| Description | Medical Education:TMH provides the setting for and substantially supports medical education in various clinical training and nursing programs. The total cost of direct medical education provided by the Hospital exceeded the reimbursement received from third-party payors by $10.4 million in 2010. (Continued on Schedule O). | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 334336417 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 192 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2697 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Mary A Wakefield | NamePerson |
| Telephone Number | 4014447914 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 167 Point Street | AddressLine1 |
| City | Providence | City |
| State | RI | State |
| ZIP Code | 02903 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | Key EmployeeKeyEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Timothy J Babineau MD | |||||||||
| President & CEO | 13.00 | X | X | 0 | 1022149 | 109707 | |||
| Samuel K Suls | |||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||||
| Ronald A DeLellis MD | |||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||||
| Rogers C Griffith MD | |||||||||
| Physician | 40.00 | 310628 | 0 | 37406 | X | ||||
| Robert W Corwin MD | |||||||||
| Chief Medical Ofcr | 40.00 | 270028 | 0 | 47616 | X | ||||
| Robert L Bahr MD | |||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||||
| Richard L Gold MD | |||||||||
| Trustee | 5.00 | X | 0 | 0 | 0 | ||||
| Rena R Wing MD | |||||||||
| Physician | 0. | 252626 | 0 | 25710 | X | ||||
| Rebecca L Burke | |||||||||
| Chief Nursing Officer- thru 5/8/10 | 40.00 | 0 | 368958 | 66491 | X | ||||
| Phillip Kydd | |||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||||
| Paari Gopalakrishnan MD | |||||||||
| Physician | 40.00 | 258326 | 0 | 34127 | X | ||||
| Neil R Greenspan MD | |||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||||
| Mary Jo Kaplan | |||||||||
| Secretary | 5.00 | X | X | 0 | 0 | 0 | |||
| Mary A Wakefield | |||||||||
| CFO | 12.00 | X | 0 | 703615 | 93428 | ||||
| Marie J Langlois | |||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||||
| Maria Ducharme | |||||||||
| Chief Nursing Officer - eff 7/18/10 | 40.00 | 165219 | 0 | 16765 | X | ||||
| Marc A Crisafulli | |||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||||
| Kathleen Hittner MD | |||||||||
| President & CEO | 0. | 0 | 698871 | 99231 | X | ||||
| Judith B Levitt | |||||||||
| Trustee | 0. | X | 0 | 0 | 0 | ||||
| Jonathan L Elion MD | |||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||||
| Jeffrey M Burock MD | |||||||||
| Physician | 40.00 | 239604 | 0 | 33534 | X | ||||
| Jeffrey G Brier | |||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||||
| Frederick S Crisafulli MD | |||||||||
| Trustee | 0. | X | 0 | 0 | 0 | ||||
| Frederick N Levinger | |||||||||
| Trustee | 1.50 | X | 0 | 0 | 0 | ||||
| Fred J Schiffman MD | |||||||||
| Trustee | 10.00 | X | 0 | 0 | 0 | ||||
| Edward D Feldstein | |||||||||
| Chairman | 10.00 | X | 0 | 0 | 0 | ||||
| Dayle Hunt Joseph | |||||||||
| Trustee | 4.00 | X | 0 | 0 | 0 | ||||
| David L Edmonds | |||||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||||
| David A Marcoux MD | |||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||||
| Brian Goldner | |||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||||
| Bertram M Lederer | |||||||||
| Trustee | 5.00 | X | 0 | 0 | 0 | ||||
| Arthur J Sampson | |||||||||
| Executive Director | 40.00 | 0 | 469715 | 77334 | X | ||||
| Alan H Litwin | |||||||||
| Treasurer | 5.00 | X | X | 0 | 0 | 0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1496431 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3263308 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 641349 | TotalOtherCompensation |
| Number Individuals GT100 K | 122 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| University Surgical Assosicates | |||||
| PO 16149 | Rumford | RI | 02916 | Medical Services | 1372479 |
| University Medicine Foundation | |||||
| 178 Norwood Avenue | Cranston | RI | 02905 | Medical Services | 7429505 |
| Now Delivery | |||||
| PO Box 6945 | Providence | RI | 02940 | Delivery Services | 1112730 |
| Narragansett Bay Anesthesia | |||||
| 164 Summit Avenue | Providence | RI | 02906 | Medical Services | 2221308 |
| Brown University | |||||
| PO Box 1911 | Providence | RI | 02912 | Medical Services | 1204536 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 19 | NumberOfContractorsGT100K |
| Related Organizations | 2724498 | RelatedOrganizations |
| Government Grants | 142258 | GovernmentGrants |
| All Other Contributions | 184721 | AllOtherContributions |
| Total Contributions | 3051477 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Temp Restricted (SPFs) | 900099 | 326963 | 326963 | |
| Patient Service Rev | 900099 | 351249330 | 351249330 | |
| Laboratory | 621500 | 2277764 | 2277764 | |
| Direct Rev from Research | 900099 | 22420472 | 22420472 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 376274529 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3237037 | TotalRevenueColumn |
| Exclusion | $3,237,037 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 106279 | TotalRevenueColumn |
