2011-08-11T16:55:09-07:00 2010-09-30 KPMG LLP 2 Financial Center 60 South Street Boston MA 02111 990 2009-10-01 050258954 Rhode Island Hospital RHOD 4014446800 593 Eddy Street Providence RI 02903 Mary A Wakefield 2011-08-11 2009 2016-02-24 21:20:13Z Timothy J Babineau MD 167 Point Street Providence RI 02903 1168057907 false false X www.lifespan.org X 1863 RI The mission of Rhode Island Hospital (RIH) is to be at the forefront of patient care by creating, applying and sharing the most advanced knowledge in health care. 12 10 7856 967 8866341 390724 9806205 6921503 938750483 979830857 -6472985 22312627 27826056 33572256 969909759 1042637243 747188 354194 0 471115406 495518115 0 0 488591402 512245590 960453996 1008117899 9455763 34519344 1215125872 1267363292 553456451 577242770 661669421 690120522 The mission of Rhode Island Hospital (RIH) is to be at the forefront of patient care by creating, applying and sharing the most advanced knowledge in health care. false false 735788787 354194 941638810 Rhode Island Hospital, the principal teaching hospital of the Warren Alpert Medical School of Brown University, provides a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients. RIH has particular expertise in cardiology, hematology/oncology, neurosurgery and orthopedics, as well as pediatric care at its Hasbro Children's Hospital (HCH), and emergency medicine, with RIH being the designated Level I trauma center for Rhode Island. Licensed to operate 719 acute care beds, RIH is the largest of the state's general acute care teaching hospitals, employing 6,301 full-time equivalents and providing comprehensive health services to most of Rhode Island as well as southeastern Massachusetts. (continued on Schedule O) 90980000 12272000 Rhode Island Hospital provides the setting for and substantially supports medical education in various clinical training and nursing programs. The total cost of direct medical education provided by the Hospital exceeded the reimbursement received from third-party payors by $78.7 million in 2010. (continued on Schedule O) 55230000 45433000 Rhode Island Hospital conducts extensive medical research and is in the forefront of biomedical health care delivery research and is among the leaders nationally in National Institute of Health programs. In addition, the Hospital sponsors many clinical trials, which provide valuable research information as well as cutting edge treatment for patients in the region. Federal support accounts for approximately 78% of all externally funded research at the Hospital. Researchers focus on clinical trials which investigate prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac disease, neurological problems and mental health concerns. Researchers may work in the laboratory or with patients, or both. (continued on Schedule O) 881998787 true true false true false false false false false true true false true false false true false false false false false true true false true true false false false false false false false false false true false false false false false true true false false true 502 0 true 7856 true true true false false false false false false false false false 0 false false false false false false false false 12 10 true false true false true true true true true false false false true true true true true true true true true true X X Mary A Wakefield 4014447914 167 Point Street Providence RI 02903 William M Corrao MD 1.00 X 0 0 0 Timothy J Babineau MD 23.00 X X 0 1022149 109707 Thomas M Drew MD 2.00 X 0 0 0 Stephanie D Chafee 1.00 X 0 0 0 Ronald A DeLellis MD 40.00 X 418577 0 36929 Robert B Klein MD 40.00 X 397251 0 33728 Penelope H Dennehy 2.00 X 218398 0 24030 Murray B Resnick MD 40.00 X 382424 0 35968 Muriel E Jobbers 1.00 X 0 0 0 Moses Goddard MD 3.00 X 0 0 0 Michael L Hanna 2.00 X X 0 0 0 Michael J Perik 1.00 X 0 0 0 Michael A Lee 1.00 X 0 0 0 Mary A Wakefield 16.00 X 0 703615 93428 Louise S Mauran 4.00 X 0 0 0 Linda K Snelling MD 0. X 358019 0 39837 Lawrence A Aubin Sr 15.00 X X 0 0 0 Latha R Pisharodi MD 40.00 X 433256 0 38005 Joseph J MarcAurele 5.00 X 0 0 0 Joseph F Amaral MD 0. X 0 183949 0 John B Murphy MD 40.00 X 390734 0 35704 Jane Williams RN 5.00 X X 0 0 0 James A Procaccianti 4.00 X 0 0 0 George A Vecchione 0. X 0 1419662 1506864 Frederick J Macri 40.00 X 0 554317 80596 Emanuel Barrows 1.85 X 0 0 0 Ellen A Collis 1.50 X 0 0 0 Edward Akelman MD 4.00 X 0 0 0 Edmund C Bennett 5.00 X X 0 0 0 David H Haffenreffer 0. X 0 0 0 David A Duffy 0. X 0 0 0 Catherine A Solomon 5.00 X 0 0 0 Brian J Zink MD 2.00 X 0 0 0 Barbara Schepps MD 0.50 X 0 0 0 Barbara Riley 40.00 X 328480 0 62275 2927139 3883692 2097071 486 true true false University Surgical Associates 72 Newman Avenue Rumford RI 02916 Medical Services 6616726 University Medicine Foundation 17 Virginia Ave Providence RI 02905 Medical Services 14900108 