2011-08-11T16:44:33-07:00 2010-09-30 KPMG LLP 2 Financial Center 60 South Street Boston MA 02111 990 2009-10-01 050258806 Emma Pendleton Bradley Hospital EMMA 4014321000 1011 Veterans Memorial Parkway East Providence RI 02915 Mary A Wakefield 2011-08-11 2009 2016-02-24 21:20:13Z Daniel J Wall 1011 Veterans Memorial Parkway East Providence RI 02915 70738436 false false X www.lifespan.org X 1957 RI Emma 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. 18 14 951 75 0 2525887 1388675 57385899 63313626 2577921 2216425 1028019 1463508 63517726 68382234 0 0 43128051 48246566 0 270000 14925045 16768759 58053096 65015325 5464630 3366909 115139839 119861417 36889057 39460498 78250782 80400919 Emma 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. false false 32569036 41331175 Inpatient 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. 14775363 16240584 The 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. 4064656 3184701 The 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. 3621150 2557166 55030205 true true false false false false false false false true true true true false false false false false false false false true false false true true false false false false false false false false true false false false false false false true false false false true 49 0 true 951 true false false false false false false false false false false false 0 false false false false false false false false 18 14 true false false false true true true true true false false false true true true true true true true true false false X X Mary A Wakefield 4014447914 167 Point Street Providence RI 02903 Thomas H Quill 3.00 X 0 0 0 Susan V Eagleson 40.00 X 158540 0 43609 Stephen O Meredith 1.00 X X 0 0 0 Ruth I Kauffman 3.00 X 0 0 0 Rowland P Barrett MD 40.00 X 206739 0 37753 Patricia M Flanagan MD 3.00 X 0 238758 35098 O William Hilton Jr 3.00 X 0 0 0 Mary A Wakefield 4.00 X 0 703615 93428 Margaret G Klitzke MD 40.00 X 198524 0 32414 Lynne Barry Dolan 2.00 X 0 0 0 Kenneth W Washburn 4.00 X 0 0 0 Jozy A Mainelli 4.00 X 0 0 0 Jonathan A Barnes 2.25 X X 0 0 0 Jeffrey Hunt MD 40.00 X 202209 0 32702 Jeffrey Hirsh 2.00 X 0 0 0 Jarle Z Meservy MD 40.00 X 187682 0 21039 Henry Sachs MD 40.00 X 229324 0 35104 Gregory K Fritz MD 3.00 X 0 274851 31838 Geanina O Costea MD 40.00 X 178865 0 20313 Elisabeth B Taylor MD 0. X 184403 0 33164 Donald P Galamaga 2.00 X 0 0 0 David A Brown 8.00 X X 0 0 0 Daniel J Wall 40.00 X X 0 421718 72597 Dale F Radka MD 40.00 X 276421 0 36498 Charles H Boisseau 5.00 X X 0 0 0 Carol Peterson 2.00 X X 0 0 0 Bruce N Leonard 3.00 X 0 0 0 Brian Hurley 1.00 X 0 0 0 Barbara Goldner 4.00 X 0 0 0 1822707 1638942 525557 35 false true false SLAM Collaborative Inc PO Box 12 Brattleboro VT 05302 Architectural Serv 133903 Hospital Billing and Collection Services 118 Lukens Drive New Castle DE 19720 Billing/ Collections 125758 Butler Hospital 345 Blackstone Boulevard Providence RI 02906 Residency Rotations 605682 Brown University PO Box 1911 Providence RI 02912 Shared Chair 184060 Blue Cross & Blue Shield of RI 444 Westminster Street Providence RI 02903 Health Plan Admin 218866 7 1379512 9163 1388675 School 611110 16240584 16240584 Residential 623220 7647093 7647093 Research 541700 3184701 3184701 Partial Hospitalization 622210 3544608 3544608 Inpatient Routine 622210 30139474 30139474 2557166 2557166 63313626 2198677 2198677 -3725 -3725 0 0 2377675 2356202 21473 21473 21473 0 0 0 School Lunch Program 611110 203383 203383 Grant Indirect Revenue 622210 573898 573898 All Other 622210 568599 568599 117628 117628 1463508 68382234 64777134 2216425 0 0 0 0 1045069 1045069 0 35835276 35130076 705200 1728000 1692877 35123 7075451 6941681 133770 2562770 2510680 52090 0 0 0 0 0 16058 16058 1096882 1096140 742 3634 3634 2679654 2563130 116524 0 0 1098075 962186 135889 135094 128646 6448 0 95158 69669 25489 1561726 1561726 0 1962401 1962401 -413096 -413096 Purchased services 6189668 1285530 4904138 Bad debt 769237 769237 All Other Expense 1574268 1244746 59522 270000 0 65015325 55030205 9715120 270000 1569993 167497 3304444 6050931 284648 545667 11095414 11723628 0 0 0 126903 125650 399871 400826 57820614 18123397 38603821 39697217 3818075 5138509 2084807 2366292 18500000 18500000 0 35351863 35145200 115139839 119861417 5380792 4156774 23037450 23035866 8470815 12267858 36889057 39460498 X 26336957 28257568 4668643 4128825 47245182 48014526 78250782 80400919 115139839 119861417 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 52929583 6659882 1495682 5156621 55928526 52034628 8232926 -2585816 4752155 52929583 0.09000 0.86000 0.05000 true false false 379599 379599 44582328 10848365 33733963 9375443 7275032 2100411 3483244 3483244 39697217 Limited Partnerships held inside Pool 935059 F Commodities-Various 130526 F 18500000 Participation in HBCS Net Assets 78180 Interest in NA of Bradley Foundation 1273903 Deferred Financing Costs 712399 35145200 Third Party Liabilities 2004807 Other Long-term Liabilities 118000 Intercompany Liabilities 1571151 Blue Cross Self-insurance 477300 Accrued Pension Liability 8096600 12267858 68382234 65015325 3366909 1297150 -2513923 -1216773 2150136 66879403 1297150 -2783923 -1486773 68366176 16058 16058 68382234 64729267 64729267 16058 270000 286058 65015325 Part XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S Non-operating: Fundraising Expenses $270000 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Interest 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 4 Part 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. true true true X false true true true false true true 882000 882000 0.01360 882000 882000 0.01360 102000 15000 87000 0.00130 1821000 1821000 0.02800 20302000 15944000 4358000 0.06700 3466000 2586000 880000 0.01350 22000 22000 0.00030 25713000 18545000 7168000 0.11030 26595000 18545000 8050000 0.12380 40000 4600 35400 0.00050 40000 4600 35400 0.00050 true 455051 12549 12549 true true Bradley Research Center

1 Hoppin Street Providence RI 02903

X Emma Pendleton Bradley Hospita

1011 Veterans Memorial Parkway East Providence RI 02915

X X The 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".... 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. Bradley 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. The 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. 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. 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. Bradley 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. Bradley 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. The 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. Bradley 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. Bradley 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. 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 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. X true true X X X X X false true false false false false false true false false Susan V Eagleson 121786 31184 5570 24143 19466 202149 Rowland P Barrett MD 201424 5315 14912 22841 244492 Patricia M Flanagan MD 234185 4573 16520 18578 273856 Mary A Wakefield 442966 168351 92298 79018 14410 797043 67165 Margaret G Klitzke MD 194498 4026 14133 18281 230938 Jeffrey Hunt MD 198552 3657 14418 18284 234911 Jarle Z Meservy MD 185789 1893 13329 7710 208721 Henry Sachs MD 225324 4000 16241 18863 264428 Gregory K Fritz MD 271077 3774 16719 15119 306689 Geanina O Costea MD 176877 1988 12643 7670 199178 Elisabeth B Taylor MD 181577 2826 13046 20118 217567 Daniel J Wall 259551 93676 68491 56590 16007 494315 41853 Dale F Radka MD 255903 16750 3768 18209 18289 312919 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above The Lifespan Annual Incentive Compensation Plan provides a financial award opportunity for designated members of management, based on quantified objectives that are approved in advance by the Compensation Committee of the 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 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Tax indemnification and gross-up payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, column B (iii). RI Health & Education Bldg Corp 521300173 762243K36 2009-03-30 23038242 See Schedule O false false 22997000 2300202 855844 339576 19071392 2009 false false false true false false false false true false false false false false Delta Dental of RI See Schedule O 540947 Dental Insurance Premiums false Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lifespan currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification LLC), a disclosure dissemination agent for issuers of the tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. In addition, copies of 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 11 Form 990, Part VI, Line 11: Form 990 Review Process The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Chief Financial Officer and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP. The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit for initial review by the Director of Finance and the Vice President of Finance - Corporate Services. Once the draft 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 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The 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 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lifespan is the sole corporate member of Emma Pendleton Bradley Hospital. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Mary A. Wakefield is an officer of 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 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER 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 . 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