FURP.ORG / PUBLIC DATA EXPLORER

EMMA PENDLETON BRADLEY HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
EMMA PENDLETON BRADLEY HOSPITAL (EIN 05-0258806)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201122249349300102
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-11T16:44:33-07:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 Financial Center 60 South StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050258806EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Emma Pendleton Bradley HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEMMANameControl
Phone4014321000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 Veterans Memorial ParkwayAddressLine1
CityEast ProvidenceCity
StateRIState
ZIP Code02915ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMary A WakefieldName
TitleCFOTitle
Date Signed2011-08-11DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDaniel J WallNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11011 Veterans Memorial ParkwayAddressLine1
CityEast ProvidenceCity
StateRIState
ZIP Code02915ZIPCode
FieldValueIRS element (for citing)
Gross Receipts70738436GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web Sitewww.lifespan.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionEmma Pendleton Bradley Hospital's mission is to provide a range of family-focused, high quality mental health care to infants, children, adolescents and young adults with emotional disorders and/or developmental disabilities.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees951TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2525887ContributionsGrantsPriorYear
Contributions Grants Current Year1388675ContributionsGrantsCurrentYear
Program Service Revenue Prior Year57385899ProgramServiceRevenuePriorYear
Program Service Revenue CY63313626ProgramServiceRevenueCY
Investment Income Prior Year2577921InvestmentIncomePriorYear
Investment Income Current Year2216425InvestmentIncomeCurrentYear
Other Revenue Prior Year1028019OtherRevenuePriorYear
Other Revenue Current Year1463508OtherRevenueCurrentYear
Total Revenue Prior Year63517726TotalRevenuePriorYear
Total Revenue Current Year68382234TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year43128051SalariesEtcPriorYear
Salaries Etc Current Year48246566SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year270000TotalFundrsngExpCurrentYear
Other Expense Prior Year14925045OtherExpensePriorYear
Other Expenses Current Year16768759OtherExpensesCurrentYear
Total Expenses Prior Year58053096TotalExpensesPriorYear
Total Expenses Current Year65015325TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5464630RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3366909RevenuesLessExpensesCY
Total Assets BOY115139839TotalAssetsBOY
Total Assets EOY119861417TotalAssetsEOY
Total Liabilities BOY36889057TotalLiabilitiesBOY
Total Liabilities EOY39460498TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY78250782NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY80400919NetAssetsOrFundBalancesEOY
Mission DescriptionEmma Pendleton Bradley Hospital's mission is to provide a range of family-focused, high quality mental health care to infants, children, adolescents and young adults with emotional disorders and/or developmental disabilities.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense32569036Expense
Revenue41331175Revenue
DescriptionInpatient treatment for children ages 2 to 18 years who suffer from serious behavioral disorders in addition to developmental conditions such as mental retardation or autism and who are in need of stabilization, assessment and treatment for suicidal, destructive, self-injurious or other dangerous or aggressive behaviors.Residential treatment which provides intensive, family-centered services to children who have emotional and behavioral problems that prevent them from living safely at home.Partial programs provide treatment alternatives to inpatient hospitalization and traditional outpatient services to children from infancy to adolescence with serious emotional, behavioral, eating, sleeping or relationship problems.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense14775363Expense
Revenue16240584Revenue
DescriptionThe Bradley Schools are private, school-funded, day treatment programs for children and adolescents whose psychiatric and behavioral needs cannot be met in a public school setting. They provide special education services to school-age children and adolescents with chronic behavior disorders and additional developmental disabilities, who often present with oppositional and disruptive classroom behaviors, as well as social and life skill difficulties.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4064656Expense
Revenue3184701Revenue
DescriptionThe Bradley Hasbro Children's Research Center is devoted to the study and treatment of children at risk for serious mental disorders and behavior processes that support the intergenerational transmission of illness. The research areas are broad and include: Sleep and Chronobiology Laboratory, Adolescent Psychopathology, Developmental Psychopathology, Firesafe Families Program, Child Protection, HIV Prevention, Anxiety Disorders, Sibling Adaptation, and Autism and Developmental Disabilities.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3621150TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev2557166TotalOfOtherProgramServiceRev
Total Program Service Expense55030205TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109649NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees951NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMary A WakefieldNamePerson
Telephone Number4014447914TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1167 Point StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Thomas H Quill
Trustee3.00X000
Susan V Eagleson
Chief Nursing Officer40.00158540043609X
Stephen O Meredith
CoVice Chairman1.00X000X
Ruth I Kauffman
Trustee3.00X000
Rowland P Barrett MD