Univ Emergency Medicine Fnd 55 Claverick Street Providence RI 02903 Medical Services 3233235 Neurology Foundation 1 Hoppin Street Providence RI 02903 Medical Services 3018134 APG Security Services 95 Sockanosset Crossroads Cranston RI 02903 Security Services 3547193 74 6248041 673462 6921503 Temp Restricted 900099 5455649 5455649 Rental Income 531120 3464530 3464530 Patient Service Rev 900099 911616505 911616505 Laboratory 621500 6452597 6452597 Direct Research 900099 52841576 52841576 979830857 7605031 7605031 257723 257723 0 3353433 1837259 1516174 1516174 1516174 138033278 123583405 14449873 14449873 14449873 0 0 0 Other Revenue 900099 4854346 4854346 Indirect Revenue Research 900099 11933671 11933671 Appropriation Restricted 900099 6415443 6415443 8852622 2762090 2413744 3676788 32056082 1042637243 999343810 8866341 27505589 354194 354194 0 0 0 1121822 1115852 5970 0 383068896 380653875 2415021 22540093 22398148 141945 67061825 66559902 501923 21725479 21588664 136815 0 0 0 9560 9560 0 1184766 1184766 55670222 55544127 126095 306155 305852 303 160835583 161060881 -225298 0 0 17061838 14589562 2472276 1330000 1309859 20141 0 1161481 1124052 37429 14354322 -166332 14520654 0 31633877 31633877 5123149 5123149 Unrelated Business Income Tax 144596 144596 Maint Contracts/Purchased Svcs 96418920 29431223 66987697 License Fee 41233273 41233273 Bad Debt Expense 54166546 54166546 All Other Expense 31611302 25451804 6159498 0 1008117899 881998787 126119112 0 14629804 771929 65742860 44957996 50000 50000 116544985 129187138 0 0 0 11470176 12020237 1900798 1770156 996466916 515848120 474309153 480618796 251206928 298446667 137892162 138009568 0 0 141379006 161530805 1215125872 1267363292 71978802 67895216 277959529 270579058 203518120 238768496 553456451 577242770 X 397277811 401448900 207378155 221243460 57013455 67428162 661669421 690120522 1215125872 1267363292 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 9560 9560 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Rhode Island Hospital pays membership fees to the Hospital Association of Rhode Island, The National Association of Children's Hospitals and the Trauma Center Association of America. A portion of the membership dues paid to these organizations is allocated to their lobbying efforts. 402076328 106066104 42054008 74584234 475612206 417775875 62712592 -5317535 73094604 402076328 0.48780 0.08090 0.43130 true false false 20130363 20130363 622196678 280622536 341574142 2035000 1729750 305250 315309283 233495834 81813449 36795592 36795592 480618796 138009568 Research Grants 3083457 Other Receivables 15646937 Other Non-Current Assets 8053698 Other Intercompany Receivables 2607665 Interest in Net Assets of RIH Foundation 50757098 Deferred Financing Costs 6911307 161530805 Other Liabilities 26111073 Estimated Third-Party Payor Settlements 62470269 Estimated Health Benefit Self-Ins Costs 3955254 Accrued Pension & Post Retirement Liab 146231900 238768496 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Change in funded status of pension and other postretirement $ -0 Decrease in net assets of RIHF $ -0 Rhode Island Hospital Guild $ -0 Hospital Properties, Inc. $ -0 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. The Hospital's endowment consists of many funds established for a variety of purposes, including both donor-restricted endowment funds and funds designated by the Hospital to function as endowments. The majority of Rhode Island Hospital endowments are intended to be used in the areas of patient care, which include a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients with particular expertise in cardiology, hematology/oncology, neurosurgery and orthopedics, as well as pediatric care at the Hospital's pediatric division, Hasbro Children's Hospital (HCH), research, and education.The largest term endowment held by the Hospital is used to support the operating activities of its psychiatry practice group. Two other large funds are used for the care and treatment of crippled children and for pediatric orthopedic research, respectively. Sub-Saharan Africa 0 0 Program Services Research 25279 South America 0 0 Program Services Research 236105 East Asia/Pacific 0 0 Program Services Research 364491 Central Amer/Caribbean 0 0 Program Services Research 10392 0 0 636267 X true true true X false true true true false true true 57431000 13420000 44011000 0.04370 162280000 181878000 -19598000 219711000 195298000 24413000 0.02420 273000 38000 235000 0.00020 90980000 12272000 78708000 0.07810 26730034 21563285 5166749 0.00510 55230000 45433000 9797000 0.00970 602000 602000 0.00060 173815034 79306285 94508749 0.09370 393526034 274604285 118921749 0.11800 true 13354279 165921116 155796314 10124802 X true true Orthopedic MRI of RI LLC Medical Imaging Services 0.33333 0.13333 Southern NE Rehab Partnership