| Exclusion | $106,279 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 611505 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 485583 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 125922 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 125922 | TotalRevenueColumn |
| Unrelated Business Revenue | 16457 | UnrelatedBusinessRevenue |
| Exclusion | $109,465 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 24297350 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 23949109 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 348241 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 348241 | TotalRevenueColumn |
| Exclusion | $348,241 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| State DSH Revenue | 900099 | 1600000 | 1600000 | |
| Indirect Rev from Grants | 900099 | 4163950 | 4163950 | |
| Cafeteria Revenue | 900099 | 1109935 | $1,109,935 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1027680 | TotalRevenueColumn |
| Related Or Exempt Function Income | 970760 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 46706 | UnrelatedBusinessRevenue |
| Exclusion | $10,214 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7901565 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 391045050 | TotalRevenueColumn |
| Related Or Exempt Function Income | 380731475 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2340927 | UnrelatedBusinessRevenue |
| Exclusion | $4,921,171 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31075 | Total |
| Program Services | 31075 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212475 | Total |
| Program Services | 212475 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128737720 | Total |
| Program Services | 124752373 | ProgramServices |
| Management And General | 3985347 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7365200 | Total |
| Program Services | 7137520 | ProgramServices |
| Management And General | 227680 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23137481 | Total |
| Program Services | 22511496 | ProgramServices |
| Management And General | 625985 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9101812 | Total |
| Program Services | 8820449 | ProgramServices |
| Management And General | 281363 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3425 | Total |
| Program Services | 3425 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259886 | Total |
| Management And General | 259886 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18580747 | Total |
| Program Services | 18504307 | ProgramServices |
| Management And General | 76440 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114272 | Total |
| Program Services | 111550 | ProgramServices |
| Management And General | 2722 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83503877 | Total |
| Program Services | 83090452 | ProgramServices |
| Management And General | 413425 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7604598 | Total |
| Program Services | 6852399 | ProgramServices |
| Management And General | 752199 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 679692 | Total |
| Program Services | 633922 | ProgramServices |
| Management And General | 45770 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265082 | Total |
| Program Services | 219773 | ProgramServices |
| Management And General | 45309 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3681611 | Total |
| Management And General | 3681611 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10461597 | Total |
| Management And General | 10461597 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1890628 | Total |
| Program Services | 1890628 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Unrelated Business Income Tax | 22936 | 22936 | |
| Purch Svs & Equip Cont | 39136694 | 14393501 | 24743193 |
| Provision for bad debts | 20154618 | 20154618 | |
| License Fee | 15591837 | 15591837 | |
| All Other Expense | 9858227 | 9401681 | 456546 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 380395490 | Total |
| Program Services | 334336417 | ProgramServices |
| Management And General | 46059073 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20554812 | BOY |
| EOY | 13284083 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1165849 | BOY |
| EOY | 1245050 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34800345 | BOY |
| EOY | 38386570 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 550000 | BOY |
| EOY | 550000 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3704858 | BOY |
| EOY | 3916035 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2815745 | BOY |
| EOY | 3188072 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 302399293 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 148104066 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155408130 | BOY |
| EOY | 154295227 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54329794 | BOY |
| EOY | 70121300 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18775138 | BOY |
| EOY | 22282008 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62772841 | BOY |
| EOY | 69716057 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 354877512 | BOY |
| EOY | 376984402 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28813367 | BOY |
| EOY | 28247085 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69995486 | BOY |
| EOY | 68064107 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37184617 | BOY |
