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        <Title>Trustee</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1248558</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>1959119</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>539851</TotalOtherCompensation>
      <NumberIndividualsGT100K>20</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Apollo Security</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>262 Washington Street</AddressLine1>
            <City>Boston</City>
            <State>MA</State>
            <ZIPCode>02111</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Security services</DescriptionOfServices>
        <Compensation>393563</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>University Surgical Associates</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2 Dudley Street</AddressLine1>
            <City>Providence</City>
            <State>RI</State>
            <ZIPCode>02903</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical services</DescriptionOfServices>
        <Compensation>690413</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NHCC Medical Associates</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>11 Friendship Street</AddressLine1>
            <City>Newport</City>
            <State>RI</State>
            <ZIPCode>02840</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical, health care</DescriptionOfServices>
        <Compensation>1105269</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Newport Emergency Physicians</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>11 Friendship Street</AddressLine1>
            <City>Newport</City>
            <State>RI</State>
            <ZIPCode>02840</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical, health care</DescriptionOfServices>
        <Compensation>3023437</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Aquidneck Medical Associates</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>50 Memorial Boulevard</AddressLine1>
            <City>Newport</City>
            <State>RI</State>
            <ZIPCode>02840</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical, health care</DescriptionOfServices>
        <Compensation>574917</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>17</NumberOfContractorsGT100K>
      <AllOtherContributions>238489</AllOtherContributions>
      <TotalContributions>238489</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Lifespan Laboratory</Description>
        <BusinessCode>621150</BusinessCode>
        <TotalRevenueColumn>559390</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>559390</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Inpatient Service Revenue</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>52297111</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>52297111</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Cafe./ Misc Pharm sales</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>18908</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>18908</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Auxiliary</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>21150</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>21150</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Ancillary OP Service Rev.</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>52999908</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>52999908</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>105896467</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1264930</TotalRevenueColumn>
        <ExclusionAmount>1264930</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>22254710</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>20537939</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>1716771</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>1716771</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1716771</RelatedOrExemptFunctionIncome>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>109116657</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>107053848</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>559390</UnrelatedBusinessRevenue>
        <ExclusionAmount>1264930</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>604690</Total>
        <ProgramServices>453540</ProgramServices>
        <ManagementAndGeneral>151150</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>39033650</Total>
        <ProgramServices>36256496</ProgramServices>
        <ManagementAndGeneral>2777154</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>3261400</Total>
        <ProgramServices>3033102</ProgramServices>
        <ManagementAndGeneral>228298</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>7174613</Total>
        <ProgramServices>6690812</ProgramServices>
        <ManagementAndGeneral>483801</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>2905185</Total>
        <ProgramServices>2701822</ProgramServices>
        <ManagementAndGeneral>203363</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>243124</Total>
        <ManagementAndGeneral>243124</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>7856330</Total>
        <ProgramServices>7856330</ProgramServices>
      </FeesForServicesOther>
      <Advertising>
        <Total>4104</Total>
        <ProgramServices>4104</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>293216</Total>
        <ProgramServices>260196</ProgramServices>
        <ManagementAndGeneral>33020</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>6958175</Total>
        <ProgramServices>6233469</ProgramServices>
        <ManagementAndGeneral>724706</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>71193</Total>
        <ProgramServices>66170</ProgramServices>
        <ManagementAndGeneral>5023</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>1260998</Total>
        <ManagementAndGeneral>1260998</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>6629083</Total>
        <ManagementAndGeneral>6629083</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>94173</Total>
        <ProgramServices>87580</ProgramServices>
        <ManagementAndGeneral>6593</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>State license fee</Description>
        <Total>4746343</Total>
        <ManagementAndGeneral>4746343</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Purchased services</Description>
        <Total>9779279</Total>
        <ProgramServices>8188870</ProgramServices>
        <ManagementAndGeneral>1590409</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Medical &amp; surgical supplies</Description>
        <Total>12078558</Total>
        <ProgramServices>11991509</ProgramServices>
        <ManagementAndGeneral>87049</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Med. dues &amp; other program exp.</Description>
        <Total>450626</Total>
        <ProgramServices>384589</ProgramServices>
        <ManagementAndGeneral>66037</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad debt expense</Description>
        <Total>5704322</Total>
        <ProgramServices>1341421</ProgramServices>
        <ManagementAndGeneral>4362901</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
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      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>109149062</Total>