200 High Service Avenue North Providence RI 02904

Rehabilitation Services Orthopedic MRI of RI LLC

100 Butler Drive Providence RI 02906

Medical Imaging Services MRICT of Providence LLC

695 Eddy Street Providence RI 02903

Diagnostic Imaging Facility Radiosurgery Center of RI LLC

593 Eddy Street Providence RI 02903

Radiosurgery Services Dialysis Center of RIH

22 Baker Street Providence RI 02905

Dialysis Services General Internal Med Research

111 Plain Street Providence RI 02903

Research Studies RIH Hasbro Childrens OP Rehab

765 Allens Avenue Providence RI 02903

Physical and Occupational Therapy RIH Pedi & Adolescent Health

1 Hoppin Street Suite 3055 Providence RI 02903

O/P Adolescent and Pedi Services RIH Sleep Disorders

70 Catamore Boulevard East Providence RI 02914

Outpatient Evaluation of Sleep Disorders RIH Pedi AsthmaAllergy Spec

1 Hoppin Street Providence RI 02903

O/P Pedi Asthma/Allergy/Oth Specialties RIH Pediatric Heart Ctr

1 Hoppin Street Suite 304 Providence RI 02903

Outpatient Pediatric Cardiology Services Hallett Ctr - Diabetes & Endoc

1 Hoppin Street Providence RI 02903

Diabetes and Endocrinology Care RIH Outpatient Rehabiliatation

1 Hoppin Street Providence RI 02903

Rehabilitation Services RIH Child Research Center

1 Hoppin Street Providence RI 02903

Outpatient Psychiatric Services RIH Lab - Hugo Yamada MD

6 Blackstone Valley Place Lincoln RI 02865

Outpatient Phlebotomy RIH Lab - Louis J Moran MD

1035 Post Road Warwick RI 02886

Outpatient Phlebotomy RIH Outpatient Psychiatry

235 Plain Street Providence RI 02905

Outpatient Psychiatry Services Rhode Island Hospital

593 Eddy Street Providence RI 02903

X X X X X X Rhode Island Hospital uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test.The financial screening process at Rhode Island Hospital (the Hospital) is intended to define probable eligibility for public assistance (Medicaid or Community Free Service ("CFS")) for those patients who do not have the means to pay for hospital services rendered, as follows:1. Upon patient indication of an inability to pay required monies, the patient is offered the financial screening option to determine eligibility for public assistance. (Medicaid, CFS)2. The application for CFS is completed and includes information relative to income, expense, and other available resources and requires proof of such information which may include:- most recently filed income tax return- most recently received payroll check stub- copy of rent receipts for the last six months- copy of utility bills for the last month4. If the patient's financial situation falls within the guidelines for eligibility for Medicaid or CFS, the appropriate application process is completed. (Assistance to complete such applications is available from the Patient Financial Advocates (PFA) Office at the Hospital.)5. Uninsured patients receive an automatic 50% deduction at the Hospital.6. Eligibility for CFS above the 50% is provided for those applicants whose family gross income is at or below the Federal Poverty Guidelines in effect at the time of application. Full charity care applicants with assets worth more than $8,855 for an individual (or $13,281 for a family) may not qualify for care without charge, but may qualify for discounted care. Partial charity care applicants are subject to the same asset test and may not qualify for the highest discount on care, but may be eligible for a lesser discount. 7. For patients who qualify for less than 100% of the financial assistance program, a payment schedule is determined and agreed upon (discussed further below). Payment arrangements are established prior to service for non-urgent care. 8. In either case, the final results of the financial screening are recorded in the comments section of the Hospital's billing system.Continued under "Additional Information".... The Hospital grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor arrangements. Additions to the allowance for doubtful accounts are made by means of the provision for bad debts. Accounts deemed uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in federal and state governmental health care coverage, and other collection indicators.The provision for bad debts, based on charges net of contractual allowances, was $54,166,546. The cost associated with the provision was $13,354,279 and is based on the ratio of cost to charges. Medicare shortfalls are not treated as community benefits because most Medicare patients are not indigent. The source of the Medicare allowable costs reported on Part III, Section B, Line 6 is the Medicare cost report, Form 2552-96. The Hospital uses an outside pre-collection agency for all self-pay receivables, with the exception of self-pay after Medicare which is handled by the Hospital's Patient Financial Services Department. The pre-collection agency attempts to collect the debt for 120 days. During this time, 3 letters are sent to the patient's address of record and for balances in excess of $50 attempts are made to reach the patient by