Physician40.00206739037753X
Patricia M Flanagan MD
Trustee3.00X023875835098
O William Hilton Jr
Trustee3.00X000
Mary A Wakefield
CFO4.00070361593428X
Margaret G Klitzke MD
Physician40.00198524032414X
Lynne Barry Dolan
Trustee2.00X000
Kenneth W Washburn
Trustee4.00X000
Jozy A Mainelli
Trustee4.00X000
Jonathan A Barnes
Treasurer2.25X000X
Jeffrey Hunt MD
Physician40.00202209032702X
Jeffrey Hirsh
Trustee2.00X000
Jarle Z Meservy MD
Physician40.00187682021039X
Henry Sachs MD
Physician40.00229324035104X
Gregory K Fritz MD
Trustee3.00X027485131838
Geanina O Costea MD
Physician40.00178865020313X
Elisabeth B Taylor MD
Physician0.184403033164X
Donald P Galamaga
Trustee2.00X000
David A Brown
Chairman8.00X000X
Daniel J Wall
President & CEO40.00X042171872597X
Dale F Radka MD
Physician40.00276421036498X
Charles H Boisseau
Secretary5.00X000X
Carol Peterson
CoVice Chairman2.00X000X
Bruce N Leonard
Trustee3.00X000
Brian Hurley
Trustee1.00X000
Barbara Goldner
Trustee4.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org1822707TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1638942TotalReportableCompFrmRltdOrgs
Total Other Compensation525557TotalOtherCompensation
Number Individuals GT100 K35NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SLAM Collaborative Inc
PO Box 12BrattleboroVT05302Architectural Serv133903
Hospital Billing and Collection Services
118 Lukens DriveNew CastleDE19720Billing/ Collections125758
Butler Hospital
345 Blackstone BoulevardProvidenceRI02906Residency Rotations605682
Brown University
PO Box 1911ProvidenceRI02912Shared Chair184060
Blue Cross & Blue Shield of RI
444 Westminster StreetProvidenceRI02903Health Plan Admin218866
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Related Organizations1379512RelatedOrganizations
All Other Contributions9163AllOtherContributions
Total Contributions1388675TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
School6111101624058416240584
Residential62322076470937647093
Research54170031847013184701
Partial Hospitalization62221035446083544608
Inpatient Routine6222103013947430139474

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2557166TotalRevenueColumn
Related Or Exempt Function Income2557166RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue63313626TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2198677TotalRevenueColumn
Exclusion$2,198,677ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column-3725TotalRevenueColumn
Exclusion-$3,725ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2377675Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2356202Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities21473Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column21473TotalRevenueColumn
Exclusion$21,473ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
School Lunch Program611110203383203383
Grant Indirect Revenue622210573898573898
All Other622210568599568599

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column117628TotalRevenueColumn
Related Or Exempt Function Income117628RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1463508TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column68382234TotalRevenueColumn
Related Or Exempt Function Income64777134RelatedOrExemptFunctionIncome
Exclusion$2,216,425ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1045069Total
Program Services1045069ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total35835276Total
Program Services35130076ProgramServices
Management And General705200ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1728000Total
Program Services1692877ProgramServices
Management And General35123ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7075451Total
Program Services6941681ProgramServices
Management And General133770ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2562770Total
Program Services2510680ProgramServices
Management And General52090ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total16058Total
Management And General16058ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1096882Total
Program Services1096140ProgramServices
Management And General742ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3634Total
Program Services3634ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2679654Total
Program Services2563130ProgramServices
Management And General116524ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1098075Total
Program Services962186ProgramServices
Management And General135889ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total135094Total
Program Services128646ProgramServices
Management And General6448ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total95158Total
Program Services69669ProgramServices
Management And General25489ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1561726Total
Management And General1561726ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1962401Total
Management And General1962401ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total-413096Total
Program Services-413096ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Purchased services618966812855304904138
Bad debt769237769237
All Other Expense1574268124474659522270000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total65015325Total
Program Services55030205ProgramServices
Management And General9715120ManagementAndGeneral
Fundraising270000Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1569993BOY
EOY167497EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3304444BOY
EOY6050931EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY284648BOY
EOY545667EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11095414BOY
EOY11723628EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY126903BOY
EOY125650EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY399871BOY
EOY400826EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis57820614LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18123397LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY38603821BOY