        <ProgramServices>85550010</ProgramServices>
        <ManagementAndGeneral>23599052</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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        <EOY>3866314</EOY>
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      <PledgesAndGrantsReceivable>
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      <ReceivablesFromOfficersEtc>
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      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
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      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
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        <EOY>1627157</EOY>
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      <PrepaidExpensesDeferredCharges>
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        <EOY>248744</EOY>
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      <LandBuildingsEquipmentBasis>145661632</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>80201981</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>69555237</BOY>
        <EOY>65459651</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>45487154</BOY>
        <EOY>46470114</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
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        <EOY>24090928</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>137921813</BOY>
        <EOY>150715037</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
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        <EOY>304235611</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>6716558</BOY>
        <EOY>8092560</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>24255000</BOY>
        <EOY>23535000</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>18849863</BOY>
        <EOY>21307338</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>49821421</BOY>
        <EOY>52934898</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>188808542</BOY>
        <EOY>190651784</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>49595446</BOY>
        <EOY>53896929</EOY>
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      <PermanentlyRestrictedNetAssets>
        <BOY>4438969</BOY>
        <EOY>6752000</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>242842957</BOY>
        <EOY>251300713</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>292664378</BOY>
        <EOY>304235611</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.7">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="09000047" softwareVersion="2009v1.7">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="09000047" softwareVersion="2009v1.7">
      <Form4720Filed4955Tax>false</Form4720Filed4955Tax>
      <CorrectionMade>false</CorrectionMade>
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>2402</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>2402</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="09000047" softwareVersion="2009v1.7">
      <CurrentYear>
        <BeginningOfYearBalance>73235178</BeginningOfYearBalance>
        <Contributions>238489</Contributions>
        <InvestmentEarningsOrLosses>6505097</InvestmentEarningsOrLosses>
        <OtherExpenditures>3444535</OtherExpenditures>
        <EndOfYearBalance>76534229</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>78583362</BeginningOfYearBalance>
        <Contributions>1585979</Contributions>
        <InvestmentEarningsOrLosses>-1596783</InvestmentEarningsOrLosses>
        <OtherExpenditures>5337380</OtherExpenditures>
        <EndOfYearBalance>73235178</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <BoardDesignatedEOYBalance>0.97000</BoardDesignatedEOYBalance>
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      <TermEndowmentEOYBalance>0.02000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
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        <BookValue>1507126</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>91408612</OtherCostOrOtherBasis>
        <Depreciation>43090472</Depreciation>
        <BookValue>48318140</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>52745894</OtherCostOrOtherBasis>
        <Depreciation>37111509</Depreciation>
        <BookValue>15634385</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>65459651</TotalOfBookValueLandBuildings>
      <TotalOfBookValueSecurities>24090928</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>Interest in Net Assets of NH Foundation</Description>
        <BookValue>140079305</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Intercorporate financing</Description>
        <BookValue>2907085</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Deferred financing &amp; other assets</Description>
        <BookValue>1257868</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Cash &amp; Short Term Investments</Description>
        <BookValue>4831821</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Assets held in trust - bond indenture</Description>
        <BookValue>497587</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Assets held in trust</Description>
        <BookValue>1141371</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>150715037</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Postretirement life insurance</Description>
        <Amount>683758</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Est Third Party settlements</Description>
        <Amount>4855312</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Current portion est health care self ins</Description>
        <Amount>337663</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued pension liability</Description>
        <Amount>15430605</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>21307338</TotalOfAmounts>
      <TotalRevenue>109116657</TotalRevenue>
      <TotalExpenses>109149062</TotalExpenses>
      <ExcessOrDeficitForYear>-32405</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>3793160</NetUnrealizedGLOnInvestments>
      <OtherAmount>4697002</OtherAmount>
      <TotalAdjustments>8490162</TotalAdjustments>
      <ExcessOrDeficitPerFS>8457757</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>124860867</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>3793160</NetUnrealizedGainsInvestments>
      <OtherRevenues>11972200</OtherRevenues>
      <RevenueNotRptdF990>15765360</RevenueNotRptdF990>
      <RevenueSubtotal>109095507</RevenueSubtotal>
      <OtherRevenuesNotIncluded>21150</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>21150</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>109116657</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>116384935</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>7254048</OtherExpensesIncluded>
      <ExpensesNotRptdF990>7254048</ExpensesNotRptdF990>
      <ExpensesSubtotal>109130887</ExpensesSubtotal>
      <OtherExpensesNotIncluded>18175</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>18175</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>109149062</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 4b</Identifier>
        <ReturnReference>Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>Auxiliary Expenses $18175</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d</Identifier>