telephone. If the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered. (Please refer to the Charity Care Eligibility Criteria and Additional Information sections for further detail on those processes.) If the pre-collection agency is unsuccessful in contacting the patient or no response is received within 120 days, the account is forwarded to a collection agency.The collection agency also sends statements and attempts to reach the patient via telephone. Again, if the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered. If no response is received, the claim is referred to small claims court and the patient is summoned to appear. If the patient does not appear, the Hospital will receive a judgment in its favor. If the Hospital learns that the claim has a related settlement, i.e., an automobile accident, the Hospital can put a lien on such settlement. Alternatively, if the collection agency deems the account uncollectible, it will be written off. Part I, Line 3c continued:Requests for Payment Arrangements:Patient Financial Advocates (PFA) will qualify patients that are receiving non-urgent, medically indicated procedures prior to services. The PFA will request 75% to 100% of estimated charges if the balance is under $5,000 and 50% to 100% of estimated charges if the estimated bill exceeds $5,000.For elective or non-urgent cases, the policy will require financial clearance prior to services or an exception from the Medical Director based on the clinical circumstances if the patient cannot meet the above payment agreement.Patients who do not qualify for the total or partial CFS, but who have difficulty in paying their bills after services are rendered, may request enrollment in a payment plan. Eligibility for the payment plan includes the following guidelines:1. Immediate payment in full will result in financial hardship to the patient or the patient's family.2. Deposit of one-half of the estimated total bill is requested prior to admission.3. Minimum monthly payment of $50.00.4. The maximum length of the payment plan is twenty-four months.The Customer Service staff will set up the payment plan using the above guidelines as well as complete the necessary information on the "Payment Agreement" form and mail to patient for signature.Account documentation will be done online. The pre-collect agency will be sent a copy of the payment agreement and all forms will be scanned into the PFS Optical Imaging System. Lifespan's Office of Strategic Planning and Analysis performs population-based studies regarding the need for inpatient medical and surgical services for both adults and children and a wide range of outpatient services including: primary care office visits, specialty care, emergency services, imaging, ambulatory surgery, and specific high technology services such as radiation therapy and bone marrow transplantation for the Hospital. A population based study examines not only the growth and changes in the population, but the resources in the community, and the changing prevalence of diseases. Added to this population-based approach, Lifespan Strategic Planning also examines experience with wait times and crowding, the level of staffing, and the changing standards of care. All of this information is used to assess the demand for additional services to provide good access to high quality care.In addition to population approaches to assessing and estimating need, all specialties and services monitor demand at the service specific level by looking at: changing patterns of care and methods of treatment for the specific medical problem, wait times for visits/queues, and community resources. The service leadership then go through a review process to add staff, expanded hours, and/or new sub-components to round out core services on an as-needed basis. At times, expansion requires more space, equipment, and staff, but often accommodation of community demand is achieved through expanded hours. Facilities are added as needed to accommodate these expansions, but most often minor renovations of existing locations with better, more modern layouts and equipment allow for greater patient access.The RI State Certificate of Need program requires a focused study of need in all projects over $2 Million, which is an important part of the program development process across Lifespan.Based on a broad understanding of community health needs, the Hospital provides a wide range of services to both its primary and secondary areas. Lifespan and its hospital affiliates monitor health trends in Rhode Island in an effort to identify areas of unmet demands regarding clinical services. For example, over the past five years, the Hospital added a new state-of-the-art emergency department and opened the 110-room Bridge Building expansion, with three new floors dedicated to the care of cardiac, medical and surgical patients. The Hospital's pediatric division, Hasbro Children's Hospital, is the state's only facility dedicated to pediatric care. The Hospital has continued its pioneering work on treatments for inoperable tumors as well as radiofrequency ablation. Rhode Island Hospital has multilingual signage in the Hospital's main lobby and waiting areas which provide information on financial aid contacts. The Registration Department meets with patients at the outset of care to discuss eligibility for assistance. The Registration staff provides interested patients with a "Welcome" booklet which includes information on patient rights and responsibilities. The signage and booklets contain a telephone number which connects patient with Registration staff who can answer any additional questions that may arise after the patient has left the Hospital. Assistance eligibility is also summarized on the Hospital's website. Rhode Island Hospital, located in Providence, RI, is a 719 bed nonprofit general acute care teaching hospital with university affiliation providing a comprehensive range of diagnostic and therapeutic services (excluding obstetrics) for the acute care of patients principally from RI and southeastern Massachusetts. As a complement to its role in service and education, the Hospital actively supports research. The Hospital is accredited by the Joint Commission of Accreditation of Healthcare Organizations (JCAHO) and participates as a provider primarily in Medicare, Blue Cross and Medicaid programs. The Hospital is also a member of Voluntary Hospitals of America, Inc. (VHA).In 1969, the Hospital and certain other Rhode Island hospitals entered into an affiliation agreement to participate jointly in various clinical training programs and research activities with Brown Medical School, renamed The Warren Alpert Medical School of Brown University (Brown). In 2010, Brown named the Hospital its Principal Teaching Hospital. 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 sponsors 44 graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring another 26 hospital-approved residency and fellowship programs.With respect to nursing education, the Hospital has developed formal and informal educational affiliations with a number of accredited New England college and universities. The Hospital does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.The Hospital conducts extensive medical research and is in the forefront of biomedical health care delivery research and is among the leaders nationally in National Institutes of Health programs. The Hospital substantially subsidizes various health services including the following clinics: surgical, diabetes, resident/fellowships specialty training, dental, adolescent and Alzheimer's, as well as the Center for Special Children and early intervention. The Hospital also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation and weight loss programs, diabetes education, patient advocacy, foreign language translation, physician referral services and charitable contributions. Rhode Island Hospital is governed by a Board of Trustees, which is composed of 10 voting members who are elected by Lifespan Corporation as sole member of the Hospital and five who serve ex officio. The ex officio members of the Board with a vote are the President and Chief Executive Officer of the Hospital along with the Chairman of the Rhode Island Hospital Foundation. The Chairman and the President and CEO of Lifespan Corporation, as well as the Chairman of The Miriam Hospital, are ex officio members of the Board without a vote. Elected Board members serve one-year terms. The Hospital's Board prescribes the duties and powers of committees appointed by the Chair and appoints members of the Medical Staff. The physicians on the Hospital's medical staff are both hospital-based and community based. Lifespan's mission is to improve the health status of the people it serves in RI and in southern New England through the provision of customer friendly, geographically accessible, high value services in the environment of an integrated academic health system. Lifespan affiliates provide comprehensive inpatient and outpatient medical, surgical and psychiatric services for adults and children. Lifespan and its affiliates employ more than 12,300 people. The Lifespan system has over 2,100 physicians on the medical staffs of its affiliated hospitals, operates 1,155 licensed beds in four hospital complexes, and in 2010 generated approximately $1.6 billion in total operating revenue. By each of these measures, Lifespan is RI's largest health system, serving a population of over 1.5 million. Three of its hospital members, Rhode Island Hospital (RIH), The Miriam Hospital (TMH) and Bradley Hospital (EPBH), are teaching affiliates of the Warren Alpert Medical School of Brown University with 79 percent of the residents and fellows in this program based at RIH, TMH and EPBH.Lifespan is a RI nonprofit corporation that is community-based and community-governed. As a nonprofit organization, Lifespan is run by a voluntary Board of Directors who are community representatives. Lifespan and all of its nonprofit hospital affiliates have received written notification from the Internal Revenue