EOY39697217EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3818075BOY
EOY5138509EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2084807BOY
EOY2366292EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY18500000BOY
EOY18500000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY35351863BOY
EOY35145200EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY115139839BOY
EOY119861417EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5380792BOY
EOY4156774EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY23037450BOY
EOY23035866EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8470815BOY
EOY12267858EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36889057BOY
EOY39460498EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY26336957BOY
EOY28257568EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4668643BOY
EOY4128825EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY47245182BOY
EOY48014526EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY78250782BOY
EOY80400919EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY115139839BOY
EOY119861417EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance52929583BeginningOfYearBalance
Contributions6659882Contributions
Investment Earnings Or Losses1495682InvestmentEarningsOrLosses
Other Expenditures5156621OtherExpenditures
End Of Year Balance55928526EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance52034628BeginningOfYearBalance
Contributions8232926Contributions
Investment Earnings Or Losses-2585816InvestmentEarningsOrLosses
Other Expenditures4752155OtherExpenditures
End Of Year Balance52929583EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.09000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.86000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.05000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis379599OtherCostOrOtherBasis
Book Value379599BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis44582328OtherCostOrOtherBasis
Depreciation10848365Depreciation
Book Value33733963BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9375443OtherCostOrOtherBasis
Depreciation7275032Depreciation
Book Value2100411BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3483244OtherCostOrOtherBasis
Book Value3483244BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings39697217TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Limited Partnerships held inside Pool935059F
Commodities-Various130526F
FieldValueIRS element (for citing)
Total Of Book Value Program Related18500000TotalOfBookValueProgramRelated

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Participation in HBCS Net Assets78180
Interest in NA of Bradley Foundation1273903
Deferred Financing Costs712399
FieldValueIRS element (for citing)
Total Book Value Other Assets35145200TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Third Party Liabilities$2,004,807
Other Long-term Liabilities$118,000
Intercompany Liabilities$1,571,151
Blue Cross Self-insurance$477,300
Accrued Pension Liability$8,096,600
FieldValueIRS element (for citing)
Total Of Amounts12267858TotalOfAmounts
Total Revenue68382234TotalRevenue
Total Expenses65015325TotalExpenses
Excess Or Deficit For Year3366909ExcessOrDeficitForYear
Net Unrealized GL On Investments1297150NetUnrealizedGLOnInvestments
Other-$2,513,923OtherAmount
Total Adjustments-1216773TotalAdjustments
Excess Or Deficit Per FS2150136ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt66879403TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1297150NetUnrealizedGainsInvestments
Other Revenues-2783923OtherRevenues
Revenue Not Rptd F990-1486773RevenueNotRptdF990
Revenue Subtotal68366176RevenueSubtotal
Investment Expenses Not Included16058InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt16058RevenueNotRptdOnFinStmt
Total Revenue Per Form99068382234TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt64729267TotExpensesEtcAuditedFinclStmt
Expenses Subtotal64729267ExpensesSubtotal
Investment Expenses Not Included216058InvestmentExpensesNotIncluded2
Other Expenses Not Included270000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt286058ExpensesNotRptdOnFinStmt
Total Expenses Per Form99065015325TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 4bPart XIII, Line 4b: Other revenue amounts included on 990 but not included in F/SNon-operating: Fundraising Expenses $270000
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesInterest in Foundation Net Assets $159154 Interest in NA of Bradley Hospital Fndtn $ -0 Funded status of pension plan $ -1428077 Transfer to Bradley Foundation $ -1245000
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.Bradley Hospital's (BH's) endowment funds were established for a variety of purposes including both donor-restricted endowment funds and funds designated by BH to function as endowments. BH receives support from various irrevocable trusts within its endowment funds, including The Helen Bradley Trust and The George L. Bradley Trust (the Trusts), which were established under the wills of Helen and George L. Bradley. At September 30, 2010, the market value of the Trusts held by unrelated entities was approximately $29.5 million (not including the land and the original Laufer Building in East Providence, Rhode Island where BH is located). The Trusts have distributed accumulated appreciation to BH from time to time for such purposes as the funding of renovations. As a result of a court order in 2007, the Trusts were authorized to make annual distributions to BH based on the average fair market value of the Trusts' investment assets in amounts equal to 7% of the average market value of the Trusts in 2007, decreasing by one-quarter of one percent per year to 4.5% in 2017.The largest term endowment held by BH is used to support BH's renovation and upkeep of the Samuel Swan House. The Swan House is the location of the Children's Residential and Family Therapy Program. Another large fund is used to support the State of Rhode Island's Emergency Preparedness Programs.