| EOY | 43443389 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135993470 | BOY |
| EOY | 139754581 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192478600 | BOY |
| EOY | 204340397 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19752885 | BOY |
| EOY | 21499537 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6652557 | BOY |
| EOY | 11389887 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 218884042 | BOY |
| EOY | 237229821 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 354877512 | BOY |
| EOY | 376984402 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $3,425 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3425 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| Explanation | The Miriam Hospital pays membership fees to the Hospital Association of Rhode Island. This organization engages in lobbying activities on behalf of the Hospital. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 73337707 | BeginningOfYearBalance |
| Contributions | 40371010 | Contributions |
| Investment Earnings Or Losses | 8097713 | InvestmentEarningsOrLosses |
| Other Expenditures | 24976075 | OtherExpenditures |
| End Of Year Balance | 96830355 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 77300591 | BeginningOfYearBalance |
| Contributions | 22261170 | Contributions |
| Investment Earnings Or Losses | -882788 | InvestmentEarningsOrLosses |
| Other Expenditures | 25341266 | OtherExpenditures |
| End Of Year Balance | 73337707 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.85900 | BoardDesignatedEOYBalance |
| Term Endowment EOY Balance | 0.14100 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4288032 | OtherCostOrOtherBasis |
| Book Value | 4288032 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 184665243 | OtherCostOrOtherBasis |
| Depreciation | 63215774 | Depreciation |
| Book Value | 121449469 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 108853919 | OtherCostOrOtherBasis |
| Depreciation | 84888292 | Depreciation |
| Book Value | 23965627 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4592099 | OtherCostOrOtherBasis |
| Book Value | 4592099 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 154295227 | TotalOfBookValueLandBuildings |
| Total Of Book Value Securities | 22282008 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other | 143854 |
| Interest in the NA of TMH Foundation | 50224648 |
| Deferred financing costs | 1739083 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 69716057 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Third-party payor settlements | $16,061,727 |
| Lease payable | $134,186 |
| Est. health benefit self-ins. costs | $2,293,574 |
| Due to affiliates | $157,710 |
| Construction loan payable | $70,371 |
| Accrued post-retirement benefit liab | $263,300 |
| Accrued pension liability | $24,254,000 |
| Abatement liability | $208,521 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 43443389 | TotalOfAmounts |
| Total Revenue | 391045050 | TotalRevenue |
| Total Expenses | 380395490 | TotalExpenses |
| Excess Or Deficit For Year | 10649560 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 4775384 | NetUnrealizedGLOnInvestments |
| Other | $2,920,835 | OtherAmount |
| Total Adjustments | 7696219 | TotalAdjustments |
| Excess Or Deficit Per FS | 18345779 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 398966966 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 4775384 | NetUnrealizedGainsInvestments |
| Other Revenues | 2920835 | OtherRevenues |
| Revenue Not Rptd F990 | 7696219 | RevenueNotRptdF990 |
| Revenue Subtotal | 391270747 | RevenueSubtotal |
| Investment Expenses Not Included | 259886 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -485583 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -225697 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 391045050 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 380621187 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 380621187 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 259886 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | -485583 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -225697 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 380395490 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XII, Line 2d | Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990 | Chng in fnd status of pension & postret $-3132652 Increase in Net Assets of TMHF $6053487 |
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | Change in funded status of pension and other postretirement $0 Increase in Net Assets of TMHF $6053487 Change in funded status of pension and other postretirement $ -3132652 Effect of changing pension and postret. measurement date $ -0 Decrease in Net Assets of TMHF $ -0 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | Endowment funds primarily include designated assets set aside by The Miriam Hospital's Board for future capital improvements, over which the Board retains control and may at its discretion subsequently use for other purposes, and assets whose use by the Hospital has been limited by grantors or donors to a specific purpose. The largest term endowments held by the Hospital are used to support general healthcare activities and research at the discretion of Hospital management. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures |
|---|---|---|---|---|---|