        <ReturnReference>Part XIII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>Change in funded status of pension plan $3007200 Transfer to Affiliates, net $4246848</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b</Identifier>
        <ReturnReference>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>Auxiliary revenue $21150</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>Increase in net assets of NH Foundation $11972200 $0 $0</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Transfer From Affiliates $3122386 Increase in net assets of NH Foundation $11972200 Transfer to affiliate $ -7369234 Change in funded status of pension plan $ -3007200 Auxiliary $ -21150</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>The Hospital's endowment consists of many funds established for a variety of purposes, including both donor-restricted endowment funds and funds designated by the Hospital to function as endowments. The majority of Newport Hospital endowments are intended to be used in the areas of patient care, which include a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients. The endowment funds are used to maintain and support the Hospital and to provide care to patients suffering from illnesses or disabilities.The largest board-designated endowment held by the Hospital is used to support and maintain the facilities of the Hospital. Three large funds are used for the purchase and replacement of medical equipment, to offset the cost of charity care, and to support the operations of the Emergency Department, respectively.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="09000047" softwareVersion="2009v1.7">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>5075000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1369000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3706000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03400</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>11598000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10958000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>640000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00590</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>16673000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>12327000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4346000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03980</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>253000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>248000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00230</PercentOfTotalExpense>
      </CommunityHealthServices>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>17760000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13038000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4722000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04330</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>44000</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>44000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>18057000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13043000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5014000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04590</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>34730000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>25370000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9360000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08580</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>3680000</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>23428628</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>28184309</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-4755681</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Newport Dermatology</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>79 Turnpike Avenue</AddressLine1>
          <City>Portsmouth</City>
          <State>RI</State>
          <ZIPCode>02871</ZIPCode>
        </Address>
        <Other>Physician Medical Office Building</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Portsmouth Diagnostic Imaging</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>69 Turnpike Avenue</AddressLine1>
          <City>Portsmouth</City>
          <State>RI</State>
          <ZIPCode>02871</ZIPCode>
        </Address>
        <Other>Medical Office Building</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>NHCC Medical Associates</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>77 Turnpike Avenue</AddressLine1>
          <City>Portsmouth</City>
          <State>RI</State>
          <ZIPCode>02871</ZIPCode>
        </Address>
        <Other>Medical Office Building</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>NHCC Medical Associates</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>345 Valley Road</AddressLine1>
          <City>Middletwon</City>
          <State>RI</State>
          <ZIPCode>02842</ZIPCode>
        </Address>
        <Other>Physician Medical Office Building</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Newport Family Physicians</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>19 Friendship Street</AddressLine1>
          <City>Newport</City>
          <State>RI</State>
          <ZIPCode>02840</ZIPCode>
        </Address>
        <Other>Physician Medical Office Building</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Family Physicians Of Tiverton</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1800 Main Road</AddressLine1>
          <City>Tiverton</City>
          <State>RI</State>
          <ZIPCode>02878</ZIPCode>
        </Address>
        <Other>Physician Medical Office Building</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Jamestown Family Pract Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>20 Southwest Avenue</AddressLine1>
          <City>Jamestown</City>
          <State>RI</State>
          <ZIPCode>02835</ZIPCode>
        </Address>
        <Other>Physician Medical Office Building</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Newport Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>11 Friendship Street</AddressLine1>
          <City>Newport</City>
          <State>RI</State>
          <ZIPCode>02840</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <IncomeBasedCriteria>Newport Hospital uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test.The financial screening process at Newport Hospital (the Hospital) is intended to define probable eligibility for public assistance (Medicaid or Community Free Care ("CFS")) for those patients who do not have the means to pay for hospital services rendered, as follows:1. Upon patient indication of an inability to pay required monies, the patient is offered the financial screening option to determine eligibility for public assistance. (Medicaid, CFS)2. The application for CFS is completed and includes information relative to income, expense, and other available resources and requires proof of such information which may include:- most recently filed income tax return- most recently received payroll check stub- copy of rent receipts for the last six months- copy of utility bills for the last month4. If the patient's financial situation falls within the guidelines for eligibility for Medicaid or CFS, the appropriate application process is completed. (Assistance to complete such applications is available from the Patient Financial Advocates (PFA) Office at the Hospital.)5. Uninsured patients receive an automatic 50% reduction of charges 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>