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense882000TotalCommunityBenefitExpense
Net Community Benefit Expense882000NetCommunityBenefitExpense
Percent Of Total Expense0.01360PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense882000TotalCommunityBenefitExpense
Net Community Benefit Expense882000NetCommunityBenefitExpense
Percent Of Total Expense0.01360PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense102000TotalCommunityBenefitExpense
Direct Offsetting Revenue15000DirectOffsettingRevenue
Net Community Benefit Expense87000NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1821000TotalCommunityBenefitExpense
Net Community Benefit Expense1821000NetCommunityBenefitExpense
Percent Of Total Expense0.02800PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense20302000TotalCommunityBenefitExpense
Direct Offsetting Revenue15944000DirectOffsettingRevenue
Net Community Benefit Expense4358000NetCommunityBenefitExpense
Percent Of Total Expense0.06700PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense3466000TotalCommunityBenefitExpense
Direct Offsetting Revenue2586000DirectOffsettingRevenue
Net Community Benefit Expense880000NetCommunityBenefitExpense
Percent Of Total Expense0.01350PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense22000TotalCommunityBenefitExpense
Net Community Benefit Expense22000NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense25713000TotalCommunityBenefitExpense
Direct Offsetting Revenue18545000DirectOffsettingRevenue
Net Community Benefit Expense7168000NetCommunityBenefitExpense
Percent Of Total Expense0.11030PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense26595000TotalCommunityBenefitExpense
Direct Offsetting Revenue18545000DirectOffsettingRevenue
Net Community Benefit Expense8050000NetCommunityBenefitExpense
Percent Of Total Expense0.12380PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense40000TotalCommunityBuildingExpense
Direct Offsetting Revenue4600DirectOffsettingRevenue
Net Community Building Expense35400NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense40000TotalCommunityBuildingExpense
Direct Offsetting Revenue4600DirectOffsettingRevenue
Net Community Building Expense35400NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$455,051BadDebtExpenseAmount
Amount Reimbursed By Medicare12549AmountReimbursedByMedicare
Medicare Surplus Or Shortfall12549MedicareSurplusOrShortfall
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeResearch FacilityResearchFacilityLicensed HospitalLicensedHospitalChildrens HospitalChildrensHospital
Bradley Research Center
1 Hoppin StreetProvidenceRI02903X
Emma Pendleton Bradley Hospita
1011 Veterans Memorial ParkwayEast ProvidenceRI02915XX

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaThe financial screening process at Bradley 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 25% deduction at the Hospital.6. Eligibility for CFS above the 25% is provided for those applicants whose family gross income is at or below the Federal Poverty Guidelines in effect at the time of application. 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 FootnoteThe 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.BadDebtFootnote
Debt Collection PolicyBradley Hospital does not bill for the excess of charges over agreed upon reimbursement amounts from third party payors. Rather, such differences are recorded as a reduction of revenue through contractual adjustments. Collection efforts are focused on co-payments, deductibles and amounts denied by insurers. After all collection attempts are exhausted, any remaining balances, including any co-payments and deductibles, are written off as a bad debt. The Hospital classifies its bad debts as uncompensated care. This does not apply to Medicaid, however, as there are no associated co-payments or deductibles for this payor.The Hospital does not require collateral or other security in extending credit to patients; however, it routinely obtains assignment of patients' benefits payable under their health insurance programs, plans or policies, primarily Medicaid. Uninsured patients are offered Community Free Service and/or payment plan options.Lifespan's Patient Financial Services Department (PFS) has the responsibility for administering collection policies and procedures to all patient accounts. PFS engages the services of various pre-collect agencies as necessary. The following are highlights of the overall collection effort:* If a patient presents for admission who is not insured, staff assists the family with a Medicaid application.* If the patient is ineligible for Medicaid, a financial screening is performed to determine status of qualification for Community Free Service.* If the patient does not qualify for Community Free Service, PFS or the pre-collect agency attempts at least four contacts with the responsible party within the first 120 days.* If third-party carrier denies in writing any responsibility for payment, arrangements regarding an extended payment plan are discussed with the patient.* At 120 days, if there is no payment activity or no hold placed on the account, the account is transferred to the appropriate collection agency.DebtCollectionPolicy