| Sub-Saharan Africa | 0 | 0 | Program Services | Research | 151725 |
| South Asia | 0 | 0 | Program Services | Research | 91495 |
| Europe | 0 | 0 | Program Services | Research | 6439 |
| East Asia & the Pacific | 0 | 0 | Program Services | Research | 14565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Total Amount Spent | 264224 | TotalAmountSpent |
| No Recipient Over5 K | X | NoRecipientOver5K |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16334000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3871000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12463000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03280 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32143000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32182000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -39000 | NetCommunityBenefitExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48477000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 36053000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12424000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03270 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 273000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 235000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20865000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2489000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18376000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04830 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9962000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7598000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2364000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23174000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20167000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3007000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00790 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 116000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 116000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 54390000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 30292000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24098000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06330 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 102867000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 66345000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 36522000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09600 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $4,954,829 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 78498330 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 82123074 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3624744 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | OtherOther | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|---|
| TMH Pre-admission Testing Cntr | |||||||||
| 208 Collyer St 3rd Floor | Providence | RI | 02904 | Outpatient Pre-admission assessmt & educ | |||||
| TMH Diagnostic Imaging Center | |||||||||
| 195 Collyer St Suite 101 | Providence | RI | 02904 | Outpatient Radiology | |||||
| TMH Cardiac RehabPulm Rehab | |||||||||
| 208 Collyer Street | Providence | RI | 02904 | Outpatient Cardiac Clinic | |||||
| TMH Outpatient Rehabilitation | |||||||||
| 195 Collyer Street | Providence | RI | 02904 | Outpatient Rehab PT, OT, Speech | |||||
| TMH Wgt Cntrl & Diabetes Res | |||||||||
| 196 Richmond Street | Providence | RI | 02903 | Outpatient Research & Education | |||||
| TMH Immunology Research Center | |||||||||
| 14 Third St and 11 Third St | Providence | RI | 02906 | Outpatient Counseling | |||||
| TMH Behavioral Medicine Clinic | |||||||||
| 1 Hoppin St Coro West 3 | Providence | RI | 02903 | Outpatient Clinic | |||||
| RISE TB Clinic | |||||||||
| 14 Third Street | Providence | RI | 02906 | TB Clinic | |||||
| TMH Laboratory | |||||||||
| 400 Bald Hill Road | Warwick | RI | 02886 | Phlebotomy Lab | |||||
| TMH Laboratory | |||||||||
| 1 Commerce Street | Lincoln | RI | 02865 | Phlebotomy Lab | |||||
| TMH Laboratory | |||||||||
| 1 Hoppin Street | Providence | RI | 02903 | Phlebotomy Lab | |||||
| The Miriam Hospital | |||||||||
| 164 Summit Avenue | Providence | RI | 02906 | X | X | X | X | X | |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | The Miriam Hospital (the Hospital) uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test.The financial screening process at the Hospital is intended to define probable eligibility for public assistance (Medicaid or Community Free Service ("CFS")) for those patients who do not have the means to pay for hospital services rendered, as follows:1. Upon patient indication of an inability to pay required monies, the patient is offered the financial screening option to determine eligibility for public assistance. (Medicaid, CFS)2. The application for CFS is completed and includes information relative to income, expense, and other available resources and requires proof of such information which may include:- most recently filed 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% is provided for those applicants whose family gross income is at or below the Federal Poverty Guidelines 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.Continued under "Additional Information".... | IncomeBasedCriteria |