        <BadDebtFootnote>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 $5,740,000. The cost associated with the provision was $3,680,000 and is based on the ratio of cost to charges.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>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>
        <GeneralExplanation>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 to enroll in a payment plan. Eligibility for the payment plan includes the following guidelines:1. Immediate payment in full will result in financial hardship to the patient or the patient's family.2. Deposit of one-half of the estimated total bill is requested prior to admission.3. 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>
        <NeedsAssessment>Newport Hospital continually assesses community needs in several ways. The Hospital has a formal survey process for patient feedback but more importantly, the Hospital uses a physician liaison position to facilitate physician communication with the Hospital. Doctors in the community provide information on what services patients need. Recent examples of the usefulness of this information include Newport Hospital's establishment of a wound care service, a dermatology practice, and a hand surgery practice. In addition, the Hospital reviews volumes in service areas to glean information on the use of various types of care. Newport Hospital functions as the first line of defense against illness, injury and disease for its communities. With an Emergency Department that is open and staffed 24 hours a day with the ability to evaluate and treat everything from minor to urgent care and stroke, to a dedicated, award-winning nursing staff that provides care for inpatients, the hospital's importance to the community cannot be overstated. Newport Hospital is the designated disaster planning leader for its region of the State and as such holds regular meetings and drills with first responders from the various municipalities within the region, as well as representatives from other facilities (e.g., nursing homes, hotels, physician groups).Newport's significant seasonal employee population and large numbers of uninsured patients present financial challenges that the Hospital strives to deal with each year as part of its mission. Uncompensated care provided to members of the community signals commitment to the residents and visitors of Newport County and its surrounding towns.</NeedsAssessment>
        <PatientEducationAssistance>Newport Hospital does not deny necessary medical treatment to anyone, regardless of insurance status or ability to pay. Financial counselors of Newport Hospital inform patients personally about their potential eligibility for assistance with Hospital charges. In addition, at such public events as health fairs the Hospital actively promotes this service so that anyone who might qualify can easily learn about the programs. When patients believe they might be eligible, financial counselors set up appointments to talk with them privately to determine their eligibility. Applications for financial assistance are provided in the registration office, emergency department, financial counseling office, and in other departments providing care.Uninsured patients receive an automatic 50% reduction of charges. Medicare patients may receive waivers of cost-sharing amounts if they qualify based on financial need; qualification is determined through an application for charity care. Further discounts may apply, depending on where a patient falls in the income guidelines.</PatientEducationAssistance>
        <CommunityInformation>Newport Hospital is the only hospital on Aquidneck Island and in Newport County, which comprises a population of approximately 100,000. Located in Newport, the southernmost town in Newport County, the Hospital is approximately 20 miles from other hospitals; bridges link Newport and Aquidneck Island with the rest of the State (two bridges to the west, one to the northwest, and one to the north). The community includes people on government assistance, working-class and middle-class constituents, U. S. Navy personnel and retirees, students from three colleges, and a small percentage of families of significant wealth.</CommunityInformation>
        <CommunityBuildingActivities>Newport Hospital connects with the community in several ways, both within the Hospital walls and at other venues. More than a dozen monthly support groups are held at the Hospital, some facilitated by medical professionals and others by community members. An annual health fair provides hundreds of screenings for diseases and health conditions and follows up with individuals whose tests identify a problem. Screenings for breast and prostate cancers are conducted free of charge at various times during the year.Several Hospital committees exist to provide interaction between the Hospital and the community. The Hospital supports community initiatives such as Rebuilding Together, the Newport Partnership for Families, a full-time physician with a nonprofit practice, a local mentoring program, and a program to identify middle school children who require help. In addition, the Hospital has partnered with a local philanthropist to form a committee to oversee a grant to help children become active and healthy. Parenting and breastfeeding support are available through the Hospital's birthing center, and a series of bimonthly presentations and lectures on relevant health topics is scheduled for the community to attend free of charge.</CommunityBuildingActivities>
        <OtherInformation>Newport Hospital is governed by a Board of Trustees, which is composed of community members who are elected by Newport Health Care Corporation. The Hospital's vision is to work collaboratively with physicians, our employees, other health care organizations, and the community to create a measurably healthier Newport County through the provision of high quality, cost-effective, customer-focused health care services in an environment that promotes patient safety. The Hospital monitors the the healthcare needs of its service area, to ensure it aligns its resources with its mission. The Hospital measures the results of the programs and services it provides based on the value it adds to the community and to the organization. The Hospital is organized and operated for the benefit of the community it serves.</OtherInformation>