Number Of Facility Type ExplnThe Hospital also operates sites that provide special education services and residential treatment.The Bradley School-Campus1011 Veterans Memorial Parkway, East Providence, RI 02915 Special Education for students with psychiatric and behavioral challenges.The Center for Autism and Developmental Disabilities School1011 Veterans Memorial Parkway, East Providence, RI 02915 Special Education for students with autism, communication disorders, and developmental disabilities: pre-k through high school. The Bradley School-Portsmouth2820 East Main Road, Portsmouth, RI 02871 Special Education for students with psychiatric and behavioral challenges.The Bradley School-South County4781 Tower Hill Road, Wakefield, RI 02879 Special Education for students with psychiatric and behavioral challenges.The Bradley School-Westerly93 Tower Street, Westerly, RI 02891 Special Education for students with psychiatric and behavioral challenges.The Bradley School/East Providence Schools Partnership (sites A-E)(A) Martin Middle School 111 Brown Street, East Providence, RI 02914 Special Education for students with autism, communication disorders, and developmental disabilities: pre-k through high school.(B) Riverside Middle School 179 Forbes Street, East Providence, RI 02915 Special Education for students with psychiatric and behavioral challenges: grades 6-8.(C) Silver Spring Elementary School 120 Silver Spring Street, East Providence, RI 02914 Special Education for students with psychiatric and behavioral challenges: pre-school through grade 5.(D) Whiteknact Elementary School 261 Grosvenor Avenue, East Providence, RI 02914 Special Education for students with autism, communication disorders, and developmental disabilities: pre-k through high school.(E) East Providence High School 2000 Pawtucket Avenue, East Providence, RI 02914 Special Education for students with psychiatric and behavioral challenges: grades 9-12.Heritage HouseWarwick, RI 02818 Residential program for children ages 12-21 with mild intellectual disability, Asperger's disorder, and mild to moderate behavioral disorders.Rumford HouseEast Providence, RI 02916 Residential program for teenage boys/young adults ages 12-21 with mild intellectual disability, Asperger's disorder, and mild to moderate behavioral disorders.Hill HouseNorth Providence, RI 02911 Residential program for children/teenagers/young adults ages 12-21 with severe autism spectrum disorders.Exeter HouseExeter, RI 02822 Residential program for children ages 9-14 with autism spectrum disorders and intellectual disability, as well as mild to moderate behavioral disorder.NumberOfFacilityTypeExpln
General ExplanationPart 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. The minimum monthly payment of $50.004. The maximum length of the payment plan is twenty-four months.The Customer Service staff will set up the payment plan using the above guidelines as well as complete the necessary information on the "Payment Agreement" form and mail to patient for signature.Account documentation will be done online. The pre-collect agency will be sent a copy of the payment agreement and all forms will be scanned into the PFS Optical Imaging System.GeneralExplanation
Needs AssessmentBradley Hospital is the nation's first children's psychiatric hospital, providing services for children and adolescents not only from Rhode Island, but from all over the country. The Hospital is the principal child and adolescent psychiatric teaching hospital for The Warren Alpert Medical School of Brown University.Based on an increase in the demand for adolescent services, the Hospital recently transferred 6 additional beds into its adolescent unit, moving them from its developmental disabilities unit, which has achieved an offsetting reduction in its average length of stay. In recent years the Hospital has also increased the number of physicians on staff in response to a heightened demand for outpatient services.As a psychiatric and behavioral health center, the Hospital offers specialized services for children and adolescents. Such care begins with an evaluation designed to meet the unique needs of each child and family. This initial assessment provides an understanding of the problem, identifies the child's needs and determines the best and least restrictive treatment approach. Once a child is admitted, a treatment plan is tailored to the child's needs.The Hospital actively participates with community mental health centers and the Rhode Island Department of Health to understand the mental health needs of children and families in RI and its surrounding communities. The Hospital is also a participant in Kids Count", which is a publicly funded agency that uses questionnaires with pediatricians, schools and other providers to identify the mental health needs of the population that it serves. In addition, Hospital staff work collaboratively with administration and staff at various schools throughout the State of Rhode Island. There is a multidisciplinary team at each school site, led by a clinical psychologist. This team guides the treatment and education plan for each student. Each classroom is staffed by a teacher certified in special education and a classroom behavior specialist, both professionals with degrees in their fields.The Hospital respects the role of parents/guardians as partners in their child's care. The Hospital's Family Liaison Program helps parents with questions, problems or special concerns regarding their child's treatment by appointment or via telephone. The Family Liaison Program sponsors support groups and educational meetings on a regular schedule. Notices are posted in the Hospital's main lobby, outpatient waiting room, and at the unit entrances.NeedsAssessment