| Bad Debt Footnote | The 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 provision for bad debts, based on charges net of contractual allowances, was $20,154,618. The cost associated with the provision was $4,954,829 and is based on the ratio of cost to charges. | BadDebtFootnote |
| Shortfall As Community Benefit | Medicare 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | The Hospital uses an outside pre-collection agency for all self-pay receivables, with the exception of self-pay after Medicare which is handled by the Hospital's Patient Financial Services Department. The pre-collection agency attempts to collect the debt for 120 days. During this time, 3 letters are sent to the patient's address of record and for balances in excess of $50 attempts are made to reach the patient by telephone. If the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered. (Please refer to the Charity Care Eligibility Criteria and Additional Information sections for further detail on those processes.) If the pre-collection agency is unsuccessful in contacting the patient or no response is received within 120 days, the account is forwarded to a collection agency.The collection agency also sends statements and attempts to reach the patient via telephone. Again, if the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered. If no response is received, the claim is referred to small claims court and the patient is summoned to appear. If the patient does not appear, the Hospital will receive a judgment in its favor. If the Hospital learns that the claim has a related settlement, i.e., an automobile accident, the Hospital can put a lien on such settlement. Alternatively, if the collection agency deems the account uncollectible, it will be written off. | DebtCollectionPolicy |
| General Explanation | Part I, Line 3c continued: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 if the balance is under $5,000 and 50% to 100% of estimated charges if the estimated bill exceeds $5,000.For elective or non-urgent cases, the policy will require financial clearance prior to services or an exception from the Medical Director based on the clinical circumstances if the patient cannot meet the above payment agreement.Patients who do not qualify for the total or partial CFS, but who have difficulty in paying their bills after services are rendered, may request enrollment in a payment plan. Eligibility for the payment plan includes the following guidelines:1. Immediate payment in full will result in financial hardship to the patient or the patient's family.2. Deposit of one-half of the estimated total bill is requested prior to admission.3. Minimum monthly payment of $50.00.4. The maximum length of the payment plan is twenty-four months.The Customer Service staff will set up the payment plan using the above guidelines as well as complete the necessary information on the "Payment Agreement" form and mail to patient for signature.Account documentation will be done online. The pre-collect agency will be sent a copy of the payment agreement and all forms will be scanned into the PFS Optical Imaging System. | GeneralExplanation |
| Needs Assessment | Lifespan's Office of Strategic Planning and Analysis performs population-based studies regarding the need for inpatient medical and surgical services for both adults and children and a wide range of outpatient services including: primary care office visits, specialty care, emergency services, imaging, ambulatory surgery, and specific high technology services such as radiation therapy and bone marrow transplantation for the Hospital. A population based study examines not only the growth and changes in the population, but the resources in the community, and the changing prevalence of diseases. Added to this population-based approach, Lifesfpan Strategic Planning also examines experience with wait times and crowding, the level of staffing, and the changing standards of care. All of this information is used to assess the demand for additional services to provide good access to high quality care.In addition to population approaches to assessing and estimating need, all specialties and services monitor demand at the service specific level by looking at: changing patterns of care and methods of treatment for the specific medical problem, wait times for visits/queues, and community resources. The service leadership then go through a review process to add staff, expanded hours, and/or new sub-components to round out core services on an as-needed basis. At times, expansion requires more space, equipment, and staff, but often accommodation of community demand is achieved through expanded hours. Facilities are added as needed to accommodate these expansions, but most often minor renovations of existing locations with better, more modern layouts and equipment allow for greater patient access.The RI State Certificate of Need program requires a focused study of need in all projects over $2 Million, which is an important part of the program development process across Lifespan.Based on a broad understanding of community health needs, the Hospital provides a wide range of services to both its primary and secondary areas. Lifespan and its hospital affiliates monitor health trends in Rhode Island in an effort to identify areas of unmet demands regarding clinical services. For example, in 2006, the Hospital was the first in the region to use a new technology to remove clots quickly, mitigating the debilitating effects of stroke. Over the past three years, the Hospital has expanded its groundbreaking robotic surgery program. The Hospital is home to the state's first Joint Commission - Certified Stroke Center and the only Women's Cardiac Center in Rhode Island. | NeedsAssessment |