        <AffiliatedHealthCareSystem>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, are teaching affiliates of the Warren Alpert Medical School of Brown University with 79 percent of the residents and fellows in this program based at RIH, TMH and Bradley Hospital.Lifespan is a RI nonprofit corporation that is community-based and community-governed. As a nonprofit organization, Lifespan is run by a voluntary Board of Directors who are community representatives. Lifespan and all nonprofit 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 the Hospital confer certain reserved powers on Lifespan to provide it with the means of effective oversight, coordination and support of the system. Powers reserved to Lifespan as sole member include: to elect and remove trustees; to approve the election of and to remove certain officers; to approve the amendment of the Articles of Incorporation and Bylaws and other Charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness.For a complete listing of affiliated members of Lifespan's integrated healthcare delivery system please refer to Schedule R.</AffiliatedHealthCareSystem>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Valerie Martin</NamePerson>
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        <NamePerson>Todd Cipriani</NamePerson>
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        <NamePerson>Terrence R McWilliams MD</NamePerson>
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        <NamePerson>Mary A Wakefield</NamePerson>
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        <NamePerson>Frank Byrne</NamePerson>
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        <NamePerson>Cathy Duquette</NamePerson>
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        <CompReportPrior990FilingOrg>17101</CompReportPrior990FilingOrg>
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        <NamePerson>Bartholomew Grimes</NamePerson>
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        <DeferredCompFilingOrg>12232</DeferredCompFilingOrg>
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        <NamePerson>August Cordeiro</NamePerson>
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        <OtherCompensationRelatedOrgs>35738</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>46136</DeferredCompRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>23687</CompReportPrior990RelatedOrgs>
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        <NamePerson>Arthur J Sampson</NamePerson>
        <CompBasedOnRelatedOrgs>297218</CompBasedOnRelatedOrgs>
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        <DeferredCompRelatedOrgs>61817</DeferredCompRelatedOrgs>
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        <NamePerson>Ann Kashmanian</NamePerson>
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        <DeferredCompRelatedOrgs>33840</DeferredCompRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 7</Identifier>
        <ReturnReference>Part I, Line 7: Non-Fixed payments not listed above</ReturnReference>
        <Explanation>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 Lifespan 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>Tax indemnification and gross-up payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, column B (iii).</Explanation>
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    </IRS990ScheduleJ>
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        <NameOfInterestedPerson>
          <NamePerson>Wife of Charles Stengel Trustee</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Victoria Stengel</Relationship>
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        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Newport Emergency Physicians</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Ch.Stengel MD</Relationship>
        <AmountOfTransaction>3194481</AmountOfTransaction>
        <DescriptionOfTransaction>Med. staffing services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Lifespan and all of its affiliates, including Newport Hospital, 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 Newport Hospital's financial information to repositories and investors alike. Newport Hospital's articles of incorporation, bylaws, and conflict of interest policy are available upon request from the office of the Lifespan Chief Financial Officer, either in person or by mail.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>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. Once the draft Form 990 is complete, the Director of Finance forwards it with all supporting worksheets to KPMG, which then reviews the completed form in detail. The Director of Finance answers questions as they arise and provides additional information as needed. Any recommended changes are incorporated into the return. The draft Form 990 is then provided to the Chief Financial Officer for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form is included in the advance material sent to the Hospital's Board of Trustees for the next Board meeting, at which the Chief Financial Officer discusses the highlights of the Form. All questions and concerns of the members of the Board are addressed by the Chief Financial Officer and incorporated into the Form 990 as appropriate. The Chief Financial Officer is authorized to file the Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>The bylaws of Newport Hospital (the Affiliate), including the bylaws of NHCC, confer certain reserved powers on Lifespan to provide it with the means of effective oversight, coordination and support of the system. Powers reserved to Lifespan include: to elect and remove trustees and to approve the election of and to remove certain officers. At each annual meeting of the Affiliate Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of the Affiliate so that it can be approved and submitted to Lifespan for ratification and election.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Lifespan Corporation is the sole corporate member of Newport Health Care Corporation ("NHCC") which in turn is the sole corporate member of Newport Hospital.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Mary A. Wakefield is an officer of Lifespan Corporation. The following officer, former officer and key employee, respectively, of Newport Hospital are employed by Lifespan: August Cordeiro, Arthur Sampson and Frank Byrne.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>RI Sound Enterprises Insurance Co Ltd</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>65 Front Street</AddressLine1>
          <City>Hamilton, HM 12</City>
          <Country>BD</Country>
        </AddressForeign>
        <PrimaryActivities>Offshore Insurance Captive</PrimaryActivities>
        <LegalDomicileForeignCountry>BD</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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          <BusinessNameLine1>RIH Ventures</BusinessNameLine1>
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          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
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        <PrimaryActivities>Parking Facilities / Phlebotomy Services</PrimaryActivities>
        <LegalDomicileState>RI</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
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          <State>RI</State>
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          <State>MA</State>
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          <State>RI</State>
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          <City>Providence</City>
          <State>RI</State>
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          <City>Providence</City>
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          <City>Providence</City>
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