Patient Education AssistanceBradley Hospital provides to each patient a "Patient and Family Information" booklet which includes information on patient rights and responsibilities. There is also multilingual signage in the Hospital's main lobby and waiting area which provides information on financial aid contacts. The Registration Department meets with the patient's family at the outset of care to discuss eligibility for assistance, which is also summarized on the Hospital's website.PatientEducationAssistance
Community InformationThe Hospital, whose primary location is East Providence, Rhode Island, is a 60-bed, nonprofit teaching hospital with university affiliation providing for the psychiatric treatment of adolescents and children including some with severe developmental disabilities. The Hospital operates several major programs including acute, partial hospitalization, residential and outpatient, as well as The Bradley School. The Bradley School provides special education services to children from preschool through high school. The Hospital also operates eight other secondary sites which furnish residential and special education services. 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). The Hospital currently participates as a provider in Rhode Island Medicaid, various out of state Medicaid programs, and State of Rhode Island Department of Children and Their Families programs, as well as providing care for patients covered by private health insurers and municipal school departments. The Hospital is also a member of Voluntary Hospitals of America, Inc. (VHA).In 1969, the Hospital and certain other RI 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). In 2010, Brown named Rhode Island Hospital its Principal Teaching Hospital. The Hospital and The Miriam Hospital continue to be designated as major teaching affiliates. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. The Hospital participates in the Brown residency program in psychiatry and in the Child and Adolescent Psychiatry Fellowship.The Hospital has a diverse service area which is not defined solely by a contiguous geographic grouping of municipalities. The combined service area of the Hospital includes all of the cities and towns in Rhode Island as well as 19 towns in southeastern Massachusetts.CommunityInformation
Community Building ActivitiesBradley Hospital hosts an annual seminar called Parenting Matters. This seminar provides practical information for raising children, offering parents and teachers a unique opportunity to learn from top child development and behavior professionals in a casual setting. There is a $25 registration fee per person, however a sliding fee scale and limited scholarships are available. This is the only seminar hosted by the Hospital for which there is an associated fee.CommunityBuildingActivities
Other InformationBradley Hospital is governed by a Board of Trustees, which is composed of up to 17 voting members who are elected by Lifespan Corporation as sole member of the Hospital and three who serve ex officio. The ex officio member of the Board with a vote is the President and Chief Executive Officer of the Hospital. The Chairman and the President of Lifespan Corporation are ex officio members of the Board without a vote. The Hospital's Board, which meets six times a year, prescribes the duties and powers of committees appointed by the Chair and appoints members of the Medical Staff. Elected Board members serve one-year terms.The physicians on the Hospital's medical staff are both hospital-based and community based.OtherInformation
Affiliated Health Care SystemLifespan'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 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 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

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Related OrgsBonusRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Susan V Eagleson
1217863118455702414319466202149
Rowland P Barrett MD
20142453151491222841244492
Patricia M Flanagan MD
23418545731652018578273856
Mary A Wakefield
44296692298790181441079704316835167165
Margaret G Klitzke MD
19449840261413318281230938
Jeffrey Hunt MD
19855236571441818284234911
Jarle Z Meservy MD
1857891893133297710208721
Henry Sachs MD
22532440001624118863264428
Gregory K Fritz MD
27107737741671915119306689
Geanina O Costea MD
1768771988126437670199178
Elisabeth B Taylor MD
18157728261304620118217567
Daniel J Wall
2595516849156590160074943159367641853
Dale F Radka MD
2559031675037681820918289312919