| Patient Education Assistance | The Miriam Hospital has multilingual signage in the Hospital's main lobby and waiting areas which provide information on financial aid contacts. The Registration Department meets with patients at the outset of care to discuss eligibility for assistance. The Registration staff provides interested patients with a "Welcome" booklet which includes information on patient rights and responsibilities. The signage and booklets contain a telephone number which connects patients with Registration staff who can answer any additional questions that may arise after the patient has left the Hospital. Assistance eligibility is also summarized on the Hospital's website. | PatientEducationAssistance |
| Community Information | The Miriam Hospital, located in Providence, Rhode Island, is a 247-bed nonprofit general acute care teaching hospital with university affiliation providing a comprehensive range of diagnostic and therapeutic services (excluding obstetrics) for the acute care of patients principally from RI and southeastern Massachusetts. As a complement to its role in service and education, the Hospital actively supports research. The Hospital is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and participates as a provider primarily in Medicare, Blue Cross and Medicaid programs. The Hospital is also a member of Voluntary Hospitals of America, Inc.In 1969, the Hospital and certain other Rhode Island hospitals entered into an affiliation agreement to participate jointly in various clinical training programs and research activities with Brown Medical School, renamed the Warren Alpert Medical School of Brown University (Brown). The Hospital is designated as a major teaching affiliate of Brown. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically.With respect to nursing education, the Hospital has developed formal and informal educational affiliations with a number of accredited New England colleges and universities. The Hospital does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.The Hospital conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in National Institutes of Health programs. | CommunityInformation |
| Community Building Activities | The Hospital substantially subsidizes various health services including a tuberculosis clinic. 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 and weight loss programs, diabetes education, patient advocacy, foreign language translation, physician referral services and charitable contributions. | CommunityBuildingActivities |
| Other Information | The Miriam Hospital is governed by a Board of Trustees, which is composed of 10 voting members who are elected by Lifespan Corporation as sole member of the Hospital, and five who serve ex officio. The ex officio members of the Board with a vote are the President and Chief Executive Officer of the Hospital along with the Chairman of The Miriam Hospital Foundation. The Chairman and the President and CEO of Lifespan Corporation, as well as the Chairman of Rhode Island Hospital, are ex officio members of the Board without a vote. Elected Board members serve one-year terms. The Hospital's Board prescribes the duties and powers of committees appointed by the Chair and appoints members of the Medical Staff. The physicians on the Hospital's medical staff are both hospital-based and community based. | OtherInformation |
| Affiliated Health Care System | Lifespan's mission is to improve the health status of the people it serves in RI and in southern New England through the provision of customer friendly, geographically accessible, high value services in the environment of an integrated academic health system. Lifespan affiliates provide comprehensive inpatient and outpatient medical, surgical and psychiatric services for adults and children. Lifespan and its affiliates employ more than 12,300 people. The Lifespan system has over 2,100 physicians on the medical staffs of its affiliated hospitals, operates 1,155 licensed beds in four hospital complexes, and in 2010 generated approximately $1.6 billion in total operating revenue. By each of these measures, Lifespan is RI's largest health system, serving a population of over 1.5 million. Three of its hospital members, Rhode Island Hospital (RIH), The Miriam Hospital (TMH) and Bradley Hospital (EPBH), are teaching affiliates of the Warren Alpert Medical School of Brown University with 79 percent of the residents and fellows in this program based at RIH, TMH and EPBH.Lifespan is a RI nonprofit corporation that is community-based and community-governed. As a nonprofit organization, Lifespan is run by a voluntary Board of Directors who are community representatives. Lifespan and all of its nonprofit hospital affiliates have received written notification from the Internal Revenue Service that they have been recognized as being organized and operated as entities described in Internal Revenue Code (IRC) Section 501(c)(3) and are generally exempt from income taxes under IRC Section 