Service that they have been recognized as being organized and operated as entities described in Internal Revenue Code (IRC) Section 501(c)(3) and are generally exempt from income taxes under IRC Section 501(a).As of September 30, 2010, Lifespan Corporation employed approximately 700 full-time and part-time personnel, most of whom are located at Lifespan's headquarters in Providence, RI. Lifespan Corporation provides support services to its affiliates, such as information services, telecommunications, risk management, legal, communications and public affairs, fundraising, payor contracting, facility development, strategic planning, internal audit/compliance, human resources, finance and investment management, for which each affiliate is charged a fee equivalent to the costs incurred by Lifespan in providing these services.Corporate Authority and RoleLifespan Corporation has no members and is governed by its Board of Directors. The Board has responsibility for planning, directing and establishing policies intended to assure the development and delivery of quality health services, professional education and biomedical research on an integrated, cost-effective basis. The Board's powers include the power to set accounting policies for its affiliates, develop, negotiate and approve all managed care agreements, develop affiliations with other institutions for educational and research purposes, and approve human resource plans, executive compensation and benefits for system affiliates. The bylaws of RIH 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. true Urban League of Rhode Island 246 Prairie Avenue Providence RI 02905 050258939 501(c)(3) 10000 0 General Support UNAPRIH Education Trust Fund 375 Branch Avenue Providence RI 02904 412139381 501(c)(3) 150000 0 Employee Education Support Regional Ctr for Poison Control 300 Longwood Avenue Boston MA 02115 042774441 501(c)(3) 15000 0 Contribution to the Poison Control Center Project Health Inc 88 East Newton Street Boston MA 02115 450484533 501(c)(3) 109800 0 General Support 4 0 Grantmaker's Description of How Grants are Used Rhode Island Hospital is committed to community programs and provides support to many charitable organizations in Rhode Island and Southeastern Massachusetts. Donations are made to organizations recognized by the IRS as being described in IRC Section 501(c)(3). All contributions are approved by management and are made to organizations whose missions and goals align with those of the Hospital. X X X true true X X X X X true true false false false false false true false false Timothy J Babineau MD 573675 379376 69098 92035 17672 1131856 Ronald A DeLellis MD 389209 18000 11368 19160 17769 455506 Robert B Klein MD 389266 7985 19160 14568 430979 Penelope H Dennehy 215559 2839 15587 8443 242428 Murray B Resnick MD 365285 14000 3139 19160 16808 418392 Mary A Wakefield 442966 168351 92298 79018 14410 797043 67165 Linda K Snelling MD 351213 6806 19160 20677 397856 Latha R Pisharodi MD 423230 8000 2026 19160 18845 471261 Joseph F Amaral MD 183949 183949 John B Murphy MD 296082 75082 19570 35546 158 426438 George A Vecchione 853024 522051 44587 1485197 21667 2926526 Frederick J Macri 345921 128141 80255 64556 16040 634913 53894 Barbara Riley 212058 76250 40172 43174 19101 390755 20727 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above The Lifespan Annual Incentive Compensation Plan provides a financial award opportunity for designated members of management, based on quantified objectives that are approved in advance by the Compensation Committee of the Board of Directors. A specified level of financial performance must be met before any award is earned. The objectives vary from year to year and generally include various aspects of financial measures in addition to non-financial performance measures. For certain participants in the Annual Incentive Compensation Plan, the award opportunity is divided into two pools. The first pool represents 80% of any earned incentive award, based on the achievement of the team performance objectives. The remaining 20% pool is distributed on an individual basis to participants at the discretion of the CEO, in each case subject to approval by the Compensation Committee of the Lifespan Corporation Board of Directors. Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Tax Indemnification and gross-up payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, column B (iii). The Lifespan CEO's (also a former RIH President and CEO) employment contract provides for reimbursement of financial and estate planning counseling expenses, including the federal and state taxes associated with the cost of the benefit. The amount of such benefit is included in Medicare wages, more specifically on Schedule J, Part II, column B (iii).Housing allowance or residences for personal use:A temporary housing allowance may be provided on a case-by-case basis as part of the recruitment of key executives. The allowance is documented in the individual employment contract or employment offer. In calendar year 2009 Lifespan provided this benefit to one new executive and the taxable amounts paid for relocation are included in Medicare wages, more specifically on Schedule J, Part II, column B (iii).Social Club Dues:The job responsibilities of certain executives include development of relationships with business leaders and donors. Those relationships are facilitated by the ability to meet in a setting where focused business discussions take place. The Hope and University Clubs, which require individual memberships, are places in Providence where businessmen and women, civic, community and social leaders can gather in a business-like atmosphere. The cost of membership is considered by Lifespan to be reasonable and necessary and thus a qualified business expense not taxable to the employee. IRS regulations regarding documentation requirements are followed for any payments made for meetings held at the respective club, including the business purpose and nature of the business benefit derived; the nature of the business discussion or activity; and the identity and business relationship of attendees. Rhode Island Health and Education Building Corporation 521300173 762243K36 2009-03-30 72570461 see Schedule O false false Rhode Island Health and Education Building Corporation 521300173 762243SS3 2006-02-14 160884410 see Schedule O false false 72440550 7245637 26946599 1069664 36094628 false false false true 153323730 155679706 1377349 2006 false true true true false false false true true true false false false true true true false false false false false false false false false false false false RI Cardiology Center LLC Thomas Drew, Trust 753271 Medical Services false Delta Dental of RI David Duffy, Trustee 3882379 Dental Insurance Coverage false University Orthopedics Inc Edward Akelman, Trustee 644726 Medical Services false Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lifespan currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification LLC), a disclosure dissemination agent for issuers of the tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. Rhode Island 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 Rhode Island Hospital's annual independent audit for initial review by the Director of Finance and the Vice President of Finance - Corporate Services. Once the draft 990 is complete, the Director of Finance forwards it with all supporting worksheets to KPMG, which then reviews the completed form in detail. The Director of Finance answers questions as they arise and provides additional information as needed. Any recommended changes are incorporated into the return. The draft Form 990 is then provided to the Chief Financial Officer for final management review.Prior to filing the return, a copy of the entire form is sent to Rhode Island 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 Rhode Island Hospital (RIH) 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 RIH Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of RIH so that it can be approved and submitted to Lifespan for ratification and election. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lifespan Corporation is the sole corporate member of Rhode Island Hospital. Form 990, Part VI, Line 4 Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Article III, Governors, was eliminated in its entirety. Previously, the Governors of the hospital approved the nomination of individuals to the Member (Lifespan Corporation) for election to the board of trustees.Revised Article III - Board of TrusteesSection 3.02 (b) Ex-Officio Voting Trustees was revised to include the Chair of the Rhode Island Hospital Foundation or his/her designee as an ex-officio voting member of the Board of Trustees.Section 3.02 (c) Ex-Officio Non-Voting Trustees was revised to include the Chair of The Miriam Hospital.Article IV - CommitteesSection 4.02 Powers of the Executive Committee was revised to clarify that the Committee may exercise all the authority of the Board of Trustees.Article VI - OfficersSection 6.08 President was revised to add that the President and CEO of the Hospital shall be appointed by the President of the Member, in consultation with the Board of Directors of the Member in addition to the Board of Trustees of the Hospital. The only previous requirement for consultation was with the Board of Trustees of the Hospital.Section 6.09 The Vice Presidents was revised to include that the President, rather than the Board of Trustees, determines which Senior Vice President or Vice President shall perform the duties and exercise the powers of the President in the President's absence. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Mary A. Wakefield is an officer of Lifespan Corporation. The following officers of Rhode Island Hospital are employed by Lifespan: Timothy J. Babineau and Frederick Macri.Mary A. Wakefield, Timothy J. Babineau and Frederick Macri are all officers of Rhode Island Hospital. Penelope H. Dennehy is employed by Rhode Island Hospital. 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