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1RI Health & Education Bldg CorpBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521300173IssuerEIN
CUSIP Number762243K36CUSIPNumber
Date Issued2009-03-30DateIssued
Issue Price23038242IssuePrice
Description Of PurposeSee Schedule ODescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds22997000TotalProceeds
Amount In Reserve Fund2300202AmountInReserveFund
Amount Unspent855844AmountUnspent
Issuance Costs From Proceeds339576IssuanceCostsFromProceeds
Capital Expenditures19071392CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDelta Dental of RINamePerson
FieldValueIRS element (for citing)
RelationshipSee Schedule ORelationship
Amount Of Transaction540947AmountOfTransaction
Description Of TransactionDental Insurance PremiumsDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableLifespan currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification LLC), a disclosure dissemination agent for issuers of the tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. In addition, copies of Bradley Hospital's articles of incorporation, bylaws, and conflict of interest policy are available upon request from the office of the Lifespan Chief Financial Officer, either in person or by mail.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe preparation and filing of the Form 990 and supporting schedules is the responsibility of the Chief Financial Officer and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP. The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit for initial review by the Director of Finance and the Vice President of Finance - Corporate Services. Once the draft Form 990 is complete, the Director of Finance forwards it with all supporting worksheets to KPMG, which then reviews the completed form in detail. The Director of Finance answers questions as they arise and provides additional information as needed. Any recommended changes are incorporated into the return. The draft Form 990 is then provided to the Chief Financial Officer for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form is sent to the Hospital's Board of Trustees in advance of its next Board meeting, at which the Chief Financial Officer discusses the highlights of the Form. All questions and concerns of the members of the Board are addressed by the Chief Financial Officer and incorporated into the Form 990 when appropriate. The Chief Financial Officer is authorized to file the Form 990.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe bylaws of Emma Pendleton Bradley Hospital (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 include: to elect and remove trustees and to approve the election of and to remove certain officers. At each annual meeting of the Hospital Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of the Hospital so that it can be approved and submitted to Lifespan for ratification and election.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderLifespan is the sole corporate member of Emma Pendleton Bradley Hospital.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtMary A. Wakefield is an officer of Rhode Island Hospital. The following Hospital trustees are employed by Rhode Island Hospital: Patricia M. Flanagan and Gregory K. Fritz.Mary A. Wakefield is an officer of Lifespan Corporation. The following Hospital officer is employed by Lifespan Corporation: Daniel J. Wall.
Form 990, Part III, Line 4dForm 990, Part III, Line 4d : Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Home-Based Treatment Services and Outpatient ClinicsHome-based intensive behavioral treatment (IBT) is for children who have been diagnosed with autism spectrum disorder and have varying degrees of chronic behavior disorders that, if left untreated, would worsen and require more intensive treatment, including psychiatric hospitalization or out-of-home residential placement. Staff members visit a family's home and deliver clinical services to the child on a one-on-one basis. The treatment plan is family-oriented, as it includes all family members in the treatment process.Bradley also offers a hospital diversion program to children and adolescents with mental retardation. Those admitted to this home-based program present with chronic mild to moderate behavior disorders that, if left untreated, would worsen and require more intensive treatment, including hospitalization or residential placement. This service, which is also a resource for children recently discharged from the hospital, is used as a preventive measure against the future need for an out-of-home placement.Bradley's outpatient treatment programs are administered by a multidisciplinary staff of psychiatrists, psychologists, nurses and qualified trainees who provide comprehensive mental health evaluation and treatment for children, adolescents and families for a wide range of clinical conditions. Patients may be treated with a variety of modalities including individual, group and family therapy, and psychopharmacologic management. Treatment is often coordinated with other agencies such as mental health centers, schools or community-based organizations .