501(a).As of September 30, 2010, 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 TMH confer certain reserved powers on Lifespan to provide it with the means of effective oversight, coordination and support of the system. Powers reserved to Lifespan as sole member include: to elect and remove trustees; to approve the election of and to remove certain officers; to approve the amendment of the Articles of Incorporation and Bylaws and other Charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness.For a complete listing of affiliated members of Lifespan's integrated healthcare delivery system please refer to Schedule R. | AffiliatedHealthCareSystem |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jewish Community Center of RI | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 Elmgrove Ave | AddressLine1 |
| City | Providence | City |
| State | RI | State |
| ZIP Code | 02906 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 050258887 | EINOfRecipient |
| Amount Of Cash Grant | 6000 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Purpose Of Grant | Sponsorship of community event | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Grantmaker's Description of How Grants are Used | Identifier |
| Explanation | The Miriam Hospital (TMH) is committed to community programs and provides support to many charitable organizations in Southern New England. All contributions are approved by management and are made to non-profit, typically 501(c)(3) organizations, whose missions and goals align with those of TMH. During 2010, TMH sponsored the following: An award luncheon for Phoenix Houses of New England, a drug treatment and substance abuse agency; the Memory Walk to benefit Alzheimers Association, RI Chapter; the CVS/Caremark Downtown 5K Road Race to support nonprofit organizations and schools from Rhode Island and Massachusetts; the annual road race and charity golf tournament for the Jewish Community Center of RI; an Awards for Excellence dinner for Hope Funds for Cancer Research; program support for the RI Free Clinic; an end-of-year pizza party for the Dr. Martin Luther King Elementary School of Providence, RI, and various other community programs. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Timothy J Babineau MD | ||||||||||||
| 573675 | 379376 | 69098 | 92035 | 17672 | 1131856 | |||||||
| Rogers C Griffith MD | ||||||||||||
| 263568 | 43055 | 4005 | 19147 | 18259 | 348034 | |||||||
| Robert W Corwin MD | ||||||||||||
| 222910 | 35816 | 11302 | 33286 | 14330 | 317644 | |||||||
| Rena R Wing MD | ||||||||||||
| 248976 | 3650 | 17974 | 7736 | 278336 | ||||||||
| Rebecca L Burke | ||||||||||||
| 246118 | 74830 | 48010 | 52301 | 14190 | 435449 | 29633 | ||||||
| Paari Gopalakrishnan MD | ||||||||||||
| 176637 | 40295 | 41394 | 16387 | 17740 | 292453 | |||||||
| Mary A Wakefield | ||||||||||||
| 442966 | 168351 | 92298 | 79018 | 14410 | 797043 | 67165 | ||||||
| Maria Ducharme | ||||||||||||
| 150324 | 14895 | 11732 | 5033 | 181984 | ||||||||
| Kathleen Hittner MD | ||||||||||||
| 451016 | 145651 | 102204 | 79234 | 19997 | 798102 | 71454 | ||||||
| Jeffrey M Burock MD | ||||||||||||
| 191445 | 47561 | 598 | 14876 | 18658 | 273138 | |||||||
| Arthur J Sampson | ||||||||||||
| 297218 | 104001 | 68496 | 61817 | 15517 | 547049 | 45555 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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). 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. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| RI Health & Ed Bldg Corp | ||||||
| 521300173 | 762243K36 | 2009-03-30 | 19582506 | See Schedule O | false | false |
| RI Health & Ed Bldg Corp | ||||||
| 521300173 | 762243SS3 | 2006-02-14 | 40725126 | See Schedule O | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Amount UnspentAmountUnspent | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Year Of Subst CompletionYearOfSubstCompletion |
|---|---|---|---|---|---|---|---|---|---|
| 19547450 | 1955172 | 10940711 | 288639 | 6107175 | false | false | false | true | |
| 38811270 | 348652 | false | true | true | true | 2006 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI |
|---|---|---|---|---|---|---|
| false | false | false | true | true | true | |
| false | true | false | true | true | true | 0.01760 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | false | false | false | false | false |
| false | false | false | false | false | false |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | North Main Radiation Oncology | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Mary Jo Kaplan, Tr | Relationship |
| Amount Of Transaction | 162762 | AmountOfTransaction |
| Description Of Transaction | Outside Testing | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 issues of the tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. TMH's articles of incorporation, by laws, 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 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 The Miriam Hospital'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 The Miriam Hospital's Board of Trustees in advance of its next Board meeting, at which the Chief Financial Officer discusses the highlights of the Form. All questions and concerns of the members of the Board are addressed by the Chief Financial Officer and incorporated into the Form 990 when appropriate. The Chief Financial Officer is authorized to file the Form 990. |
| Form 990, Part VI, Line 7a | Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | The bylaws of The Miriam Hospital (TMH) confer certain reserved powers on Lifespan to provide it with the means of effective oversight, coordination and support of the system. Powers reserved to Lifespan include: to elect and remove trustees and to approve the election of and to remove certain officers. At each annual meeting of TMH Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of TMH so that it can be approved and submitted to Lifespan for ratification and election. |
| Form 990, Part VI, Line 6 | Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Lifespan Corporation is the sole corporate member of The Miriam Hospital. |
| Form 990, Part VI, Line 4 | Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | Article III - GovernorsArticle III Governors was eliminated in its entirety. Previously, the Governors of the Hospital approved the nomination of individuals to the Member (Lifespan Corporation) for election to the Board of Trustees and to specific offices.Revised Article III - Board of TrusteesSection 2 Number and Election was revised to include the Chair of The Miriam Hospital Foundation or his/her designee as an ex-officio voting member of the Board of Trustees. The Chair of the Rhode Island Hospital Board of Trustees was made an ex-officio nonvoting member of the Hospital's Board of Trustees.Section 3 Terms was revised to change from staggered classes of trustees with three-year appointments to one-year appointments for all trustees. |
| Form 990, Part VI, Line 2 | Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Mary A. Wakefield is an officer of Lifespan Corporation. The following key employees are employed by Lifespan: Rebecca L. Burke and Arthur J. Sampson.Frederick S. Crisafulli, trustee, is the father of Marc A. Crisafulli, trustee. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Primary ActivitiesPrimaryActivities | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RI Sound Enterprises Insurance Co Ltd | ||||||||||||||
| 65 Front Street | Hamilton | BD | HM 12 | Offshore Insurance Captive | NA | |||||||||
| The Miriam Hospital Foundation | ||||||||||||||
| Philanthropic Activities | NA | 167 Point Street | Providence | RI | 02903 | 050377502 | RI | 501(c)(3) | 11 | |||||
| RIH Ventures | ||||||||||||||
| Parking and Phlebotomy Services | NA | 593 Eddy Street | Providence | RI | 02903 | 050448686 | RI | 501(c)(3) | 11 | |||||
| Rhode Island Hospital Foundation | ||||||||||||||
| Philanthropic Activities | NA | 167 Point Street | Providence | RI | 02903 | 050468736 | RI | 501(c)(3) | 7 | |||||
| Rhode Island Hospital | ||||||||||||||
| Health Care Services | NA | 593 Eddy Street | Providence | RI | 02903 | 050258954 | RI | 501(c)(3) | 3 | |||||
| NHCC Medical Associates Inc | ||||||||||||||
| Health Care Services | 11 Friendship Street | Newport | RI | 02840 | 050472268 | 11 | N/A | N/A | ||||||
| Newport Hospital Foundation | ||||||||||||||
| Philanthropic Activities | NA | 11 Friendship Street | Newport | RI | 02840 | 222535533 | RI | 501(c)(3) | 11 | |||||
| Newport Hospital | ||||||||||||||
| Health Care Services | NA | 11 Friendship Street | Newport | RI | 02840 | 050258914 | RI | 501(c)(3) | 3 | |||||
| Newport Health Property Management Inc | ||||||||||||||
| Property Management | NA | 11 Friendship Street | Newport | RI | 02840 | 222335539 | RI | 501(c)(3) | 11 | |||||
| Newport Health Care Corporation | ||||||||||||||
| Holding Company/Mgmnt Services | NA | 11 Friendship Street | Newport | RI | 02840 | 222535537 | RI | 501(c)(3) | 7 | |||||
| Lifespan of Massachusetts Inc | ||||||||||||||
| Holding Company | NA | c/o EAPD 111 Huntington Avenue | Boston | MA | 02199 | 043408517 | MA | 501(c)(3) | 11 | |||||
| Lifespan Foundation | ||||||||||||||
| Philanthropic Activities | NA | 167 Point Street | Providence | RI | 02903 | 050493219 | RI | 501(c)(3) | 7 | |||||
| Lifespan Diversified Services | ||||||||||||||
| Holding Company/Mgmnt Services | NA | 167 Point Street | Providence | RI | 02903 | 050258935 | RI | 501(c)(3) | 11 | |||||
| Lifespan Corporation | ||||||||||||||
| Holding Company/Mgmnt Services | NA | 167 Point Street | Providence | RI | 02903 | 222861978 | RI | 501(c)(3) | 11 | |||||
| Hospital Properties Inc | ||||||||||||||
| Property Management | NA | 593 Eddy Street | Providence | RI | 02903 | 222869743 | RI | 501(c)(4) | ||||||
| Emma Pendleton Bradley Hospital | ||||||||||||||
| Pediatric Psychiatric Health Care Services | NA | 1011 Veterans Memorial Parkway | East Providence | RI | 02915 | 050258806 | RI | 501(c)(3) | 3 | |||||
| Bradley Hospital Foundation | ||||||||||||||
| Philanthropic Activities | NA | 167 Point Street | Providence | RI | 02903 | 050500688 | RI | 501(c)(3) | 7 | |||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| VNA Technicare Inc | ||||||||
| 622 George Washington Highway | Lincoln | RI | 02865 | 050472710 | DME Sales | RI | NA | C |
| Lifespan Risk Services Inc | ||||||||
| 167 Point Street | Providence | RI | 02903 | 050459767 | Risk Mgmnt | RI | NA | C |
| Lifespan MSO Inc | ||||||||
| 167 Point Street | Providence | RI | 02903 | 050508717 | Mgmnt Services | RI | NA | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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