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivitiesPrimaryActivitiesLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatus
RI Sound Enterprises Insurance Co Ltd
65 Front StreetHamiltonBDHM 12Offshore Insurance CaptiveBDN/A
Lifespan Foundation
Philanthropic ActivitiesN/A167 Point StreetProvidenceRI02903050493219RI501(c)(3)7
The Miriam Hospital Foundation
Philanthropic ActivitiesN/A167 Point StreetProvidenceRI02903050377502RI501(c)(3)7
The Miriam Hospital
Health Care ServicesN/A164 Summit AvenueProvidenceRI02906050258905RI501(c)(3)3
RIH Ventures
Parking facilities/ Phlebotomy servicesN/A593 Eddy StreetProvidenceRI02903050448686RI501(c)(3)11
Rhode Island Hospital Foundation
Philanthropic ActivitiesN/A167 Point StreetProvidenceRI02903050468736RI501(c)(3)7
Rhode Island Hospital
Health Care ServicesN/A593 Eddy StreetProvidenceRI02903050258954RI501(c)(3)3
NHCC Medical Associates Inc
Health Care ServicesN/A11 Friendship StreetNewportRI02840050472268RI501(c)(3)11
Newport Hospital Foundation Inc
Philanthropic ActivitiesN/A11 Friendship StreetNewportRI02840222535533RI501(c)(3)11
Newport Hospital
Health Care ServicesN/A11 Friendship StreetNewportRI02840050258914RI501(c)(3)3
Newport Health Property Management Inc
Property ManagementN/A11 Friendship StreetNewportRI02840222335539RI501(c)(3)11
Newport Health Care Corporation
Holding Company/ Mgmnt ServicesN/A11 Friendship StreetNewportRI02840222535537RI501(c)(3)7
Lifespan of Massachusetts
Holding CompanyN/Ac/o EAPD 111 Huntington AvenueBostonMA02199043408517MA501(c)(3)11
Lifespan Diversified Services
Holding Company/ Mgmnt ServicesN/A167 Point StreetProvidenceRI02903050258935RI501(c)(3)11
Lifespan Corporation
Holding Company/ Mgmnt ServicesN/A167 Point StreetProvidenceRI02903222861978RI501(c)(3)11
Hospital Properties Inc
Property ManagementN/A593 Eddy StreetProvidenceRI02903222869743RI501(c)(4)
Bradley Hospital Foundation
Philanthropic ActivitiesN/A167 Point StreetProvidenceRI02903050500688RI501(c)(3)7

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityPercentage OwnershipPercentageOwnership
Julia Baldwin Trust FBO Bradley Hospital
c/o Bank of America PO Box 830269DallasTX75283056004629PhilanthropicRIN/ATrust1.00000
Samuel B Swan Trust FBO Bradley Hospita
c/o Bank of America PO Box 830269DallasTX75283056049399PhilanthropicRIN/ATrust1.00000
Helen Bradley Trust FBO Bradley Hosp
c/o Bank of America PO Box 830269DallasTX75283056003969PhilanthropicCTN/ATrust1.00000
George L Bradley Trust FBO Bradley Hosp
c/o Bank of America PO Box 830269DallasTX75283056003629PhilanthropicCTN/ATrust1.00000
VNA Technicare Inc
622 George Washington HighwayLincolnRI02865050472710DME SalesRIN/AC
Lifespan Risk Services
167 Point StreetProvidenceRI02903050459767Risk MgmntRIN/AC
Lifespan MSO Inc
167 Point StreetProvidenceRI02903050508717Mgmnt SvcsRIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg