2026-08-13T16:17:39+00:00 2025-09-30 135565207 KPMG LLP 60 SOUTH STREET BOSTON MA 02111 990 2024-10-01 050258954 RHODE ISLAND HOSPITAL RHOD 4014444000 593 EDDY STREET PROVIDENCE RI 02903 PETER K MARKELL TREASURER 4014447914 2026-08-13 true true KRISTIN ANDERSON P01231300 6179881000 2026-08-11 2024 2025-03-06 01:10:19Z JOHN FERNANDEZ 593 EDDY STREET PROVIDENCE RI 02903 2591505383 false X WWW.RHODEISLANDHOSPITAL.ORG X 1863 RI AS A FOUNDING HOSPITAL IN THE BROWN UNIVERSITY HEALTH SYSTEM, RHODE ISLAND HOSPITAL (RIH) IS COMMITTED TO ITS MISSION: DELIVERING HEALTH WITH CARE. 17 12 9913 650 5484808 387861 38995557 18066419 2205549824 2381275668 61956780 63680774 -9512970 -8443447 2296989191 2454579414 1173873 1417981 0 796027593 827869954 0 0 1315115274 1429874294 2112316740 2259162229 184672451 195417185 1833203164 2160470291 799148540 950963766 1034054624 1209506525 AS A FOUNDING HOSPITAL IN THE BROWN UNIVERSITY HEALTH SYSTEM, RIH IS COMMITTED TO ITS MISSION: DELIVERING HEALTH WITH CARE. false false 1878779609 2269413839 PATIENT CARE: RIH IS THE STATE'S LARGEST HOSPITAL, AND ITS ONLY LEVEL I TRAUMA CENTER AND VERIFIED BURN CENTER. IT PROVIDES A COMPREHENSIVE RANGE OF DIAGNOSTIC AND THERAPEUTIC HEALTH CARE SERVICES TO INPATIENTS AND OUTPATIENTS. RIH HAS PARTICULAR EXPERTISE IN CANCER, CARDIOLOGY, DIABETES, EMERGENCY MEDICINE, NEUROSCIENCES, ORTHOPEDICS, AND MORE. HASBRO CHILDREN'S HOSPITAL (HCH), RIH'S PEDIATRIC DIVISION, IS THE REGION'S PREMIER PROVIDER OF PEDIATRIC CLINICAL CARE. HCH OFFERS A BROAD SPECTRUM OF BOTH ROUTINE CARE AND SPECIALTY PROGRAMS NOT AVAILABLE ELSEWHERE AND HAS THE ONLY PEDIATRIC EMERGENCY DEPARTMENT, LEVEL I TRAUMA CENTER, PEDIATRIC CRITICAL CARE TEAMS, AND 24-HOUR AMBULANCE IN THE REGION. RIH IS A 719-BED, NONPROFIT GENERAL ACUTE CARE TEACHING HOSPITAL WITH UNIVERSITY AFFILIATION, THE LARGEST HOSPITAL IN THE STATE OF RHODE ISLAND (THE STATE) PROVIDING A COMPREHENSIVE RANGE OF DIAGNOSTIC AND THERAPEUTIC SERVICES TO PATIENTS. (CONTINUED ON SCHEDULE O) 141253205 1417981 23152878 MEDICAL EDUCATION: RIH PROVIDES THE SETTING FOR AND SUBSTANTIALLY SUPPORTS MEDICAL EDUCATION IN VARIOUS CLINICAL TRAINING AND NURSING PROGRAMS. RIH IS DESIGNATED AS THE PRINCIPAL TEACHING HOSPITAL OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. THE TOTAL COST OF DIRECT MEDICAL EDUCATION PROVIDED BY RIH EXCEEDED THE REIMBURSEMENT RECEIVED FROM THIRD-PARTY PAYORS BY $118.1 MILLION IN FISCAL YEAR 2025. UNDER AN AFFILIATION AGREEMENT WITH THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY (BROWN), RIH PARTICIPATES JOINTLY IN VARIOUS CLINICAL TRAINING PROGRAMS AND RESEARCH ACTIVITIES. IN 2010, BROWN NAMED RIH ITS PRINCIPAL TEACHING HOSPITAL. (CONTINUED ON SCHEDULE O) 55055093 88706061 RESEARCH: RIH CONDUCTS EXTENSIVE MEDICAL RESEARCH AND IS IN THE FOREFRONT OF BIOMEDICAL HEALTH CARE DELIVERY RESEARCH AND AMONG THE LEADERS NATIONALLY IN THE NATIONAL INSTITUTES OF HEALTH PROGRAMS. RIH ALSO SPONSORS A SIGNIFICANT LEVEL OF RESEARCH ACTIVITIES. FEDERAL SUPPORT ACCOUNTS FOR APPROXIMATELY 57% OF ALL EXTERNALLY FUNDED RESEARCH AT BROWN HEALTH. RESEARCHERS FOCUS ON BASIC RESEARCH PROJECTS AND CLINICAL TRIALS WHICH INVESTIGATE PREVENTION AND TREATMENT OF HIV/AIDS, OBESITY, CANCER, DIABETES, CARDIAC DISEASE, NEUROLOGICAL PROBLEMS, ORTHOPEDIC ADVANCEMENTS, MENTAL HEALTH CONCERNS, AND BRAIN SCIENCE. INCLUDED IN THE TOTALS ARE $2.6 MILLION OF RESEARCH GRANTS FROM FOR-PROFIT ORGANIZATIONS THAT ARE NOT REPORTED IN SCHEDULE H. (CONTINUED ON SCHEDULE O) 2075087907 true true false false false false false true false true true false false true true true false true false false true false false false false false true true true true true true false false false false false false false false false false false false false false true true false false true false true 692 0 true 9913 true true true false false false false false false false false false false false X 17 12 true false false false true true true true true false false false true true true true true true true true true true RI X PETER K MARKELL 4014447914 15 LASALLE SQUARE PROVIDENCE RI 02903 ALAN H LITWIN VICE CHAIR 2.0 9.0 X X 0 0 0 JOHN FERNANDEZ PRESIDENT & CEO 10.0 63.0 X X 0 1651362 365361 LAWRENCE A AUBIN SR CHAIR 2.0 8.3 X X 0 0 0 PETER CAPODILUPO VICE CHAIR (THRU 12/24) 0.5 2.5 X X 0 0 0 ANGEL TAVERAS DIRECTOR 0.5 2.5 X 0 0 0 BERNARD BUONANNO III DIRECTOR (AS OF 12/24) 0.5 2.5 X 0 0 0 CHRIS COCKS DIRECTOR 0.5 2.5 X 0 0 0 CHRISTINA H PAXSON PHD DIRECTOR (AS OF 12/24) 0.5 3.0 X 0 0 0 EDWARD D FELDSTEIN ESQ DIRECTOR (THRU 12/24) 0.9 1.2 X 0 0 0 EMANUEL BARROWS DIRECTOR 1.5 5.5 X 0 0 0 JANET ROBINSON DIRECTOR 0.5 3.0 X 0 0 0 LAWRENCE B SADWIN DIRECTOR (THRU 12/24) 2.0 11.0 X 0 0 0 MARTHA MAINIERO MD DIRECTOR 0.5 3.6 X 0 0 0 MICHAEL L HANNA DIRECTOR 0.5 1.8 X 0 0 0 MUKESH K JAIN MD DIRECTOR (AS OF 12/24) 0.5 0.5 X 0 0 0 PAULA MCNAMARA DIRECTOR 0.5 2.5 X 0 0 0 PHILLIP KYDD DIRECTOR (THRU 12/24) 0.5 2.5 X 0 0 0 ROGER N BEGIN CFP DIRECTOR 2.0 11.0 X 0 0 0 SAMUEL MENCOFF DIRECTOR 1.0 19.0 X 0 0 0 SARAH T DOWLING JD LLM DIRECTOR (THRU 12/24) 0.5 0.5 X 0 0 0 SHIVAN SUBRAMANIAM DIRECTOR 0.3 5.3 X 0 0 0 ZIYA L GOKASLAN MD DIRECTOR 0.5 45.0 X 0 1671733 46216 PAUL J ADLER SECRETARY 28.8 21.3 X 0 879367 149013 PETER K MARKELL TREASURER 5.0 55.0 X 0 1464555 40760 SARAH FROST PRESIDENT 21.0 40.0 X 0 744621 69863 CYNTHIA DANNER CHIEF NURSING OFFICER (THRU 10/24) 40.0 0.0 X 527934 0 20505 CHRISTINE M COLLINS SVP PHARMACY 40.0 0.0 X 436607 0 102536 DONNA M MARASIGAN REGISTERED NURSE 40.0 0.0 X 370625 0 33018 JESSICA L SMITH MD PHYSICIAN 40.0 0.0 X 396797 0 34489 QIAN CHEN SR. RESEARCH SCIENTIST 40.0 0.0 X 366718 0 52694 TRACEY L WALLACE SVP CLINICAL SVCS 40.0 0.0 X 398192 0 85073 EVA GREENWOOD FORMER TREASURER 0.5 49.5 X 0 539491 116060 G DEAN ROYE FORMER INTERIM PRESIDENT 55.0 0.0 X 845405 0 158136 SAUL N WEINGART FORMER PRESIDENT 0.0 0.0 X 0 378639 0 TIMOTHY J BABINEAU MD FORMER TRUSTEE 0.0 0.0 X 0 1335765 0 3342278 8665533 1273724 1505 true true false BROWN MEDICINE 110 ELM STREET 2ND FL PROVIDENCE RI 02903 MEDICAL SERVICES 46664349 AMN HEALTHCARE INC 2735 COLLECTION CENTER CHICAGO IL 606930027 CONTRACT LABOR 20930165 BROWN SURGICAL ASSOCIATES PO BOX 16149 RUMFORD RI 02916 MEDICAL SERVICES 17305910 ALLIED UNIVERSAL SECURITY SERVICES PO BOX 8228854 PHILADELPHIA PA 191828854 SECURITY SERVICES 9789254 BROWN NEUROLOGY 110 ELM ST 1ST FL PROVIDENCE RI 02903 MEDICAL SERVICES 9354956 91 15809134 308379 1948906 18066419 PATIENT SERVICE REVENUE 622110 1892180744 1892180744 BROWN HEALTH PHARMACY 446110 387895982 387893092 2890 DIRECT REV FROM RESEARCH 541710 88706061 88706061 RENTAL 531120 7083230 7083230 TEMP RESTRICTED (SPF'S) 900099 5409651 5409651 0 0 0 0 2381275668 20752816 20752816 8449635 8449635 3673057 2122027 1551030 0 1551030 1551030 169370743 134803942 34566801 0 34478323 34478323 CAFETERIA REVENUE 722210 6058763 6058763 LAB SERVICES 621500 3698739 3698739 SALE OF HEAT, LIGHT AND POWER, GASES 221120 1559621 1559621 -21311600 -23206780 1783179 112001 -9994477 2454579414 2359625619 5484808 71402568 1382981 1382981 35000 35000 1971863 1971863 896702 10472 886230 640465664 639689911 775753 27432624 27432624 111830662 103511077 8319585 45272439 45046461 225978 912226 912226 219164547 219164547 0 0 73919 73919 31821740 31644914 176826 34209107 34209107 1744585 1739422 5163 2614834 2281925 332909 16625249 16625249 66880959 61327447 5553512 28407618 28407618 MEDICAL & SURGICAL SUPPLIES 673732912 673732912 PURCH SVS & EQUIP CONTRACTS 207967221 43432944 164534277 PROVISION FOR BAD DEBTS 55701416 55701416 FEDERAL TAXES 86607 86607 89931354 89551354 380000 0 2259162229 2075087907 184074322 0 656458 1259034 102161607 63279040 14142675 18369782 191772821 190946505 0 0 0 0 39654777 43186694 4342367 3792820 1304694289 773414938 484733772 531279351 635247284 521591830 41020086 5740159 0 319471317 781025076 1833203164 2160470291 130488597 114545798 367081 699882 332492871 317089657 0 0 147750000 147750000 11469688 9850438 176580303 361027991 799148540 950963766 X 569146942 706703487 464907682 502803038 1034054624 1209506525 1833203164 2160470291 X 195417185 9484087 -29449371 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 76305 X false 620353820 97526166 72597027 128550725 661926288 573959401 122487024 102923166 179015771 620353820 532724063 127087720 50052523 135904905 573959401 722992773 98490852 -79688422 209071140 532724063 475684077 302153870 107027228 161872402 722992773 0.3959 0.0654 0.5387 true true true 35133997 35133997 811010982 524341702 286669280 397469454 249073236 148396218 61079856 61079856 531279351 DEFERRED FINANCING COSTS 2688460 INTERCOMPANY RECEIVABLES 291476337 INTEREST IN NET ASSETS OF RIH FOUNDATION 85850984 OTHER NON-CURRENT ASSETS 335752 OTHER RECEIVABLES 266870322 RIGHT-OF-USE ASSETS,NET OPERATING LEASES 14145549 OUTSIDE TRUSTS 16625292 DUE FROM ENDOWMENT POOL 103032380 781025076 FEDERAL INCOME TAXES ACCRUED INTEREST PAYABLE 3487316 ACCRUED PENSION LIABILITY 14052200 ARBITRAGE 2024 BOND 2920955 HEALTH CARE BENEFITS SELF-INSURANCE 7488685 OPERATING LEASE LIABILITIES 15925272 OTHER LIABILITIES 285045244 POST-RETIREMENT BENEFIT LIABILITY 4262100 THIRD-PARTY PAYOR SETTLEMENTS 27846219 361027991 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART III, LINE 4 COLLECTIONS OF ART - DESCRIPTION OF COLLECTIONS RHODE ISLAND HOSPITAL'S (RIH) COLLECTION OF ARTWORK CONSISTS OF PAINTINGS, PHOTOGRAPHS, ETCHINGS, SILKSCREENS, WATERCOLORS, CHARCOALS, AND LITHOGRAPHS. THE WORKS OF ART ARE DISPLAYED THROUGHOUT THE RIH CAMPUS FOR THE VIEWING PLEASURE OF PATIENTS, VISITORS, AND EMPLOYEES. SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS RIH'S ENDOWMENT FUNDS CONSIST OF BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY RIH TO FUNCTION AS ENDOWMENTS. RIH'S LARGEST PERMANENTLY RESTRICTED ENDOWMENTS SUPPORT PATIENT CARE, PARTICULARLY CARDIOLOGY, HEMATOLOGY/ONCOLOGY, AND NEUROLOGY, AS WELL AS PEDIATRIC CARE AT RIH'S PEDIATRIC DIVISION, HASBRO CHILDREN'S (HC), RESEARCH, AND CHARITY CARE. RIH'S UNRESTRICTED ENDOWMENT INCLUDES DESIGNATED ASSETS SET ASIDE BY RIH'S BOARD FOR FUTURE CAPITAL IMPROVEMENTS, OVER WHICH THE BOARD RETAINS CONTROL AND MAY AT ITS DISCRETION SUBSEQUENTLY USE FOR OTHER PURPOSES. SIGNIFICANT TEMPORARILY RESTRICTED FUNDS HELD BY RIH ARE USED FOR THE PURPOSES OF: (1) THE CARE AND TREATMENT OF CHILDREN WITH MEDICAL NEEDS; (2) CARDIOLOGY FELLOWSHIP EDUCATIONAL SUPPORT; (3) ORTHOPEDIC RESEARCH; (4) STRATEGIC ENERGY MANAGEMENT PLANNING; AND (5) BUILDING MAINTENANCE AND IMPROVEMENTS. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BROWN UNIVERSITY HEALTH SYSTEM WHICH INCLUDES THE FOLLOWING FOOTNOTE REGARDING UNCERTAIN TAX POSITIONS: BROWN HEALTH RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. BROWN HEALTH DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2024 OR 2023. EAST ASIA AND THE PACIFIC 0 2 PROGRAM SERVICES RESEARCH 123160 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 3 PROGRAM SERVICES RESEARCH 12268 SOUTH ASIA 0 2 PROGRAM SERVICES RESEARCH 179355 SUB-SAHARAN AFRICA 0 5 PROGRAM SERVICES RESEARCH 203228 0 12 0 0 0 12 518011 0 518011 false false false false false true SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS EAST ASIA AND THE PACIFIC-ACCRUAL; EUROPE (INCLUDING ICELAND AND GREENLAND)-ACCRUAL; SOUTH ASIA-ACCRUAL; SUB-SAHARAN AFRICA-ACCRUAL true true true X true X true true true false true true 29290373 11902917 17387456 0.00770 387496043 374866152 12629891 0.00559 0 0.0 0 0 416786416 386769069 30017347 0.01329 506335 117846 388489 0.00017 141253205 23152878 118100327 0.05228 53885475 42734104 11151371 0.00494 16297467 16297467 0.00721 213583 213583 0.00009 0 0 212156065 66004828 146151237 0.06469 0 0 628942481 452773897 176168584 0.07798 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 14977576 295025 239793146 216115847 23677299 X true true 1 1 RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 WWW.RHODEISLANDHOSPITAL.ORG HOS00121 X X X X X X RHODE ISLAND HOSPITAL 1 false false true X X X X X X X X X 25 true true false true X https://www.brownhealth.org/about-brown-university-health/community-affairs/community-health-institu X true 25 true https://www.brownhealth.org/sites/default/files/2025-10/Brown-University-H false true X 200.0 300.0 X X X X X X true true X X X X true X https://www.brownhealth.org/patients-visitors X https://www.brownhealth.org/patients-visitors X https://www.brownhealth.org/patients-visitors X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - RHODE ISLAND HOSPITAL. PART V, LINE 5 - DESCRIBE HOW HOSPITAL TOOK INPUT FROM COMMUNITY: THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FROM OCTOBER 2024 THROUGH JUNE 2025 USING A MIXED METHODS APPROACH THAT INTEGRATED PRIMARY RESEARCH AND SECONDARY DATA ANALYSIS. THIS DESIGN ENSURED THAT BOTH QUANTITATIVE INDICATORS AND LIVED COMMUNITY EXPERIENCE INFORMED THE IDENTIFICATION OF HEALTH NEEDS, DISPARITIES, AND OPPORTUNITIES FOR IMPROVEMENT ACROSS RHODE ISLAND. THE PRIMARY DATA SOURCES INCLUDED COMMUNITY ENGAGEMENT, INDIVIDUAL SURVEYS, AND KEY INFORMANT INTERVIEWS. SECONDARY DATA WERE ANALYZED AT MULTIPLE GEOGRAPHIC LEVELS TO IDENTIFY LOCALIZED HEALTH NEEDS AND DISPARITIES. THESE SOURCES VARIED IN SAMPLE SIZE, METHOD OF DATA COLLECTION AND MEASURES REPORTED, BUT ALL ARE PUBLICLY AVAILABLE SOURCES, AND IN EACH CASE, THE MOST RECENT PUBLICLY ACCESSIBLE DATA WAS PRESENTED. THE DATA SOURCES ARE DESCRIBED IN MORE DETAIL BELOW. COMMUNITY ENGAGEMENT: COMMUNITY ENGAGEMENT SERVED AS A FOUNDATIONAL COMPONENT OF THE CHNA. WORKING IN COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS THROUGHOUT RHODE ISLAND, THE ASSESSMENT SOUGHT INPUT FROM A BROAD CROSS SECTION OF RESIDENTS, WITH INTENTIONAL OUTREACH TO DIVERSE POPULATIONS, UNDER RESOURCED COMMUNITIES, AND GROUPS THAT HAVE BEEN HISTORICALLY MARGINALIZED. THESE ENGAGEMENTS ENSURED REPRESENTATION ACROSS REGIONS, AGE GROUPS, AND COMMUNITY SECTORS. PARTICIPANTS CONTRIBUTED PERSPECTIVES ON: -UNMET HEALTH AND SOCIAL NEEDS -AVAILABILITY AND ADEQUACY OF COMMUNITY RESOURCES -BARRIERS TO ACCESSING SERVICES -GAPS IN SERVICE DELIVERY -RECOMMENDATIONS TO IMPROVE HEALTH AND WELLBEING KEY STAKEHOLDER SURVEY: AN ONLINE STAKEHOLDER SURVEY WAS ADMINISTERED TO 120 INDIVIDUALS REPRESENTING ORGANIZATIONS THAT SERVE DIVERSE COMMUNITIES STATEWIDE. THE SURVEY COLLECTED INSIGHTS ON LOCAL HEALTH NEEDS, CLIENT EXPERIENCES WITH SERVICE ACCESS, SYSTEM LEVEL CHALLENGES, AND OPPORTUNITIES FOR COLLECTIVE IMPACT AND COLLABORATION. KEY STAKEHOLDER SURVEY PARTICIPANTS OVERWHELMINGLY IDENTIFIED BEHAVIORAL HEALTH AS THE MOST PRESSING SET OF HEALTH CONCERNS AFFECTING THE POPULATIONS THEY SERVE. BEHAVIORAL HEALTH ISSUES CITED INCLUDED MENTAL HEALTH CHALLENGES, SUBSTANCE USE DISORDERS, TRAUMA, AND CHRONIC STRESS. STAKEHOLDERS EMPHASIZED THAT THESE CONCERNS ARE BOTH WIDESPREAD AND INCREASINGLY COMPLEX, AFFECTING INDIVIDUALS ACROSS AGE GROUPS, COMMUNITIES, AND SERVICE SETTINGS. IN ADDITION TO BEHAVIORAL HEALTH, STAKEHOLDERS HIGHLIGHTED SIGNIFICANT CONCERNS RELATED TO OLDER ADULT HEALTH AND CHRONIC CONDITIONS, INCLUDING HEART DISEASE, DIABETES, AND CANCER. THESE CONDITIONS WERE DESCRIBED AS PERSISTENT DRIVERS OF POOR HEALTH OUTCOMES AND CONTRIBUTORS TO LONG TERM HEALTHCARE NEEDS. STAKEHOLDER PERCEPTIONS WERE CONSISTENT WITH THE SECONDARY DATA ANALYZED FOR THE CHNA, WHICH SIMILARLY SHOWED HIGH PREVALENCE AND DISPROPORTIONATE IMPACT OF BEHAVIORAL HEALTH CONDITIONS AND CHRONIC DISEASES ACROSS RHODE ISLAND. THIS ALIGNMENT REINFORCES THE VALIDITY OF STAKEHOLDER INSIGHTS AND UNDERSCORES THE IMPORTANCE OF PRIORITIZING THESE ISSUES IN COMMUNITY HEALTH PLANNING COMMUNITY PERSPECTIVES AND STATEWIDE PUBLIC HEALTH DATA INDICATE THAT MANY PRIORITY HEALTH CONCERNS HAVE INTENSIFIED IN RECENT YEARS, DRIVEN BY BOTH THE LINGERING EFFECTS OF THE COVID 19 PANDEMIC AND PERSISTENT SOCIAL DETERMINANTS OF HEALTH (SDOH) CHALLENGES. STAKEHOLDERS DESCRIBED HOW PANDEMIC RELATED FACTORS-SUCH AS PROLONGED ISOLATION, DELAYED OR FORGONE HEALTHCARE, AND DEVELOPMENTAL DELAYS AMONG CHILDREN-CONTINUE TO SHAPE COMMUNITY HEALTH NEEDS. THESE IMPACTS ARE COMPOUNDED BY STRUCTURAL ISSUES INCLUDING THE RISING COST OF LIVING, HOUSING INSTABILITY, AND DECLINING ACCESS TO CARE. DETERMINING COMMUNITY HEALTH PRIORITIES TO IMPROVE COMMUNITY HEALTH, IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES TOWARD THE MOST PRESSING AND CROSS-CUTTING HEALTH NEEDS. IN DETERMINING HEALTH PRIORITIES ON WHICH TO FOCUS ITS EFFORTS OVER THE NEXT THREE-YEAR CYCLE, BROWN UNIVERSITY HEALTH LEADERSHIP REVIEWED FINDINGS FROM THE CHNA AND SOUGHT TO ALIGN WITH ITS HEALTH IMPROVEMENT PROGRAMS AND POPULATION HEALTH MANAGEMENT STRATEGIES. BROWN UNIVERSITY HEALTH APPLIED THE FOLLOWING RATIONALE AND CRITERIA TO DEFINE PRIORITIES: *PREVALENCE OF DISEASE AND NUMBER OF COMMUNITY MEMBERS AFFECTED. *RATE OF DISEASE COMPARED TO STATE AND NATIONAL BENCHMARKS HEALTH DIFFERENCES BETWEEN COMMUNITY MEMBERS. *EXISTING PROGRAMS, RESOURCES, AND EXPERTISE TO ADDRESS THE ISSUE. *INPUT FROM COMMUNITY PARTNERS AND REPRESENTATIVES. *ALIGNMENT WITH CONCURRENT PUBLIC HEALTH AND SOCIAL SERVICE ORGANIZATION INITIATIVES. OTHER HEALTH ISSUES IDENTIFIED AS SIGNIFICANT HEALTH NEEDS FOR THE STATE INCLUDE AFFORDABLE HOUSING, MATERNAL AND CHILD HEALTH, AND OLDER ADULT HEALTH AND WELLBEING. WHILE THESE AREAS ARE NOT NAMED PRIORITIES FOR BROWN UNIVERSITY HEALTH DUE TO THE NEED TO PRIORITIZE RESOURCES, THE SYSTEM IS COMMITTED TO COLLABORATING WITH AND SUPPORTING OTHER COMMUNITY AGENCIES FOCUSED ON THESE NEEDS. BROWN UNIVERSITY HEALTH WILL ALSO CONSIDER THESE AREAS WHEN DEVELOPING NUANCED AND WHOLE-PERSON STRATEGIES TO IMPROVE ACCESS TO CARE, BEHAVIORAL HEALTH, AND CHRONIC DISEASE. SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1 FACILITY , 1 - THE MIRIAM HOSPITAL. REGIONAL TEACHING HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 2 FACILITY , 2 - EMMA PENDLETON BRADLEY HOSPITAL. CHILDREN'S PSYCHIATRIC HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 3 FACILITY , 3 - NEWPORT HOSPITAL. REGIONAL HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - RHODE ISLAND HOSPITAL. RIH HAS IMPLEMENTED THE FOLLOWING ACTIONS TO STRATEGICALLY ADDRESS THE IDENTIFIED SIGNIFICANT NEEDS IN ORDER TO MAXIMIZE THE IMPROVEMENT OF THE OVERALL HEALTH AND WELLNESS OF RESIDENTS WITHIN ITS COMMUNITY: SIGNIFICANT HEALTH NEED #1: ACCESS TO CARE 1.1 PROVIDE TRANSPORTATION ASSISTANCE TO MEDICAL APPOINTMENTS. 1.2 APPLY FOR GRANTS AND CONTRACTS TO ADD NAVIGATORS/CHWS IN KEY SERVICE LINES TO IMPROVE CONTINUITY OF CARE AND AVAILABILITY. 1.3 OFFER FREE SKIN CANCER SCREENINGS AND ADD PARTNERS/LOCATIONS TO REACH DIVERSE AUDIENCES. 1.4 OFFER BLOOD PRESSURE AND GLUCOSE SCREENINGS IN COMMUNITY SETTINGS. 1.5 SERVE AS A COMMUNITY IMMUNIZER, OFFERING INFLUENZA, COVID AND/OR OTHER VACCINATION CLINICS IN COMMUNITY SETTINGS. 1.6 NCREASE FLOW AND REDUCE WAIT TIMES IN EMERGENCY DEPARTMENT. 1.7 IMPROVE PATIENT EXPERIENCE BY IMPROVING LANGUAGE ACCESS AND COMMUNICATION BETWEEN PROVIDERS, PATIENTS AND CAREGIVERS. 1.8 1.8 EXPAND ACCESS TO PRIMARY CARE BY ADDING 30,000 NEW PRIMARY CARE PATIENTS DURING THE IMPLEMENTATION PERIOD. SIGNIFICANT HEALTH NEED #2: BEHAVIORAL HEALTH 2.1 OFFER MENTAL HEALTH FIRST AID TRAINING. 2.2 WORK WITH ADDICTION MEDICINE TEAM AT RIH ON PREVENTION AND OUTREACH TO REDUCE RACIAL & ETHNIC DISPARITIES IN OVERDOSE RATES AND FATALITIES. 2.3 IMPROVE PATIENT EXPERIENCE SCORES IN PSYCH AND PSYCH EMERGENCY SERVICES. 2.4 OFFER SERVICES TO MANAGE ADDICTION DISORDERS AMONG THE ADULT POPULATION TRANSITIONING OUT OF INCARCERATION. 2.5 FACILITATE RAPID ACCESS TO TREATMENT FOR SUBSTANCE MISUSE THROUGH A "BRIDGE" CLINIC, A LOW-THRESHOLD TRANSITIONAL CLINIC FOR THE TREATMENT OF SUBSTANCE USE FOR PATIENTS WHO ARE NOT YET ESTABLISHED IN OUTPATIENT ADDICTION CARE, AND A 24/7 BUPRENORPHINE HOTLINE TO CONSULT WITH A PRESCRIBER AND POTENTIALLY RECEIVE A PRESCRIPTION WHILE ON THE PHONE. 2.6 CONTRIBUTE RESEARCH AND POLICY LEADERSHIP TO STATEWIDE INITIATIVES TO REDUCE OPIOID OVERDOSE AND FATALITY RATES, ESPECIALLY TARGETING ADDICTION PROGRAMMING TO THE AREAS OF THE STATE THAT MOST NEED ADDICTION SERVICES. 2.7 DEVELOP FAMILY- AND COMMUNITY-BASED STRATEGIES FOR SUPPORTING INDIVIDUALS WITH SUBSTANCE USE DISORDER THROUGH HARM REDUCTION AND REMOVING BARRIERS TO CARE. SIGNIFICANT HEALTH NEED #3: CHRONIC DISEASES 3.1 OFFER BREAST, CERVICAL, LUNG, COLORECTAL AND/OR PROSTATE CANCER SCREENING FOR UNINSURED, UNDERINSURED AND LOW INCOME RESIDENTS. 3.2 FACILITATE REFERRALS FROM PRIMARY CARE PRACTICES WITHIN BROWN UNIVERSITY HEALTH TO THE BROWN UNIVERSITY HEALTH CANCER INSTITUTE, CARDIOVASCULAR INSTITUTE, AND OTHER SPECIALTY DEPARTMENTS. 3.3 CONTINUE TO OFFER A MONTHLY HEALTH AMBASSADOR LECTURE SERIES ON CHRONIC DISEASE PREVENTION TOPICS FOR THE GENERAL PUBLIC. 3.4 CONTINUE TO OFFER THE DIABETES PREVENTION PROGRAM AND BECOME A MEDICARE DPP SUPPLIER. 3.5 PROVIDE TAR WARS PROGRAMMING FOR YOUTH ACROSS SERVICE AREA. 3.6 OFFER CONFERENCES, WORKSHOPS AND PRESENTATIONS ON TOPICS REQUESTED BY COMMUNITY PARTNERS. 3.7 INCORPORATE TELEHEALTH AND TELEMONITORING IN CARDIAC REHABILITATION TO DRIVE PATIENT & FAMILY SELF-EFFICACY. 3.8 PROVIDE MULTIDISCIPLINARY SUPPORTS AND INCREASE UTILIZATION OF THE PALLIATIVE CARE NURSE, PSYCHOLOGIST, AND SOCIAL WORKER IN THE ADVANCED HEART FAILURE CLINIC. 3.9 OFFER SMOKING CESSATION AND WEIGHT LOSS PROGRAMS AT CARDIAC REHAB. 3.10 INCREASE ACCESS TO CARDIAC CARE BY RECRUITING ADDITIONAL PROVIDERS. 3.11 OFFER AN ATRIAL FIBRILLATION CLINIC AT RIH TO FACILITATE REFERRALS FROM THE EMERGENCY DEPARTMENT. SIGNIFICANT HEALTH NEED #4: MATERNAL AND CHILD HEALTH 4.1 INCREASE ACCESS TO OBSTETRICS AND GYNECOLOGY BY RECRUITING ADDITIONAL PROVIDERS. 4.2 OFFER REPRODUCTIVE HEALTH EDUCATION FOR MIDDLE AND HIGH SCHOOL STUDENTS. 4.3 CONTRIBUTE COMMUNITY HEALTH AND POLICY LEADERSHIP TO STATEWIDE INITIATIVES TO IMPROVE MATERNAL AND CHILD HEALTH THROUGH PARTICIPATION IN STATEWIDE INITIATIVES LIKE THE RHODE ISLAND MATERNAL HEALTH TASK FORCE AND RI KIDS COUNT ADVISORY COMMITTEE. SIGNIFICANT HEALTH NEED #5: OLDER ADULT HEALTH AND WELLBEING 5.1 IMPROVE PATIENT EXPERIENCE BY CREATING AND POSTING FAQS AND RESOURCES ON THE BROWN UNIVERSITY HEALTH.ORG SITE FOR PATIENTS AND CAREGIVERS TO PREPARE FOR HOSPITAL CARE AND DISCHARGE. 5.2 OFFER COMMUNITY-BASED HANDS-ONLY CPR CLASSES FOR UNDERSERVED, ELDERLY, AND SECONDARY STUDENTS WHO MAY BE IN A LIFE-SAVING SITUATION. 5.3 WORK WITH PSYCHIATRY TO LEVERAGE CONNECTIONS TO COMMUNITY-BASED, FAMILY, AND PATIENT SUPPORTS FOR HEALTH AND WELLBEING OF AN AGING POPULATION. 5.4 ASSIST WITH TRANSITION TO COMMUNITY-BASED SERVICE PROVIDERS TO FACILITATE DISCHARGE OF LONG-STAY PATIENTS. SIGNIFICANT HEALTH NEED #6: SOCIAL DETERMINANTS OF HEALTH 6.1 EXPAND SOCIAL NEEDS SCREENING AND NAVIGATION ASSISTANCE (E.G., CONNECT FOR HEALTH) TO SERVE KEY SERVICE LINES INCLUDING LCI, CVI, AND PSYCHIATRY. 6.2 INCREASE ACCESS TO EMPLOYEE FOOD BANK. 6.3 INCREASE ACCESS TO PATIENT & FAMILY FOOD BANK. 6.4 IMPROVE ACCESS TO FOOD FOR PATIENTS EXPERIENCING FOOD INSECURITY. 6.5 CONTINUE TO OFFER FOOD AND NUTRITION EDUCATION PROGRAMS TO PATIENTS AND RESIDENTS OF THE HOSPITAL SERVICE AREA. 6.6 OFFER MEDICALLY TAILORED, HOME-DELIVERED MEALS TO PATIENTS EXPERIENCING FOOD INSECURITY. 6.7 MAKE CONNECT FOR HEALTH EXPRESS SHEETS AVAILABLE ON PATIENT & GUEST SERVICES INTRANET AND THROUGH THE EXTERNAL BROWN UNIVERSITY HEALTH.ORG SITE. OTHER HEALTH ISSUES IDENTIFIED AS SIGNIFICANT HEALTH NEEDS FOR THE STATE INCLUDE AFFORDABLE HOUSING, MATERNAL AND CHILD HEALTH, AND OLDER ADULT HEALTH AND WELLBEING. WHILE THESE AREAS ARE NOT NAMED PRIORITIES FOR BROWN UNIVERSITY HEALTH DUE TO THE NEED TO PRIORITIZE RESOURCES, THE SYSTEM IS COMMITTED TO COLLABORATING WITH AND SUPPORTING OTHER COMMUNITY AGENCIES FOCUSED ON THESE NEEDS. BROWN UNIVERSITY HEALTH WILL ALSO CONSIDER THESE AREAS WHEN DEVELOPING NUANCED AND WHOLE-PERSON STRATEGIES TO IMPROVE ACCESS TO CARE, BEHAVIORAL HEALTH, AND CHRONIC DISEASE. THERE ARE NO SIGNIFICANT NEEDS NOT BEING ADDRESSED. SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1 FACILITY , 1 - RHODE ISLAND HOSPITAL. AN ABBREVIATED VERSION OF RIH'S FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS ADMITTING AND OUTPATIENT AREAS OF RIH. ADDITIONALLY, REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO PATIENT FINANCIAL COUNSELORS TO DISCUSS THE POLICY AND/OR ANSWER ANY QUESTIONS THEY MIGHT HAVE. 34 BROWN UNIVERSITY HEALTH CANCER INSTITUTE PRGM OF RIH 164 SUMMIT AVENUE PROVIDENCE RI 02906 COMPREHENSIVE CANCER CENTER PHYSICIAN VISITS, INFUSION THERAPY RIH RHEUMATOLOGY INFUSION CENTER 407 EAST AVENUE SUITE 250 PAWTUCKET RI 02860 INFUSION SERVICES EAST PROVIDENCE INFUSION CENTER 375 WAMPANOAG TRAIL SUITE 101A EAST PROVIDENCE RI 02915 INFUSION SERVICES DIALYSIS CENTER OF RIH 22 BAKER STREET PROVIDENCE RI 02905 HEMODIALYSIS, HOME PERITONEAL DIALYSIS, HOME HEMODIALYSIS RIH NORMAN PRINCE SPINE INSTITUTE 690 EDDY STREET PROVIDENCE RI 02903 COMPREHENSIVE, MULTIDISCIPLINARY CARE FOR SPINE PATIENTS RIH CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE 950 WARREN AVENUE SUITE 103 EAST PROVIDENCE RI 02914 WOUND CARE AND HYPERBARIC MEDICINE RIH HASBRO CHILDREN'S OUTPATIENT REHAB CENTER 765 ALLENS AVENUE 2ND FLOOR SUITE 2 00 PROVIDENCE RI 02905 CHILDREN'S PHYSICAL AND OCCUPATIONAL THERAPY RIH CENTER FOR PRIMARY CARE AND SPECIALTY MEDICINE 245 CHAPMAN STREET SUITE 300 PROVIDENCE RI 02905 PRIMARY CARE AND SPECIALTY MEDICAL SERVICES DIALYSIS CENTER OF RIH 950 WARREN AVENUE EAST PROVIDENCE RI 02914 HEMODIALYSIS RADIOSURGERY CENTER OF RI LLC 593 EDDY STREET PROVIDENCE RI 02903 RADIOSURGERY SERVICES RIH PEDIATRIC HEART CENTER 1 HOPPIN STREET PROVIDENCE RI 02903 OUTPATIENT PEDIATRIC CARDIOLOGY SERVICES RIH OUTPATIENT REHABILITATION SERVICES 765 ALLENS AVENUE 1ST FLOOR SUITE 1 02 PROVIDENCE RI 02905 ADULT PHYSICAL AND OCCUPATIONAL THERAPY CHILDREN'S NEUROLOGY & DEVELOPMENT CLINIC 335R PRAIRIE AVENUE SUITE 2B PROVIDENCE RI 02905 PEDIATRIC SERVICES RIH PEDIATRIC AND ADOLESCENT HEALTH CARE CENTER 1 HOPPIN STREET SUITE 3055 PROVIDENCE RI 02903 OUTPATIENT ADOLESCENT SERVICES RIH OUTPATIENT SPECIALTY SVCS PEDI ENDOCRINOLOGY 111 PLAIN STREET 3RD FLOOR PROVIDENCE RI 02903 PEDIATRIC ENDOCRINOLOGY SERVICES BROWN UNIVERSITY HEALTH RESEARCH CENTER 1 HOPPIN STREET CORO BUILDING PROVIDENCE RI 02903 STUDY, DESIGN, ANALYSIS, MEDICAL & REGULATORY OVERSIGHT RESEARCH MEDICINE PEDIATRICS 245 CHAPMAN STREET SUITE 100 PROVIDENCE RI 02905 PRIMARY CARE MEDICINE PEDIATRIC MULTI-DISCIPLINE CLINIC & REHAB SATELLITE 1454 SOUTH COUNTY TRAIL 1ST FLOOR EAST GREENWICH RI 02818 PEDIATRIC SPECIALTIES & PHYSICAL THERAPY INCLUSIVE OF PSYCHIATRY BROWN UNIVERSITY HEALTH RECOVERY CENTER 200 CORLISS STREET SUITE 1 PROVIDENCE RI 02904 TREATMENT OF OPIOID AND RELATED DRUG ADDICTIONS CENTER FOR ADVANCED LUNG CARE 146 WEST RIVER STREET STE 11A PROVIDENCE RI 02904 COMPREHENSIVE CARE FOR ADVANCED LUNG AND HEART-LUNG DISEASES RIH SLEEP DISORDERS CENTER 70 CATAMORE BOULEVARD EAST PROVIDENCE RI 02914 OUTPATIENT PROFESSIONAL AND TECHNICAL EVALUATION OF SLEEP DISORDERS RIH MOLECULAR LABORATORY 15 LASALLE SQUARE CORO EAST 3RD FLO OR PROVIDENCE RI 02903 CLINICAL LABORATORY TESTING - MOLECULAR DIAGNOSTICS RHODE ISLAND HOSPITAL EAST GREENWICH LAB 1454 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 CLINICAL CORE LABORATORY TESTING GENERAL INTERNAL MEDICINE RESEARCH GROUP 111 PLAIN STREET PROVIDENCE RI 02903 BEHAVIORAL RESEARCH STUDIES PEDIATRIC AND ADULT MEDICINE 900 WARREN AVENUE 2ND FLOOR EAST PROVIDENCE RI 02914 PEDIATRIC AND ADULT SPECIALTY SERVICES BROWN UNIVERSITY HEALTH SLEEP DISORDERS CTR-EAST GREENWI 1407 SOUTH COUNTY TRAIL SUITE 430 EAST GREENWICH RI 02818 OUTPATIENT PROFESSIONAL AND TECHNICAL EVALUATION OF SLEEP DISORDERS AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY SERVICES 115 GEORGIA AVENUE PROVIDENCE RI 02905 SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SERVICES RIH REHABILITATION SERVICES HAND THERAPY 235 PLAIN STREET SUITE 203 PROVIDENCE RI 02903 OCCUPATIONAL THERAPY CTR INNOVATIVE NEUROTECHNOLOGY FOR NEURAL REPAIR 117 CHAPMAN STREET SUITE 100 PROVIDENCE RI 02905 PHYSICAL THERAPY RI DEPT OF HUMAN GENETICS AND GENETIC CLINIC 111 PLAIN STREET 2ND FLOOR PROVIDENCE RI 02903 HUMAN GENETICS WEST RIVER INFUSION 148 WEST RIVER STREET SUITE 2B PROVIDENCE RI 02904 INFUSION SERVICES SCHEDULE H, PART I, LINE 3C PART I, LINE 3C - CHARITY CARE ELIGIBILITY CRITERIA (FPG IS NOT USED) RHODE ISLAND HOSPITAL (RIH) USES A DUAL SYSTEM FOR DETERMINING FINANCIAL AID ELIGIBILITY: FEDERAL POVERTY GUIDELINES AND AN ASSET TEST. THE FINANCIAL SCREENING PROCESS AT RIH 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 FEDERAL INCOME TAX RETURN AND W-2 FORM(S) - COPIES OF MOST RECENT SAVINGS AND/OR CHECKING ACCOUNT STATEMENTS - TWO MOST RECENTLY RECEIVED PAYROLL CHECK STUBS - COPY OF RENT RECEIPTS FOR THE LAST SIX MONTHS FOR PROOF OF RESIDENCY - COPY OF UTILITY BILLS FOR THE LAST MONTH FOR PROOF OF RESIDENCY 3. IF THE PATIENT'S FINANCIAL SITUATION FALLS WITHIN THE GUIDELINES FOR ELIGIBILITY FOR MEDICAID, RITE CARE, OR CFS, OR IF THE PATIENT HAS A LONG-TERM DISABILITY, THE APPROPRIATE APPLICATION PROCESS IS COMPLETED. (ASSISTANCE TO COMPLETE SUCH APPLICATIONS IS AVAILABLE FROM THE PATIENT FINANCIAL ADVOCATES (PFA) OFFICE AT RIH.) 4. UNINSURED PATIENTS RECEIVE A DISCOUNT EQUAL TO THE DISCOUNT RECEIVED BY MEDICARE BENEFICIARIES ON RIH CHARGES USING THE PROSPECTIVE METHOD. UNDER SECTION 501(R)(5), THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FINANCIAL ASSISTANCE POLICY (FAP)-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE MEDICARE INSURANCE COVERING SUCH CARE. IN NO CASE WAS THERE A SITUATION WHERE AN UNINSURED PATIENT PAID MORE THAN AMOUNTS REIMBURSED FROM MEDICARE. 5. ELIGIBILITY FOR CFS ABOVE THE DISCOUNT IS PROVIDED FOR THOSE APPLICANTS WHOSE FAMILY GROSS INCOME IS AT OR BELOW TWICE THE FEDERAL POVERTY GUIDELINES, WITH A SLIDING SCALE FOR INDIVIDUALS UP TO THREE TIMES THE POVERTY LEVEL IN EFFECT AT THE TIME OF APPLICATION. FULL CHARITY CARE APPLICANTS WITH ASSETS WORTH MORE THAN $4,000 FOR AN INDIVIDUAL (OR $6,000 FOR A FAMILY) MAY NOT QUALIFY FOR CARE WITHOUT CHARGE, BUT WILL QUALIFY FOR DISCOUNTED CARE. WHILE THE MAXIMUM 100% DISCOUNT MAY NOT BE AVAILABLE TO ALL CHARITY CARE APPLICANTS BASED ON THE RESULTS OF THEIR ASSET TEST, ALL UNINSURED PATIENTS WHO RECEIVE CARE ARE ELIGIBLE FOR, AT A MINIMUM, THE SAME CHARITY CARE DISCOUNT AS PROVIDED BY THE MEDICARE PROGRAM. 6. 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. 7. IN ANY CASE, THE FINAL RESULTS OF THE FINANCIAL SCREENING ARE RECORDED IN THE COMMENTS SECTION OF RIH'S BILLING SYSTEM. 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 DISCOUNTED CHARGES IF THE BALANCE IS UNDER $5,000 AND 50% TO 100% OF ESTIMATED DISCOUNTED CHARGES IF THE ESTIMATED BILL EQUALS OR EXCEEDS $5,000. FOR ELECTIVE OR NON-URGENT CASES, THE POLICY REQUIRES 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 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. THE 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 THE 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. SCHEDULE H, PART I, LINE 6A PART I, LINE 6A - RELATED ORGANIZATION COMMUNITY BENEFIT REPORT THE COMMUNITY BENEFIT REPORT FOR ALL BROWN HEALTH IS MAINTAINED BY BROWN HEALTH AND INCLUDED IN BROWN HEALTH'S ANNUAL REPORT. THE ANNUAL REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2024 IS AVAILABLE AT THE FOLLOWING LINK. HTTPS://WWW.BROWNHEALTH.ORG/SITES/DEFAULT/FILES/2025-07/ANNUAL-REPORT-2024_250709.PDF THE ANNUAL REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2025 IS NOT YET AVAILABLE. SCHEDULE H, PART I, LINE 7F PART I, LINE 7, COLUMN F - EXPLANATION OF BAD DEBT EXPENSE THE CALCULATION OF PERCENTAGES DISCLOSED FOR SCHEDULE H, PART I, LINE 7, COLUMN (F) "PERCENT OF TOTAL EXPENSE", DOES NOT INCLUDE BAD DEBT EXPENSE. FORM 990, PART IX, LINE 25 INCLUDES PROVISION FOR BAD DEBTS OF $55,701,521. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE RIH'S COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN PART I, LINE 7 IS AS FOLLOWS: A) FINANCIAL ASSISTANCE AT COST- INVOLVES UTILIZATION OF A RATIO DERIVED FROM DIVIDING PATIENT COSTS, AS DEFINED, BY PATIENT CHARGES, AS DEFINED, AND APPLYING THAT PERCENTAGE TO TOTAL CHARITY CARE CHARGES. PATIENT COSTS REPORTED IN THE COST ACCOUNTING SYSTEM ARE CALCULATED BASED ON MEDICARE PRINCIPLES OF REIMBURSEMENT BY REDUCING TOTAL OPERATING EXPENSES (AS CALCULATED BY FORM 990 REQUIREMENTS) BY ITEMS SUCH AS BAD DEBT EXPENSE, THE COST OF MEDICAL EDUCATION, INTERNALLY FUNDED RESEARCH, SUBSIDIZED HEALTH SERVICES, COMMUNITY SERVICES, CHARITABLE CONTRIBUTIONS, AND OTHER OPERATING REVENUE. PATIENT COSTS ARE THEN DIVIDED BY PATIENT CHARGES TO DETERMINE A RATIO OF COST TO CHARGES (RCC). THIS RCC IS APPLIED AS THE COSTING METHODOLOGY FOR DETERMINING CHARITY CARE EXPENSE. B) MEDICAID- MEDICAID EXPENSE IS DETERMINED AT COST AS CALCULATED BY RIH'S COST ACCOUNTING SYSTEM. THE SYSTEM USES HISTORICAL COSTING METHODS APPLIED TO ALL PATIENT SEGMENTS BASED ON VARIOUS PATIENT DEMOGRAPHICS AND UTILIZATIONS. THESE COSTING STANDARDS EXCLUDE BAD DEBT, CHARITY CARE, AND THE MEDICAID PORTION OF COSTS OF HEALTH PROFESSIONS EDUCATION, WHICH ARE REPORTED ON OTHER AREAS OF LINE 7. THESE EXPENSES INCLUDE MEDICAID PROVIDER TAXES. DIRECT OFFSETTING REVENUE IS REPORTED AS AMOUNTS RECEIVED FROM MEDICAID, AS WELL AS OTHER PAYMENTS WHICH INCLUDE REIMBURSEMENT UNDER FEDERAL "UPPER PAYMENT LIMIT" (UPL) AND "DISPROPORTIONATE SHARE HOSPITAL" (DSH) PROGRAMS. E) COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS-COMMUNITY BENEFIT OPERATIONS EXPENSE IS RECORDED AS DIRECT EXPENSES INCURRED AS REPORTED BY RIH'S COMMUNITY HEALTH SERVICES DEPARTMENT. REVENUE RECEIVED FOR THESE SERVICES IS REPORTED AS DIRECT OFFSETTING REVENUE. F) HEALTH PROFESSIONS EDUCATION- HEALTH PROFESSIONS EDUCATION EXPENSES REPRESENT DIRECT COSTS RELATED TO AMOUNTS ASSOCIATED WITH RESIDENT AND INTERN PROGRAMS UTILIZED AT RIH. THESE COSTS ARE DETERMINED BY REPORTING ACTUAL DIRECT COSTS TAKEN FROM THE MEDICARE COST REPORT. DIRECT OFFSETTING REVENUE IS REPORTED AS ANY DIRECT MEDICARE REIMBURSEMENTS RECEIVED FOR SUCH SERVICES PROVIDED, AS REPORTED IN THE RIH'S MEDICARE COST REPORT. G) SUBSIDIZED HEALTH SERVICES- SUBSIDIZED HEALTH SERVICES' COMMUNITY BENEFIT EXPENSE IS DETERMINED BY RIH'S COST ACCOUNTING SYSTEM. THESE SUBSIDIZED HEALTH SERVICES ARE RECORDED AT COST IN RIH'S COST ACCOUNTING SYSTEM FOR ALL QUALIFIED SUBSIDIZED HEALTH SERVICE DIVISIONS. THIS EXPENSE IS ADJUSTED TO REMOVE ALL RELATED GRADUATE MEDICAL EDUCATION (GME) EXPENSES, AS WELL AS BAD DEBT, MEDICAID, AND CHARITY COSTS ALREADY REPORTED IN THE APPLICABLE SECTIONS OF LINE 7. NET PATIENT SERVICE REVENUE IS RECORDED AS AMOUNTS RECEIVED FROM VARIOUS PAYER TYPES RELATED TO THESE SERVICES. REVENUE ASSOCIATED WITH MEDICARE GME AND MEDICAID IS EXCLUDED FROM THE AMOUNT DISCLOSED FOR SUBSIDIZED HEALTH SERVICES. H) RESEARCH- RIH CONDUCTS EXTENSIVE MEDICAL RESEARCH FOCUSED ON THE PREVENTION AND TREATMENT OF HIV/AIDS, OBESITY, CANCER, DIABETES, CARDIAC DISEASE, NEUROLOGICAL PROBLEMS, ORTHOPEDIC ADVANCEMENTS, AND MENTAL HEALTH CONCERNS. FOR ALL INTERNAL AND EXTERNAL RESEARCH CONDUCTED, THE COSTS ASSOCIATED WITH THESE ACTIVITIES ARE CALCULATED BY COMBINING THE DIRECT AND INDIRECT COSTS AS REPORTED WITHIN RIH'S COST ACCOUNTING SYSTEM. REVENUE RECEIVED FOR THESE SERVICES IS REPORTED AS DIRECT OFFSETTING REVENUE. I) CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT- EXPENSES FOR CASH AND IN-KIND COMMUNITY BENEFIT CONTRIBUTIONS ARE INCURRED BY RIH, INCLUDING AN ALLOCATION OF CONTRIBUTIONS MADE BY BROWN HEALTH ON RIH'S BEHALF. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT THE AMOUNT REPORTED AS BAD DEBT EXPENSE IS DETERMINED BY APPLYING THE RATIO OF COST TO CHARGES (RCC) TO THE TOTAL CHARGES WRITTEN OFF TO BAD DEBT. THE RCC RATE IS DETERMINED USING DATA FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM AND IS ADJUSTED FOR MEDICAL EDUCATION, INTERNALLY FUNDED RESEARCH, SUBSIDIZED HEALTH SERVICES, COMMUNITY SERVICES, AND CHARITABLE CONTRIBUTIONS. DISCOUNTS AND PAYMENTS ARE APPLIED TO PATIENT ACCOUNTS BEFORE SUCH ACCOUNT BALANCES ARE TRANSFERRED TO BAD DEBT. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY ACCOUNTS PENDING TRANSFER TO BAD DEBT ARE REVIEWED BY RIH'S PATIENT FINANCIAL ADVOCATE STAFF TO DETERMINE QUALIFICATION FOR FINANCIAL ASSISTANCE UNDER RIH'S POLICY. ACCOUNTS WITH INSUFFICIENT INFORMATION TO DETERMINE ELIGIBILITY ARE ASSIGNED A SEPARATE IDENTIFYING CODE. THESE ACCOUNTS ARE ULTIMATELY TRANSFERRED TO BAD DEBT IF THE APPROPRIATE QUALIFYING DOCUMENTATION IS NOT RECEIVED. THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 3 REPRESENTS THE ACCOUNT BALANCES AT CHARGE WRITTEN OFF TO BAD DEBT FROM THE PENDING CODE, WHICH ARE IN TURN CONVERTED TO COST BY APPLYING THE RCC RATE AS IDENTIFIED IN SCHEDULE H, PART III, SECTION A, LINE 2. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE THERE IS NO SPECIFIC FOOTNOTE FOR BAD DEBT EXPENSE; HOWEVER, DUE TO THE ADOPTION OF ASU NO. 2014-09 IN 2019 - REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), BAD DEBT EXPENSE IS NO LONGER REPORTED IN THE AUDITED FINANCIAL STATEMENTS AS A SEPARATE LINE ITEM BUT RATHER IS TREATED AS A PRICE CONCESSION. RIH'S ADOPTION OF THE ASU DID NOT MATERIALLY CHANGE THE TIMING OR AMOUNT OF REVENUE RECOGNIZED. HOWEVER, THE ASU REQUIRES THAT PATIENT SERVICE REVENUE BE PRESENTED IN THE STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS AT THE TRANSACTION PRICE, I.E., NET OF ANY PROVISION FOR BAD DEBTS. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE PER THE BILLING AND COLLECTION POLICY, REASONABLE STEPS ARE TAKE TO ENSURE THAT NO COLLECTION ACTIONS ARE INITIATED FOR PATIENTS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - RHODE ISLAND HOSPITAL: LINE 16A URL: HTTPS://WWW.BROWNHEALTH.ORG/PATIENTS-VISITORS; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - RHODE ISLAND HOSPITAL: LINE 16B URL: HTTPS://WWW.BROWNHEALTH.ORG/PATIENTS-VISITORS; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - RHODE ISLAND HOSPITAL: LINE 16C URL: HTTPS://WWW.BROWNHEALTH.ORG/PATIENTS-VISITORS; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT BROWN HEALTH'S OFFICE OF STRATEGIC PLANNING AND ANALYSIS PERFORMS POPULATION-BASED STUDIES FOR RIH 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. A POPULATION-BASED STUDY EXAMINES THE GROWTH AND CHANGES IN THE POPULATION, THE RESOURCES IN THE COMMUNITY, AND THE CHANGING PREVALENCE OF DISEASES. IN ADDITION TO THIS APPROACH, BROWN HEALTH STRATEGIC PLANNING ALSO EXAMINES EXPERIENCE WITH WAIT TIMES, 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 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 CONSIDERING 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 GOES THROUGH A REVIEW PROCESS TO ADD STAFF, EXPANDED HOURS, AND/OR NEW SUBCOMPONENTS 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 RHODE ISLAND STATE CERTIFICATE OF NEED PROGRAM REQUIRES A FOCUSED STUDY OF NEED FOR ALL PROJECTS OVER $5.25 MILLION, WHICH IS AN IMPORTANT PART OF THE PROGRAM DEVELOPMENT PROCESS ACROSS BROWN HEALTH. BASED ON A BROAD UNDERSTANDING OF COMMUNITY HEALTH NEEDS, RIH PROVIDES A WIDE RANGE OF SERVICES TO BOTH ITS PRIMARY AND SECONDARY AREAS. BROWN HEALTH AND ITS HOSPITAL AFFILIATES MONITOR HEALTH TRENDS IN RHODE ISLAND IN AN EFFORT TO IDENTIFY AREAS OF UNMET DEMANDS REGARDING CLINICAL SERVICES. PREVIOUS EXAMPLES OF ADDRESSING THIS UNMET DEMAND INCLUDE RIH ADDING A BIPLANE NEUROINTERVENTIONAL RADIOLOGY SUITE, EQUIPPED WITH THE LATEST TECHNOLOGY AND STAFF 24/7 AND LOCATED LESS THAN 100 STEPS FROM THE AMBULANCE BAYS OF RIH'S ANDREW F. ANDERSON EMERGENCY CENTER. NO OTHER EMERGENCY DEPARTMENT IN THE WORLD HAS THIS STROKE SURGERY SUITE WITHIN IT. TWO NEW MINIMALLY INVASIVE TREATMENTS ARE OFFERED AT RIH'S COMPREHENSIVE SPINE CENTER: BALLOON KYPHOPLASTY, FOR TREATMENT OF VERTEBRAL COMPRESSION FRACTURES, AND INDIRECT SPINAL DECOMPRESSION WITH AN INTERSPINOUS SPACER DEVICE, TO DECOMPRESS SPINAL STENOSIS AND RELIEVE SYMPTOMS OF NEUROGENIC CLAUDICATION, INCLUDING PAIN OR PRESSURE WHEN STANDING OR WALKING. ADDITIONALLY, RIH'S PEDIATRIC DIVISION, HASBRO CHILDREN'S, IS THE STATE'S ONLY FACILITY DEDICATED TO PEDIATRIC CARE. RIH HAS CONTINUED ITS PIONEERING WORK ON TREATMENTS FOR INOPERABLE TUMORS AS WELL AS RADIOFREQUENCY ABLATION. ALSO OF NOTE IS HASBRO'S MEDICAL/PSYCHIATRIC PROGRAM. THIS PROGRAM IS EXPRESSLY DESIGNED FOR CHILDREN AND ADOLESCENTS WITH CHALLENGING MENTAL HEALTH AND MEDICAL CONDITIONS WHO REQUIRE HOSPITALIZATION. A COLLABORATION WITH EMMA PENDLETON BRADLEY HOSPITAL, IT IS THE ONLY PROGRAM IN THE REGION CREATED TO MEET THE COMPLEX NEEDS OF THESE CHILDREN. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE RIH HAS MULTILINGUAL SIGNAGE IN ITS MAIN LOBBY AND WAITING AREAS WHICH PROVIDES INFORMATION ON FINANCIAL AID CONTACTS. THE REGISTRATION DEPARTMENT MEETS WITH PATIENTS AT THE OUTSET OF CARE TO DISCUSS ELIGIBILITY FOR ASSISTANCE. THE REGISTRATION STAFF PROVIDES INTERESTED PATIENTS WITH A "WELCOME" BOOKLET WHICH INCLUDES INFORMATION ON PATIENT RIGHTS AND RESPONSIBILITIES. THE SIGNAGE AND BOOKLETS CONTAIN A TELEPHONE NUMBER WHICH CONNECTS PATIENTS WITH REGISTRATION STAFF WHO CAN ANSWER ANY ADDITIONAL QUESTIONS THAT MAY ARISE AFTER THE PATIENT HAS LEFT RIH. ASSISTANCE ELIGIBILITY IS ALSO SUMMARIZED ON RIH'S WEBSITE. AS PART OF RIH'S INPATIENT INTAKE PROCESS, RIH PROVIDES A SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY, ALONG WITH ALL ASSISTANCE APPLICATIONS AND THE PATIENT FINANCIAL SERVICES CONTACT NUMBER, TO ALL SELF-PAY PATIENTS. THE SAME PROCESS IS ALSO USED FOR PATIENTS SEEN DURING THE OUTPATIENT DISCHARGE PROCESS. ATTEMPTS ARE MADE TO CONTACT PATIENTS PRIOR TO THEIR VISIT TO SCREEN FOR FINANCIAL ASSISTANCE AND TO INFORM THEM WHAT DOCUMENTS ARE REQUIRED FOR THEIR FINANCIAL ASSISTANCE DETERMINATION OR TO SET UP AN APPOINTMENT TO SEE A "PATIENT FINANCIAL ADVOCATE" (PFA) PRIOR TO SERVICE. PFAS DISCUSS WITH PATIENTS THE VARIOUS GOVERNMENT PROGRAMS THAT MIGHT BE AVAILABLE TO THEM FOR FINANCIAL ASSISTANCE. PFAS ALSO OFFER ASSISTANCE WITH THE FINANCIAL APPLICATION PROCESS AND/OR UNDERSTANDING THE QUALIFICATION FACTORS FOR MEDICAID, THE AFFORDABLE CARE ACT, MEDICARE, SOCIAL SECURITY DISABILITY, THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), AND RHODE ISLAND TEMPORARY DISABILITY INSURANCE AND UNEMPLOYMENT. THIS IS DONE FOR BOTH INPATIENT AND OUTPATIENT SERVICES. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION RHODE ISLAND HOSPITAL, LOCATED IN PROVIDENCE, RHODE ISLAND, IS A 719-BED NONPROFIT GENERAL ACUTE CARE TEACHING HOSPITAL WITH UNIVERSITY AFFILIATION PROVIDING A COMPREHENSIVE RANGE OF DIAGNOSTIC AND THERAPEUTIC SERVICES FOR THE ACUTE CARE OF PATIENTS PRINCIPALLY FROM RHODE ISLAND AND SOUTHEASTERN MASSACHUSETTS. AS A COMPLEMENT TO ITS ROLE IN SERVICE AND EDUCATION, RIH ACTIVELY SUPPORTS RESEARCH. RI IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) AND PARTICIPATES AS A PROVIDER PRIMARILY IN MEDICARE, BLUE CROSS, AND MEDICAID PROGRAMS. RIH IS ALSO A MEMBER OF THE FORMERLY-NAMED VOLUNTARY HOSPITALS OF AMERICA, INC., WHICH HAS PARTNERED WITH UHC ALLIANCE NEWCO, INC. TO BECOME VIZIENT, INC., THE LARGEST MEMBER-OWNED HEALTH CARE COMPANY IN THE UNITED STATES. IN 1969, RIH AND CERTAIN OTHER RHODE ISLAND HOSPITALS ENTERED INTO AN AFFILIATION AGREEMENT TO PARTICIPATE JOINTLY IN VARIOUS CLINICAL TRAINING PROGRAMS AND RESEARCH ACTIVITIES WITH THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY (BROWN). IN 2010, BROWN NAMED RIH 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. RIH CURRENTLY SPONSORS GRADUATE MEDICAL EDUCATION PROGRAMS ACCREDITED BY OR UNDER THE AUSPICES OF THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), WHILE ALSO SPONSORING HOSPITAL-APPROVED RESIDENCY AND FELLOWSHIP PROGRAMS. WITH RESPECT TO NURSING EDUCATION, RIH HAS DEVELOPED EDUCATIONAL AFFILIATIONS WITH A NUMBER OF ACCREDITED COLLEGES AND UNIVERSITIES. RIH DOES NOT RECEIVE ANY COMPENSATION FROM THE VARIOUS SCHOOLS FOR PROVIDING A CLINICAL SETTING FOR THE STUDENT NURSE TRAINING. RIH CONDUCTS EXTENSIVE MEDICAL RESEARCH AND IS IN THE FOREFRONT OF BIOMEDICAL HEALTH CARE DELIVERY RESEARCH AND AMONG THE LEADERS NATIONALLY IN THE NATIONAL INSTITUTES OF HEALTH PROGRAMS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH RIH IS GOVERNED BY A BOARD OF TRUSTEES, WHICH IS COMPOSED OF LEADERS OF THE LOCAL COMMUNITY ELECTED BY BROWN UNIVERSITY HEALTH. RIH'S PURPOSE IS TO BE STAFFED, EQUIPPED, AND READY TO SERVE THE HOSPITAL NEEDS OF THE COMMUNITY AND ITS PEOPLE FROM ALL WALKS OF LIFE. RIH WORKS COLLABORATIVELY WITH PHYSICIANS, ITS EMPLOYEES, OTHER HEALTH CARE ORGANIZATIONS, AND THE COMMUNITY TO CREATE A MEASURABLY HEALTHIER COMMUNITY THROUGH THE PROVISION OF HIGH QUALITY, COST-EFFECTIVE, CUSTOMER-FOCUSED HEALTH CARE SERVICES IN AN ENVIRONMENT THAT PROMOTES PATIENT SAFETY. RIH MONITORS THE HEALTHCARE NEEDS OF ITS SERVICE AREA TO ENSURE ALIGNMENT OF ITS RESOURCES WITH ITS MISSION. RIH MEASURES THE RESULTS OF THE PROGRAMS AND SERVICES IT PROVIDES BASED ON THE VALUE ADDED TO THE COMMUNITY AS WELL AS THE FINANCIAL HEALTH OF EACH PROGRAM AND ITS IMPACT ON RIH. RIH IS ORGANIZED AND OPERATED FOR THE BENEFIT OF THE COMMUNITY IT SERVES. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM BROWN HEALTH'S MISSION IS DELIVERING HEALTH WITH CARE. BROWN HEALTH IS AN ACADEMICALLY BASED HEALTHCARE SYSTEM AT THE FOREFRONT OF MEDICAL CARE, CONTINUALLY ENGAGING IN RESEARCH THAT WILL LEAD TO MEDICAL BREAKTHROUGHS. BROWN HEALTH AFFILIATES PROVIDE COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL, SURGICAL, AND PSYCHIATRIC SERVICES FOR ADULTS AND CHILDREN. BROWN HEALTH AND ITS AFFILIATES EMPLOY APPROXIMATELY 21,000 PEOPLE. THE BROWN HEALTH SYSTEM HAS APPROXIMATELY 5,500 PHYSICIANS ON THE MEDICAL STAFFS OF ITS AFFILIATED HOSPITALS, OPERATES 1,473 LICENSED BEDS IN SIX HOSPITAL COMPLEXES, AND IN 2025 GENERATED APPROXIMATELY $4.4 BILLION IN TOTAL OPERATING REVENUE. BY EACH OF THESE MEASURES, BROWN HEALTH IS RHODE ISLAND'S LARGEST HEALTH SYSTEM, SERVING A POPULATION OF ABOUT 1.1 MILLION. THREE OF ITS HOSPITAL MEMBERS, RHODE ISLAND HOSPITAL (RIH), THE MIRIAM HOSPITAL (TMH), AND EMMA PENDLETON BRADLEY HOSPITAL (EPBH), ARE TEACHING AFFILIATES OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. BROWN HEALTH IS A RHODE ISLAND NONPROFIT CORPORATION THAT IS COMMUNITY-BASED AND COMMUNITY-GOVERNED. AS A NONPROFIT ORGANIZATION, BROWN HEALTH IS RUN BY A VOLUNTARY BOARD OF DIRECTORS WHO ARE COMMUNITY REPRESENTATIVES. BROWN HEALTH 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, 2025, BROWN UNIVERSITY HEALTH EMPLOYED APPROXIMATELY 1,300 FULL-TIME AND PART-TIME PERSONNEL, MOST OF WHOM ARE LOCATED IN PROVIDENCE, RHODE ISLAND. BROWN UNIVERSITY HEALTH PROVIDES SUPPORT SERVICES TO ITS AFFILIATES, SUCH AS INFORMATION SERVICES, RISK MANAGEMENT, LEGAL, COMMUNICATIONS AND PUBLIC AFFAIRS, FUNDRAISING, FACILITY DEVELOPMENT, STRATEGIC PLANNING, INTERNAL AUDIT/COMPLIANCE, HUMAN RESOURCES, FINANCE, PAYOR CONTRACTING, AND INVESTMENT MANAGEMENT, FOR WHICH EACH AFFILIATE IS CHARGED A FEE EQUIVALENT TO THE ESTIMATED COSTS INCURRED BY BROWN HEALTH IN PROVIDING THESE SERVICES. CORPORATE AUTHORITY AND ROLE BROWN UNIVERSITY HEALTH 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, APPROVE ALL MANAGED CARE AGREEMENTS, NEGOTIATE, DEVELOP, AND APPROVE 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 BROWN HEALTH TO PROVIDE IT WITH THE MEANS OF EFFECTIVE OVERSIGHT, COORDINATION, AND SUPPORT OF THE SYSTEM. POWERS SPECIFICALLY RESERVED TO BROWN HEALTH AS SOLE MEMBER OF RIH INCLUDE: TO APPROVE THE AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS AND OTHER CHARTER DOCUMENTS; TO DEVELOP AND APPROVE STRATEGIC PLANS; TO APPROVE 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 BROWN HEALTH'S INTEGRATED HEALTHCARE DELIVERY SYSTEM, PLEASE REFER TO SCHEDULE R. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT RI true BROWN UNIVERSITY 45 PROSPECT STREET PROVIDENCE RI 02906 050258809 501(C)(3) 1356481 0 GENERAL SUPPORT LEUKEMIA & LYMPHOMA SOCIETY 70 WALNUT STREET STE 301 WELLESLEY MA 02481 135644916 501(C)(3) 12500 0 GENERAL SUPPORT RHODE ISLAND MEDICAL SOCIETY 405 PROMENADE STREET PROVIDENCE RI 02908 050250010 501(C)(6) 10500 0 GENERAL SUPPORT 2 1 EDUCATIONAL ASSISTANCE 10 35000 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS GRANTS TO ORGANIZATIONS ARE APPROVED BY MANAGEMENT AND ARE MADE TO ORGANIZATIONS WHOSE MISSIONS AND GOALS ALIGN WITH THOSE OF THE HOSPITAL. INDIVIDUAL SCHOLARSHIPS ARE AWARDED ANNUALLY TO APPLICANTS BY A JOINT DECISION-MAKING BODY COMPRISED OF BOTH IBT (INTERNATIONAL BROTHERHOOD OF TEAMSTERS) AND RIH REPRESENTATIVES. PAYMENTS ARE MADE DIRECTLY TO QUALIFIED EDUCATIONAL INSTITUTIONS ON BEHALF OF SCHOLARSHIP RECIPIENTS. X true true true true false false false true false true false JOHN FERNANDEZ PRESIDENT & CEO 0 1550583 0 0 0 100779 0 334533 0 30828 0 2016723 0 0 TIMOTHY J BABINEAU MD FORMER TRUSTEE 0 0 0 0 0 1335765 0 0 0 0 0 1335765 0 1335765 ZIYA L GOKASLAN MD DIRECTOR 0 1513496 0 144000 0 14237 0 20700 0 25516 0 1717949 0 0 G DEAN ROYE FORMER INTERIM PRESIDENT 745658 0 0 0 99747 0 123743 0 34393 0 1003541 0 76998 0 EVA GREENWOOD FORMER TREASURER 0 516279 0 0 0 23212 0 91782 0 24278 0 655551 0 0 SAUL N WEINGART FORMER PRESIDENT 0 0 0 0 0 378639 0 0 0 0 0 378639 0 0 PETER K MARKELL TREASURER 0 1221588 0 0 0 242967 0 18975 0 21785 0 1505315 0 0 PAUL J ADLER SECRETARY 0 757627 0 0 0 121740 0 127377 0 21636 0 1028380 0 89854 SARAH FROST PRESIDENT 0 590705 0 150000 0 3916 0 69756 0 107 0 814484 0 0 CYNTHIA DANNER CHIEF NURSING OFFICER (THRU 10/24) 314340 0 0 0 213594 0 18358 0 2147 0 548439 0 0 0 CHRISTINE M COLLINS SVP PHARMACY 373240 0 20000 0 43367 0 71464 0 31072 0 539143 0 29670 0 TRACEY L WALLACE SVP CLINICAL SVCS 357099 0 0 0 41093 0 63348 0 21725 0 483265 0 28263 0 JESSICA L SMITH MD PHYSICIAN 395236 0 0 0 1561 0 20700 0 13789 0 431286 0 0 0 QIAN CHEN SR. RESEARCH SCIENTIST 306808 0 55346 0 4564 0 18663 0 34031 0 419412 0 0 0 DONNA M MARASIGAN REGISTERED NURSE 362955 0 7300 0 370 0 0 0 33018 0 403643 0 0 0 SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATION AND GROSSED UP PAYMENTS: THE BROWN HEALTH EXECUTIVE LONG TERM DISABILITY PROGRAM PROVIDES FINANCIAL PROTECTION TO DESIGNATED BROWN HEALTH PHYSICIANS AND 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 BROWN HEALTH EXECUTIVE BENEFIT PLAN AND IS INCLUDED IN MEDICARE WAGES, MORE SPECIFICALLY ON SCHEDULE J, PART II, COLUMN B (III). SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION COMPENSATION OF THE RIH PRESIDENT IS DETERMINED BY THE COMPENSATION COMMITTEE OF BROWN UNIVERSITY HEALTH. THIS COMMITTEE'S DETERMINATION PROCESS UTILIZES A COMBINATION OF AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, AND COMPENSATION STUDIES/SURVEYS, ALONG WITH APPROVAL BY THE BROWN HEALTH BOARD OF DIRECTORS. SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT LINE 4A: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE AND/OR CHANGE OF CONTROL PAYMENTS DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2024: TIMOTHY J. BABINEAU, MD, FORMER PRESIDENT/CEO OF LIFESPAN CORP (BUH): $1,335,765. SAUL WEINGART, FORMER PRESIDENT: 373,178.32 CYNTHIA DANNER, FORMER CHIEF NURSING OFFICER: $141,230. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN LINE 4B: BROWN UNIVERSITY HEALTH OFFERS A NON-QUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN TO CERTAIN EXECUTIVES. THE FOLLOWING INDIVIDUALS WERE CREDITED WITH THE AMOUNT INDICATED, DURING CALENDAR YEAR 2024 AND SUCH AMOUNT IS INCLUDED IN DEFERRED COMPENSATION ON SCHEDULE J, PART II, COLUMN C: JULIE ABILHEIRA - $45,120. PAUL ADLER - $106,677. CHRISTINE M. COLLINS - $52,878. JOHN FERNANDEZ - $313,833. SARAH E. FROST - $69,756. EVA GREENWOOD - $73,257. G. DEAN ROYE - $103,043. TRACEY L. WALLACE - $47,972. IN 2024, THE FOLLOWING INDIVIDUAL BECAME VESTED IN AND WAS PAID A NON-QUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP) AMOUNT AND SUCH AMOUNT IS INCLUDED IN MEDICARE WAGES, MORE SPECIFICALLY ON SCHEDULE J, PART II, COLUMN B(III): PAUL J. ADLER - $89,854. CHRISTINE M. COLLINS - $29,670. CYNTHIA DANNER - $55,507. G. DEAN ROYE - $76,888. PETER K. MARKELL - $158,521. TRACEY L. WALLACE - $28,263. PARTICIPANTS INCLUDED IN BROWN UNIVERSITY HEALTH'S SERP ARE AWARDED PLAN CONTRIBUTIONS ON A QUARTERLY BASIS. CONTRIBUTIONS AND INTEREST EARNED DURING A PLAN YEAR VEST AFTER THREE YEARS AND ARE PAID TO PLAN PARTICIPANTS AT THAT TIME. SERP PAYMENTS EARNED DURING THE CALENDAR YEAR WHICH HAVE NOT YET VESTED ARE DISCLOSED ON SCHEDULE J, PART II, COLUMN C. VESTED SERP PAYMENTS RECEIVED DURING THE YEAR ARE DISCLOSED ON SCHEDULE J, PART II, COLUMN B(III) (AS WELL AS COLUMN F IF REPORTED ON SCHEDULE J, PART II, COLUMN C OF A PREVIOUSLY FILED FORM 990). PLAN CONTRIBUTIONS AWARDED TO PARTICIPANTS WHO HAVE REACHED AGE 62 BECOME VESTED AS OF THE BEGINNING OF THE FOLLOWING CALENDAR YEAR. SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON NET EARNINGS OF THE ORGANIZATION THE BROWN UNIVERSITY HEALTH 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 BROWN UNIVERSITY HEALTH BOARD OF DIRECTORS. A SPECIFIED LEVEL OF FINANCIAL AND NON-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. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS CERTAIN PHYSICIANS AND EXECUTIVES PARTICIPATE IN INCENTIVE COMPENSATION PLANS ARRANGED THROUGH INDIVIDUAL CONTRACTUAL AGREEMENTS WHICH STIPULATE NON-FIXED PAYMENTS BASED ON MEETING CRITERIA COMPRISED OF VARIOUS QUALITY AND PRODUCTIVITY MARKERS. A RIHEBC SERIES 2016 521300173 762244FP1 2016-08-11 227078594 REFUND 1996, 2006, 2009 BONDS false false true B RIHEBC SERIES 2024 521300173 762244MJ7 2024-02-14 209673418 CAPITAL IMPROVEMENTS false false false A 97169765 227078594 1671247 225407347 2016 true true true true B 211642843 1682287 51812455 158148101 false false false true A false false true true true true 0.0 0.0 0.0 false false 0 false true B false false false false false true 0.0 0.0 0.0 false false 0 false true A false false true false false false 0 false false false 0 false false true B false true false false false false 0 false false false 0 false false true A true B true SCHEDULE K, PART I, COLUMN (F) COLUMN A ON AUGUST 11, 2016, THE RHODE ISLAND HEALTH AND EDUCATIONAL BUILDING CORPORATION (RIHEBC) ISSUED, ON BEHALF OF THE BROWN HEALTH OBLIGATED GROUP (BHOG), WHICH CONSISTS OF RHODE ISLAND HOSPITAL, THE MIRIAM HOSPITAL, EMMA PENDLETON BRADLEY HOSPITAL, RHODE ISLAND HOSPITAL FOUNDATION, AND THE MIRIAM HOSPITAL FOUNDATION, $265,470,000 OF TAX-EXEMPT FIXED RATE SERIAL AND TERM BONDS (THE 2016 BONDS) USED FOR THE PURPOSE OF REFUNDING EXISTING BONDS ISSUED TO THE BHOG, AS WELL AS TO PAY CERTAIN EXPENSES OF ISSUANCE WITH RESPECT TO THE 2016 BONDS. THE PORTION OF THE 2016 BONDS' PROCEEDS ALLOCABLE TO RIH IS $227,078,594. FOR PURPOSES OF RIH, THE 2016 ISSUANCE RESULTED IN THE COMPLETE REFINANCING OF ITS RIHEBC SERIES 1996, 2006A AND 2009A BONDS. SCHEDULE K, PART II, LINE 3 COLUMN B ON FEBRUARY 14, 2024, RIHEBC ISSUED, ON BEHALF OF BHOG, $300,000,000 OF TAX EXEMPT FIXED RATE, SERIAL AND TERM BONDS (THE 2024 BONDS) DUE MAY 15, 2034 THROUGH 2054 IN ANNUAL AMOUNTS RANGING FROM $5,215 TO $100,000 AT COUPON RATES RANGING FROM 5.00% TO 5.25% WITH AN EFFECTIVE YIELD OF APPROXIMATELY 4.32%. THE 2024 BONDS WILL BE USED TO FINANCE CAPITAL IMPROVEMENTS AND FUND THE COST OF THE 2024 BONDS AND CAPITALIZED INTEREST. THESE 2024 BONDS ARE SECURED BY A PLEDGE OF THE GROSS RECEIPTS OF THE BHOG HOSPITALS AND BY MORTGAGE LIENS ON RIH'S AND TMH'S REAL PROPERTY AND ALL BUILDINGS, STRUCTURES, AND IMPROVEMENTS THEREON. THE BHOG IS JOINTLY AND SEVERALLY LIABLE FOR REPAYMENT OF THE 2024 BONDS. UNDER THE TERMS OF THE 2024 BONDS, THE BHOG IS REQUIRED TO SATISFY CERTAIN MEASURES OF FINANCIAL PERFORMANCE FOR AS LONG AS THE BONDS ARE OUTSTANDING. THE 2024 BONDS WERE ISSUED AT A PREMIUM OF $32,814,949 AND THE BHOG PAID $2,670,297 OF DEBT ISSUANCE COSTS INCLUSIVE OF UNDERWRITING DISCOUNT, LEGAL EXPENSES, AND OTHER ISSUANCE-RELATED COSTS. THE BOND PREMIUM AND DEBT ISSUANCE COSTS WILL BE AMORTIZED OVER THE LIFE OF THE BONDS. SCHEDULE K, PART II, LINE 3 THE BOND PROCEEDS LISTED IN LINE 3A & 3B DIFFER FROM THE BOND ISSUE PRICE DISCLOSED PER IRS FORM 8038 DUE TO THE FACT THAT RIH IS PART OF THE BHOG PREVIOUSLY MENTIONED IN PART I, LINE A(F). OF THE $308,112,067 DISCLOSED IN FORM 8038 FOR THE RIHEBC SERIES 2016 BONDS, RIH WAS ALLOCATED $227,078,594 OF THE TOTAL ISSUANCE PROCEEDS IN LINE 3A. OF THE $332,814,949 DISCLOSED IN FORM 8038 FOR THE RIHEBC SERIES 2024 BONDS, RIH WAS ALLOCATED $209,673,418 OF THE TOTAL ISSUANCE PROCEEDS IN LINE 3B. ADDITIONALLY, FOR THE SERIES 2024 BOND, THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I AND THE TOTAL PROCEEDS OF ISSUE IN PART III REPRESENTS INVESTMENT EARNINGS OF BOND PROCEEDS. FORM 990, PART I, LINE 4 THE COUNT OF INDEPENDENT VOTING MEMBERS EXCLUDES THOSE WITH COMPENSATION REPORTED IN PART VII OR TRANSACTION WITH A RELATED ORGANIZATION ON SCHEDULE L, AS WELL AS ONE MEMBER WITH FAMILY MEMBER EMPLOYMENT WITH A RELATED ORGANIZATION. FORM 990, PART III, LINE 4A PATIENT CARE: RIH HAS PARTICULAR EXPERTISE IN CARDIOLOGY, INCLUDING THE STATE'S ONLY OPEN HEART SURGERY PROGRAM; ONCOLOGY; NEUROSCIENCES; ORTHOPEDICS; ORGAN TRANSPLANTATION; PEDIATRICS; PSYCHIATRY; AND DIABETES. RIH IS THE ONLY LEVEL I TRAUMA CENTER FOR SOUTHEASTERN NEW ENGLAND, PROVIDING EXPERT STAFF AND EQUIPMENT IN EMERGENCY SITUATIONS 24 HOURS A DAY. IT IS THE PRINCIPAL TEACHING HOSPITAL OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY AND THE LARGEST AND MOST COMPREHENSIVE OF THE BROWN AFFILIATED HOSPITALS. RIH'S PEDIATRIC DIVISION, HCH, IS THE STATE'S PREMIER PEDIATRIC FACILITY WITH THE AREA'S ONLY PEDIATRIC INTENSIVE CARE UNIT, PEDIATRIC ONCOLOGY AND CARDIAC PROGRAMS, PEDIATRIC IMAGING CENTER, AND SEPARATE EMERGENCY AND OPERATING SUITES DESIGNATED FOR PEDIATRIC PATIENTS. RIH HAS EARNED WORLDWIDE RECOGNITION FOR ITS FAMILY-CENTERED ENVIRONMENT AND EXPERT STAFF. IT IS THE FOUNDING PARTNER OF BROWN HEALTH, A COMPREHENSIVE HEALTH SYSTEM PROVIDING ACCESSIBLE, HIGH-VALUE SERVICES TO THE PEOPLE OF RHODE ISLAND AND SOUTHEASTERN NEW ENGLAND. RIH EMPLOYS/CONTRACTS 8,257 FULL-TIME EQUIVALENTS AND IS NATIONALLY AND INTERNATIONALLY RECOGNIZED AS A RESEARCH AND ACADEMIC MEDICAL CENTER. IN 2025, RIH DISCHARGED 33,856 INPATIENTS WITH TOTAL INPATIENT DAYS OF 212,798, TREATED 142,736 PATIENTS IN ITS EMERGENCY DEPARTMENTS, PERFORMED 17,808 INPATIENT AND OUTPATIENT SURGICAL PROCEDURES, AND CARED FOR 468,347 PATIENTS IN OUTPATIENT CLINICS. RIH IS THE DESIGNATED LEVEL I TRAUMA CENTER FOR THE STATE OF RHODE ISLAND AND SOUTHEASTERN NEW ENGLAND, WITH A STATE-OF-THE-ART EMERGENCY DEPARTMENT (ED) AND A DEDICATED PEDIATRIC ED. RIH'S ADULT ED INCLUDES A RADIOLOGY UNIT COMPRISED OF CT SCANNERS AS WELL AS ULTRASOUND AND X-RAY MACHINES; AN ALL-INCLUSIVE CHEST PAIN CENTER; A CRITICAL CARE UNIT FOR THE MOST SERIOUSLY INJURED AND ILL; AND PRIVATE TREATMENT ROOMS. RIH OFFERS IMAGING WITH PET/CT TECHNOLOGY FOR CANCER STAGING, WHILE CARDIAC MRI AND 64-SLICE CARDIAC CT SCANNERS PROVIDE POWERFUL TOOLS FOR EVALUATING HEART DISEASE AND FUNCTION. THE ANNE C. PAPPAS CENTER FOR BREAST IMAGING HAS EARNED THE BREAST IMAGING CENTER OF EXCELLENCE DESIGNATION BY THE AMERICAN COLLEGE OF RADIOLOGY. IN THE AREA OF CANCER SERVICES, RIH HAS PIONEERED IMAGE-GUIDED TUMOR ABLATION, SHRINKING OR ELIMINATING TUMORS BY DESTROYING THEM WITH HEAT (MICROWAVE ABLATION AND RADIOFREQUENCY ABLATION) OR BY FREEZING THEM (CRYOABLATION). IN ADDITION, RADIATION ONCOLOGY SERVICES INCLUDE A LINEAR ACCELERATOR FOR IMAGE-GUIDED RADIOTHERAPY AND STEREOTACTIC RADIOSURGERY, AS WELL AS ELECTRONIC BRACHYTHERAPY FOR EARLY-STAGE BREAST CANCER PATIENTS, WHICH REDUCES AVERAGE TREATMENT TIMES FROM EIGHT WEEKS TO FIVE DAYS. IN THE AREA OF SURGICAL ONCOLOGY, RIH IS THE ONLY HOSPITAL IN RHODE ISLAND AND ONE OF ONLY A FEW HOSPITALS IN NEW ENGLAND TO OFFER HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION (HIPEC) FOR PATIENTS WITH ADVANCED CANCER OF THE ABDOMEN. IN THE SPHERE OF NEUROSURGERY, RIH FEATURES ONE OF THE FIRST GAMMA KNIFE SURGICAL CENTERS IN THE UNITED STATES, WHICH OFFERS INTRACRANIAL STEREOTACTIC RADIOSURGERY FOR THE NON-INVASIVE TREATMENT OF BRAIN LESIONS PREVIOUSLY INACCESSIBLE OR UNSUCCESSFULLY TREATED BY CONVENTIONAL THERAPIES. SPECIAL SERVICES AND PROGRAMS PROVIDED BY RIH INCLUDE THE BROWN UNIVERSITY HEALTH CANCER INSTITUTE; THE BROWN HEALTH CARDIOVASCULAR INSTITUTE, WHICH PROVIDES CARDIAC CATHETERIZATION, BALLOON ANGIOPLASTY, AND OPEN HEART SURGERY; THE COMPREHENSIVE STROKE CENTER; THE NORMAN PRINCE SPINE INSTITUTE; CRITICAL CARE SERVICES; MICROVASCULAR SURGERY; NUCLEAR CARDIOLOGY; RADIOLOGY; LABORATORY; RENAL DIALYSIS; COMPUTED TOMOGRAPHY; ORTHOPEDICS, INCLUDING MINIMALLY INVASIVE CARPAL TUNNEL SURGERY AND CARTILAGE TRANSPLANTS FOR KNEE DEFECTS; MAGNETIC RESONANCE IMAGING (MRI); AND DENTAL CARE. HCH'S SPECIALTIES INCLUDE CARDIOLOGY, ORTHOPEDICS, HEMATOLOGY & ONCOLOGY, AND MEDICINE/PSYCHIATRY. HCH ALSO HAS THE AREA'S ONLY CENTER FOR PEDIATRIC IMAGING, AS WELL AS THE AREA'S ONLY PEDIATRIC INTENSIVE CARE UNIT, PEDIATRIC ONCOLOGY AND OUTPATIENT CARDIAC PROGRAMS, PEDIATRIC EMERGENCY DEPARTMENT, AND PEDIATRIC SURGICAL UNIT. IT OPERATES SPECIALTY CLINICS TREATING CHILDREN RANGING IN AGE FROM NEWBORN TO 18 YEARS. SERVICES AND PROGRAMS INCLUDE ADOLESCENT MEDICINE, THE ASTHMA AND ALLERGY CENTER, THE CHILDREN'S NEURODEVELOPMENT CENTER, THE CHILD LIFE PROGRAM, THE CHILD PROTECTION PROGRAM, DERMATOLOGY, GASTROENTEROLOGY, INFECTIOUS DISEASE, THE INJURY PREVENTION CENTER, THE KIDNEY TRANSPLANT CENTER, NEPHROLOGY, NEUROSURGERY, NUTRITION, THE PARTIAL HOSPITALIZATION PROGRAM, SURGERY, PLASTIC SURGERY, PRIMARY CARE CLINIC, REHABILITATION SERVICES, THE SICKLE CELL CLINIC, AND UROLOGY. HCH WAS THE FIRST HOSPITAL IN RHODE ISLAND TO OFFER MINIMALLY INVASIVE PEDIATRIC UROLOGIC SURGERIES. A WIDE RANGE OF ADULT, ADOLESCENT, AND CHILD BEHAVIORAL HEALTH SERVICES AND RESEARCH PROGRAMS ARE ALSO PROVIDED, INCLUDING: PSYCHIATRY EMERGENCY SERVICES FOR ADULTS, ADOLESCENTS, AND CHILDREN; PSYCHIATRY CONSULTATION LIAISON SERVICES; CORRECTIONAL PSYCHIATRY PROGRAM; INPATIENT AND GERIATRIC PSYCHIATRY PROGRAMS; MOOD DISORDERS PROGRAM; GAMBLING TREATMENT PROGRAM; ANXIETY DISORDERS PROGRAM; BODY DYSMORPHIC DISORDER PROGRAM; BEHAVIORAL SLEEP MEDICINE PROGRAM; SUBSTANCE ABUSE TREATMENT PROGRAM; NEUROPSYCHIATRIC SERVICES; ADULT AND PEDIATRIC NEUROPSYCHOLOGY SERVICES; ADULT AND PEDIATRIC PARTIAL HOSPITALIZATION PROGRAMS; FAMILY RESEARCH PROGRAM; AND THE BRADLEY HASBRO CHILDREN'S RESEARCH CENTER. ADDITIONAL SPECIAL SERVICES, FACILITIES, AND PROGRAMS FURNISHED BY RIH INCLUDE: THE ENDOVASCULAR HYBRID OPERATING ROOM SUITE (THE ONLY ONE OF ITS KIND IN RHODE ISLAND, THE SUITE'S DESIGN PROVIDES VASCULAR SURGEONS WITH THE FLEXIBILITY TO PERFORM MINIMALLY INVASIVE PROCEDURES AND TRADITIONAL OPEN SURGERIES SIMULTANEOUSLY WITH LIMITED ANESTHESIA); ADULT AND PEDIATRIC KIDNEY AND PANCREAS TRANSPLANT CENTER; ALZHEIMER'S DISEASE AND MEMORY DISORDERS CENTER; AN ADULT AND PEDIATRIC HEMOSTASIS AND THROMBOSIS CENTER; AN ADULT AND PEDIATRIC DIABETES AND ENDOCRINOLOGY CENTER; COLORECTAL CARE CENTER; AND THE TRANSFUSION-FREE MEDICINE AND SURGERY PROGRAM, ONE OF ONLY TWO SUCH FORMALIZED PROGRAMS IN NEW ENGLAND. RIH ALSO HOLDS DESIGNATION OR CERTIFICATION AS: A BARIATRIC SURGERY CENTER OF EXCELLENCE; ADULT AND PEDIATRIC BURN CENTER; BREAST IMAGING CENTER OF EXCELLENCE; COMPREHENSIVE STROKE CENTER; KNEE AND HIP REPLACEMENT, AND TREATMENT OF COMPLEX AND RARE CANCERS. FORM 990, PART III, LINE 4B MEDICAL EDUCATION: THE GOALS OF THE PARTNERSHIP ARE TO FACILITATE THE EXPANSION OF JOINT EDUCATIONAL AND RESEARCH PROGRAMS IN ORDER TO COMPETE BOTH CLINICALLY AND ACADEMICALLY. RIH SPONSORS GRADUATE MEDICAL EDUCATION PROGRAMS ACCREDITED BY OR UNDER THE AUSPICES OF THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), WHILE ALSO SPONSORING HOSPITAL-APPROVED RESIDENCY AND FELLOWSHIP PROGRAMS. RIH SERVES AS THE PRINCIPAL SETTING FOR THESE CLINICAL TRAINING PROGRAMS, WHICH ENCOMPASS MANY DISCIPLINES. RIH PROVIDES STIPENDS TO RESIDENTS AND PHYSICIAN FELLOWS WHILE IN TRAINING. IN 2025, STUDENTS ENROLLED IN BROWN UNIVERSITY'S UNDERGRADUATE MEDICAL EDUCATION PROGRAMS RECEIVED TRAINING AT RIH. RIH TEACHING FACULTY ENSURE THAT THE EXPERIENCE FOR BOTH UNDERGRADUATE AND GRADUATE MEDICAL EDUCATION TRAINEES REMAIN TRANSFORMATIVE - DRAMATICALLY CHANGING NOVICE PRACTITIONERS INTO PHYSICIANS ABLE TO THINK, ACT, AND KEEP THEIR FOCUS ON THE ULTIMATE GOAL OF PROVIDING THE BEST AND MOST APPROPRIATE CARE FOR PATIENTS NO MATTER WHAT THE SETTING OR CIRCUMSTANCES. RIH IS ALSO A PARTICIPATING CLINICAL TRAINING SITE FOR RESIDENTS AND FELLOWS FROM OTHER PROGRAMS. VARIOUS DEPARTMENTS AND SPECIALTIES AT RIH SERVE AS CLINICAL SITES FOR PHYSICIAN ASSISTANT SCHOOLS. IN ADDITION, BEHAVIORAL MEDICINE AT RIH, IN COLLABORATION WITH BROWN, SPONSORS RESEARCH AND CLINICAL PSYCHOLOGY TRAINING PROGRAMS FOR INTERNS, POSTDOCTORAL FELLOWS, AND FACULTY TRAINEES. WITH RESPECT TO NURSING EDUCATION, RIH HAS DEVELOPED EDUCATIONAL AFFILIATIONS WITH VARIOUS SCHOOLS OF NURSING, PURSUANT TO WHICH THEIR NURSING STUDENTS OBTAIN CLINICAL TRAINING AND EXPERIENCE AT RIH. RIH DOES NOT RECEIVE ANY COMPENSATION FROM THE VARIOUS SCHOOLS FOR PROVIDING A CLINICAL SETTING FOR THE STUDENT NURSE TRAINING. THE BROWN UNIVERSITY HEALTH SCHOOL OF MEDICAL IMAGING COLLABORATES WITH RHODE ISLAND COLLEGE IN THE FOLLOWING PROGRAMS: DIAGNOSTIC MEDICAL SONOGRAPHY; NUCLEAR MEDICINE TECHNOLOGY; RADIOGRAPHY; AND MAGNETIC RESONANCE IMAGING. STUDENTS COMPLETE EDUCATIONAL EXPERIENCES AT RIH, AS WELL AS OTHER OUTPATIENT SITES. RIH ALSO SPONSORS EDUCATION PROGRAMS IN COMPUTED TOMOGRAPHY AND MAMMOGRAPHY. AT RIH, CLINICAL AFFILIATIONS/STUDENT CLINICAL TRAINING PROGRAMS ARE PROVIDED THROUGH CONTRACTS WITH SEVERAL COLLEGES AND UNIVERSITIES IN THE PROFESSIONAL AREAS OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY, PHYSICAL THERAPY, PHYSICAL THERAPY ASSISTANTS, OCCUPATIONAL THERAPY, CERTIFIED OCCUPATIONAL THERAPY ASSISTANTS, AND CHILD DEVELOPMENT. RIH HAS CLINICAL TRAINING AFFILIATIONS IN RESPIRATORY THERAPY WITH NEW ENGLAND INSTITUTE OF TECHNOLOGY AND CCRI. IN ADDITION, RIH IS THE HOST FOR TRAINING PROGRAMS IN HISTOLOGY, CYTOLOGY, PHLEBOTOMY, AND MEDICAL LABORATORY SCIENCE (MEDICAL TECHNOLOGY) SPONSORED JOINTLY THROUGH THE UNIVERSITY OF RHODE ISLAND, SALVE REGINA UNIVERSITY, AND RHODE ISLAND COLLEGE. THESE PROGRAMS ALLOW STUDENTS TO OBTAIN DIDACTIC COURSEWORK AT PARTNER UNIVERSITIES AND AT RIH, AND CLINICAL EDUCATION AND EXPERIENCE ON SITE AT RIH, RESULTING IN CERTIFICATION FOR CAREERS IN CLINICAL LABORATORIES. RIH ALSO HAS CLINICAL AFFILIATIONS/STUDENT CLINICAL TRAINING PROGRAMS FOR PHARMACY STUDENTS PROVIDED THROUGH CONTRACTS WITH A NUMBER OF COLLEGES AND UNIVERSITIES. RIH'S PHARMACY DEPARTMENT SPONSORS A POSTGRADUATE YEAR ONE (PGY1) RESIDENCY PROGRAM IN PHARMACY PRACTICE. IN ADDITION, RIH'S PHARMACY DEPARTMENT CO-SPONSORS SECOND-YEAR POSTGRADUATE SPECIALIZED RESIDENCY PROGRAMS IN ONCOLOGY AND AMBULATORY CARE PHARMACY. RIH'S PHARMACISTS PARTICIPATE IN THE EDUCATION OF PHARMACY, NURSING, AND PHYSICIAN ASSISTANT STUDENTS BY PROVIDING DIDACTIC LECTURES AT VARIOUS UNIVERSITIES. IN ADDITION, RIH HAS CLINICAL SOCIAL WORK STUDENT CONTRACTS WITH VARIOUS EDUCATIONAL FACILITIES. FORM 990, PART III, LINE 4C RESEARCH: RIH PROVIDED $16.3 MILLION IN SUPPORT OF RESEARCH ACTIVITIES IN FISCAL YEAR 2025. MAJOR AREAS OF RESEARCH INCLUDE: CANCER: RIH PARTICIPATES IN CLINICAL TRIALS OF NEW THERAPEUTIC AGENTS IN BOTH ADULT AND PEDIATRIC MEDICINE. THESE TRIALS ARE SUPPORTED BY NATIONAL INSTITUTES OF HEALTH (NIH) SPONSORED GROUPS SUCH AS ALLIANCE AND CHILDREN'S ONCOLOGY GROUP (COG). RIH IS A PARTICIPATING HOSPITAL IN THE BROWN-SPONSORED CANCER ONCOLOGY GROUP (BRUCOG). HEART DISEASE: RESEARCH CONTINUES IN AREAS OF INVASIVE THERAPY, SUCH AS ANGIOPLASTY, ATHERECTOMY, CORONARY STENTING, LASER TREATMENT OF CORONARY ARTERY DISEASE, AND THE REASONS FOR SUDDEN HEART FAILURE. NEUROLOGICAL ILLNESS: THE ALZHEIMER'S DISEASE AND MEMORY DISORDER CENTER COMBINES HIGH QUALITY NEUROLOGICAL, NEUROPSYCHOLOGIC, AND PSYCHIATRIC SERVICES, THUS CREATING A COMPREHENSIVE DIAGNOSTIC AND TREATMENT OPTION FOR PATIENTS WITH MEMORY DISORDERS. INFECTIOUS DISEASES: RIH'S RESEARCH TEAM HAS BEEN AT THE HEART OF THE GLOBAL COVID-19 RESPONSE, FROM BEING SOUGHT AFTER FOR COMMENT BY NATIONAL MEDIA, TO BEING SELECTED AS A SITE FOR VACCINE TRIALS. RIH RESEARCH IS ALSO FOCUSED ON THE TREATMENT AND PREVENTION OF OPIOID ABUSE. FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS LAWRENCE A. AUBIN, SR., CHAIRMAN, AND MICHAEL L. HANNA, DIRECTOR - BUSINESS RELATIONSHIP, MUKESH K. JAIN, MD, DIRECTOR AND CHRISTINA H. PAXSON, PHD, DIRECTOR - BUSINESS RELATIONSHIP FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS BROWN UNIVERSITY HEALTH IS THE SOLE MEMBER OF RIH. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE BYLAWS OF RIH CONFER CERTAIN RESERVED POWERS UPON BROWN HEALTH TO PROVIDE IT WITH THE MEANS OF EFFECTIVE OVERSIGHT, COORDINATION, AND SUPPORT OF THE SYSTEM. POWERS RESERVED TO BROWN HEALTH INCLUDE THE POWER TO ELECT AND REMOVE RIH TRUSTEES, AND TO APPROVE THE ELECTION OR REMOVAL OF CERTAIN OFFICERS. THE RIH BOARD IS COMPRISED OF THE SAME INDIVIDUALS WHO SERVE ON THE BROWN HEALTH BOARD. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS BROWN HEALTH HAS THE RESPONSIBILITY FOR PLANNING, DIRECTING, AND ESTABLISHING POLICIES INTENDED TO ASSURE THE DEVELOPMENT AND DELIVERY OF QUALITY HEALTH SERVICES ON AN INTEGRATED, COST-EFFECTIVE BASIS. SPECIFIC DECISIONS RESERVED TO BROWN HEALTH INCLUDE: APPROVAL OF AMENDMENTS OF THE ARTICLES OF INCORPORATION AND BYLAWS AND OTHER CHARTER DOCUMENTS; TO APPROVE STRATEGIC PLANS; APPROVAL OF INVESTMENT POLICIES AND ANY CAPITAL OR OPERATING BUDGETS OR MATERIAL NON-BUDGETED EXPENDITURES; AND AUTHORIZATION OF THE INCURRENCE OR GUARANTY OF MATERIAL INDEBTEDNESS. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE PREPARATION AND FILING OF THE FORM 990 AND SUPPORTING SCHEDULES IS THE RESPONSIBILITY OF THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER (EVP/CFO) AND BROWN HEALTH'S FINANCE DEPARTMENT. THE FORM 990 IS PREPARED BY THE ACCOUNTING STAFF UPON COMPLETION OF BROWN HEALTH'S ANNUAL INDEPENDENT AUDIT AND IS REVIEWED BY THE CORPORATE SERVICES TAX COMPLIANCE MANAGER AND THE VP OF CORPORATE FINANCIAL SERVICES. IN ADDITION, KPMG IS ENGAGED TO PERFORM AN INDEPENDENT REVIEW OF THE FORM 990 AND SUPPORTING SCHEDULES AND PROVIDE RECOMMENDATIONS AS APPROPRIATE. THE DRAFT FORM 990 IS THEN PROVIDED TO THE EVP/CFO FOR FINAL MANAGEMENT REVIEW. PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE, A COPY OF THE ENTIRE FORM IS POSTED TO RIH'S BOARD OF TRUSTEES WEBSITE PORTAL IN ADVANCE OF ITS NEXT BOARD MEETING. AT THE TIME OF THE BOARD MEETING THE 990 IS PRESENTED BY THE BROWN HEALTH VP OF CORPORATE FINANCIAL SERVICES AND THE EVP/CFO, AT WHICH TIME ALL QUESTIONS AND CONCERNS OF THE MEMBERS OF THE BOARD ARE ADDRESSED BY THE EVP/CFO AND INCORPORATED INTO THE FORM 990 WHEN APPROPRIATE. ONCE THE FORM 990 IS COMPLETE AND READY TO BE FILED, THE MEMBERS OF THE BOARD ARE NOTIFIED VIA EMAIL THAT A COPY OF THE FINAL VERSION OF THE FORM 990 IS ACCESSIBLE THROUGH THE SAME PASSWORD PROTECTED WEBSITE PORTAL. THE EVP/CFO AUTHORIZES THE FILING OF THE FORM 990. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY BROWN UNIVERSITY HEALTH (BUH) HAS A CONFLICT-OF INTEREST POLICY APPLICABLE TO ALL AFFILIATES WHICH IS ADMINISTERED BY THE BUH CORPORATE COMPLIANCE DEPARTMENT AS FOLLOWS: EACH DESIGNATED PERSON SUBJECT TO BROWN UNIVERSITY HEALTH'S CONFLICT OF INTEREST POLICY IS REQUIRED TO PROVIDE BROWN UNIVERSITY HEALTH WITH AN INITIAL DISCLOSURE STATEMENT AND THEREAFTER AN ANNUAL STATEMENT: (I) ATTESTING THAT THE DESIGNATED PERSON HAS READ AND IS FAMILIAR WITH THIS POLICY, AND (II) EITHER ATTESTING THAT THE DESIGNATED PERSON AND, TO THE BEST OF HIS/HER KNOWLEDGE, FAMILY MEMBERS, HAVE NOT IN THE PAST ENGAGED IN, ARE NOT PRESENTLY ENGAGING IN, OR PLAN TO ENGAGE IN, ANY ACTIVITY WHICH CONSTITUTES A CONFLICT OR POTENTIAL CONFLICT OF INTEREST OR DISCLOSING ANY SUCH CONFLICT OR POTENTIAL CONFLICT OF INTEREST, IN WHICH LATTER CASE, THE CORPORATE COMPLIANCE DEPARTMENT, THROUGH A CONFLICT OF INTEREST COMMITTEE, REVIEWS THE SITUATION AND OVERSEES ANY NECESSARY MITIGATION MEASURE REQUIRED TO ELIMINATE OR AMELIORATE THE CONFLICT OF INTEREST. FURTHER, IF AT ANY TIME DURING EMPLOYMENT OR ASSOCIATION, A DESIGNATED PERSON HAS REASON TO BELIEVE THAT A NEW OR CONTEMPLATED ACTIVITY CONSTITUTES A CONFLICT OF INTEREST, THE DESIGNATED PERSON IS REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENT WHICH WILL THEN BE REVIEWED BY THE CORPORATE COMPLIANCE DEPARTMENT IN CONSULTATION WITH THE CONFLICT OF INTEREST COMMITTEE AND MITIGATION MEASURES TAKEN AS APPROPRIATE. THIS REQUIREMENT IS ACKNOWLEDGED AS PART OF THE ANNUAL PERFORMANCE EVALUATION PROCESS. IF THE ACTIVITY IN QUESTION INVOLVES THE CHIEF EXECUTIVE OFFICER A DETERMINATION IS ALSO SOUGHT FROM THE CHAIRMAN OF THE BOARD OF DIRECTORS OF BROWN UNIVERSITY HEALTH. ANNUALLY, THE BROWN UNIVERSITY HEALTH COMPLIANCE OFFICER REVIEWS AND REPORTS TO THE BROWN UNIVERSITY HEALTH EXECUTIVE CORPORATE COMPLIANCE COMMITTEE, THE BROWN UNIVERSITY HEALTH GOVERNANCE AND NOMINATING COMMITTEE AND TO THE BROWN UNIVERSITY HEALTH AUDIT AND COMPLIANCE COMMITTEE ON THE ADMINISTRATION OF THIS POLICY. FAILURE ON THE PART OF ANY DESIGNATED PERSON TO COMPLY WITH THIS POLICY, INCLUDING FAILURE TO SUBMIT IN A TIMELY FASHION THE CONFLICT-OF-INTEREST DISCLOSURE STATEMENT OR UPDATES AS REQUIRED, MAY RESULT IN REMOVAL FROM THEIR POSITION AND/OR TERMINATION OF THEIR EMPLOYMENT WITH BROWN UNIVERSITY HEALTH. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE FOLLOWING APPLIES TO BROWN HEALTH AND ALL OF ITS AFFILIATES, INCLUDING RIH: EXECUTIVE COMPENSATION BROWN HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY BALANCES APPROPRIATE STEWARDSHIP OF RESOURCES AND THE NEED TO BE COMPETITIVE IN RECRUITING AND RETAINING TALENTED INDIVIDUALS. IT INCORPORATES MARKET COMPETITIVE AND PERFORMANCE-RELATED PRINCIPLES AND COVERS THE PRESIDENT AND CEO OF BROWN HEALTH AS WELL AS OTHER OFFICERS, SENIOR MANAGEMENT, AND KEY EMPLOYEES. BROWN HEALTH'S EXECUTIVE COMPENSATION PROGRAM COMPLIES BOTH WITH LAW AND WITH CONTEMPORARY ETHICAL NORMS, AND IS ADMINISTERED CONSISTENT WITH THE ORGANIZATION'S TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND THE AVOIDANCE OF TRANSACTIONS SUBJECT TO INTERMEDIATE SANCTIONS UNDER SECTION 4958 OF THE IRC. EXECUTIVE COMPENSATION IS ALSO ADMINISTERED CONSISTENT WITH BROWN HEALTH'S CORPORATE COMPLIANCE POLICY ON EXCESS BENEFIT TRANSACTIONS. THE COMPENSATION COMMITTEE OF THE BROWN UNIVERSITY HEALTH BOARD OF DIRECTORS (THE COMMITTEE), COMPRISED OF DISINTERESTED BROWN HEALTH BOARD MEMBERS, IS RESPONSIBLE FOR DILIGENT OVERSIGHT OF EXECUTIVE COMPENSATION TO ENSURE COMPLIANCE WITH IRC REQUIREMENTS. ITS DUTIES INCLUDE: * APPROVING ELIGIBILITY FOR PARTICIPATION IN THE EXECUTIVE COMPENSATION PROGRAM * APPROVING CHANGES IN COMPENSATION FOR EXISTING EXECUTIVE PARTICIPANTS * APPROVING GUIDELINES, SUCH AS SALARY RANGES AND CONTRACT TERMS, ON APPROPRIATE LEVELS OF COMPENSATION FOR OTHER KEY EMPLOYEES * APPROVING NEW, AND MODIFYING OR TERMINATING EXISTING, EXECUTIVE COMPENSATION PLANS INCLUDING, BUT NOT LIMITED TO, ANNUAL INCENTIVE AND EXECUTIVE BENEFIT PLANS * APPROVING PERFORMANCE OBJECTIVES ASSOCIATED WITH BROWN HEALTH'S ANNUAL INCENTIVE PLAN, INCLUDING MEASURING POINTS, AND USING VERIFIED ACTUAL PERFORMANCE RELATIVE TO THESE OBJECTIVES AS A PRECONDITION TO APPROVING THE PAYMENT OF ANY AWARDS UNDER THE PLAN * AUTHORIZING PERIODIC PERFORMANCE BENCHMARK STUDIES TO BE CONDUCTED FOR PURPOSES OF ASSESSING BROWN HEALTH'S PERFORMANCE WITHIN THE HEALTHCARE INDUSTRY AND THE DEGREE TO WHICH TOTAL REMUNERATION LEVELS AT BROWN HEALTH ARE GENERALLY COMMENSURATE WITH BROWN HEALTH PERFORMANCE RELATIVE TO HEALTHCARE INDUSTRY PERFORMANCE * CONDUCTING AN ANNUAL PERFORMANCE REVIEW OF BROWN HEALTH'S CHIEF EXECUTIVE OFFICER. THE CHAIR OF THE COMMITTEE CONDUCTS AND DOCUMENTS THIS REVIEW, BASED ON HIS/HER OBSERVATIONS AND INTERPRETATION OF FEEDBACK FROM MEMBERS OF THE BOARD OF DIRECTORS. * SELECTING AND ENGAGING QUALIFIED, INDEPENDENT, THIRD-PARTY COMPENSATION VALUATION CONSULTANTS THAT THE COMMITTEE CHARGES WITH RENDERING OPINIONS WITH RESPECT TO THE REASONABLENESS AND COMPARABILITY OF COMPENSATION AS WELL AS THE COMPARATIVE ORGANIZATIONS AGAINST WHICH COMPENSATION IS ASSESSED, IN ACCORDANCE WITH RELEVANT SECTIONS OF THE IRC AND BROWN HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY. BROWN HEALTH'S CHIEF EXECUTIVE OFFICER WORKS CLOSELY WITH THE COMMITTEE TO MAKE RECOMMENDATIONS ON THE ABOVE TOPICS AND KEEP THE COMMITTEE INFORMED ABOUT CONTEMPLATED COMPENSATION CHANGES FOR EXECUTIVES AND OTHER KEY EMPLOYEES, AS WELL AS CANDIDATES FOR THESE ROLES. THE CEO ALSO PROVIDES PERIODIC UPDATES TO THE COMMITTEE REGARDING BROWN HEALTH'S PERFORMANCE RELATIVE TO COMPENSATION-RELATED PERFORMANCE OBJECTIVES. THE COMMITTEE'S DELIBERATIONS AND ACTIONS ARE DOCUMENTED IN MINUTES PREPARED FOR EACH MEETING. PROCESS FOR DETERMINING COMPENSATION VALUATION OF TOTAL CASH AND TOTAL REMUNERATION: NO LESS FREQUENTLY THAN ANNUALLY, THE COMMITTEE RECEIVES AND REVIEWS A TOTAL CASH COMPENSATION VALUATION OF ALL EXISTING EXECUTIVE COMPENSATION PROGRAM PARTICIPANTS PREPARED BY ITS INDEPENDENT COMPENSATION CONSULTANT. ANNUALLY, THE COMMITTEE ALSO RECEIVES AND REVIEWS A TOTAL REMUNERATION VALUATION OF ALL EXISTING EXECUTIVE COMPENSATION PARTICIPANTS. BASE SALARY ACTIONS: THE CEO RECOMMENDS ANY SALARY ADJUSTMENTS FOR PARTICIPANTS IN THE EXECUTIVE COMPENSATION PROGRAM, USING THE RESULTS OF THE VALUATION STUDY AND HIS/HER ASSESSMENT OF INDIVIDUAL PERFORMANCE OR OTHER PERTINENT INFORMATION, FOR THE COMMITTEE'S CONSIDERATION. NEW PARTICIPANTS IN EXECUTIVE COMPENSATION PROGRAM: WITH RESPECT TO COMPENSATION OFFERS FOR INDIVIDUALS EXPECTED TO PARTICIPATE IN THE EXECUTIVE COMPENSATION PROGRAM, CERTAIN MEMBERS OF THE BROWN HEALTH CEO'S LEADERSHIP TEAM WORK WITH THE COMMITTEE'S INDEPENDENT COMPENSATION CONSULTANT OR RELY ON INFORMATION PREVIOUSLY PROVIDED BY THE CONSULTANT TO ESTABLISH A RANGE OF REASONABLE CASH COMPENSATION WITHIN WHICH RECRUITMENT IS EXPECTED TO CONCLUDE WITH ACCEPTANCE OF A REASONABLE COMPENSATION OFFER. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC BROWN HEALTH AND THE BROWN HEALTH OBLIGATED GROUP, WHICH CONSISTS OF RIH, THE MIRIAM HOSPITAL, EMMA PENDLETON BRADLEY HOSPITAL, RHODE ISLAND HOSPITAL FOUNDATION, AND THE MIRIAM HOSPITAL FOUNDATION, CURRENTLY MAKE THEIR ANNUAL AND QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC VIA DAC (DIGITAL ASSURANCE CERTIFICATION, LLC), A DISCLOSURE DISSEMINATION AGENT FOR ISSUERS OF TAX EXEMPT BONDS WHICH ELECTRONICALLY POSTS AND TRANSMITS BROWN HEALTH'S FINANCIAL INFORMATION TO REPOSITORIES AND INVESTORS ALIKE. IN ADDITION, COPIES OF RIH'S ARTICLES OF INCORPORATION, BYLAWS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE OFFICE OF THE BROWN HEALTH EVP/CFO, EITHER IN PERSON OR BY MAIL. FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE ALL OTHER REVENUE - TOTAL REVENUE: -21311600, RELATED OR EXEMPT FUNCTION REVENUE: -23206780, UNRELATED BUSINESS REVENUE: 1783179, REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 112001; ALL OTHER REVENUE - TOTAL REVENUE: , RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN FUNDED STATUS OF PENSION AND OTHER POSTRETIREMENT - 9921082; INCREASE IN INTEREST IN NET ASSETS OF RHODE ISLAND HOSPITAL FOUNDATION - 10057459; JOINT VENTURE EQUITY TRANSFER - -49479225; NET ASSETS TRANSFER FROM RELATED ORGANIZATIONS - 51313; TOTAL - -29449371; FORM 990, PART VII - COMPENSATION EXPLANATION INDIVIDUALS ARE REPORTED BELOW AS THEY WERE COMPENSATED BY A RELATED ORGANIZATION: JOHN FERNANDEZ SERVES AS PRESIDENT OF BROWN HEALTH AND AFFILIATES, DEVOTING 40+ HOURS PER WEEK TO THE COMBINED ORGANIZATIONS. AS PART OF HIS RESPONSIBILITIES, HE PROVIDES ADMINISTRATIVE OVERSIGHT TO ALL OF BROWN HEALTH'S AFFILIATED ORGANIZATIONS DISCLOSED IN SCHEDULE R. MR. FERNANDEZ'S COMPENSATION WAS PAID BY BROWN HEALTH DURING CALENDAR YEAR 2024. PAUL J. ADLER, BROWN HEALTH SECRETARY, IS ALSO SENIOR VICE PRESIDENT AND GENERAL COUNSEL OF BROWN UNIVERSITY HEALTH AND VARIOUS OTHER AFFILIATES. AS A FULL-TIME EMPLOYEE HE DEVOTES 40+ HOURS PER WEEK TO THESE ORGANIZATIONS. HIS COMPENSATION IS PAID BY BROWN UNIVERSITY HEALTH. PETER K. MARKELL SERVES AS EVP/CFO OF BROWN HEALTH AND AFFILIATES, DEVOTING 40+ HOURS PER WEEK TO THE COMBINED ORGANIZATIONS. AS PART OF HIS RESPONSIBILITIES, HE PROVIDES FINANCIAL OVERSIGHT TO ALL OF BROWN HEALTH'S AFFILIATED ORGANIZATIONS DISCLOSED IN SCHEDULE R. MR. MARKELL'S COMPENSATION WAS PAID BY BROWN HEALTH DURING CALENDAR YEAR 2024. EVA GREENWOOD SERVED AS TREASURER OF BROWN HEALTH AND AFFILIATES UNTIL DECEMBER 31, 2023. MS. GREENWOOD CONTINUES TO SERVE BROWN HEALTH AND AFFILIATES AS SVP OF FINANCE, DEVOTING 40+ HOURS PER WEEK TO THE COMBINED ORGANIZATIONS. AS PART OF HER RESPONSIBILITIES, SHE PROVIDES FINANCIAL OVERSIGHT TO ALL OF BROWN HEALTH'S AFFILIATED ORGANIZATIONS DISCLOSED IN SCHEDULE R. MS. GREENWOOD'S COMPENSATION WAS PAID BY BROWN HEALTH DURING CALENDAR YEAR 2024. SARAH FROST BECAME THE EVP & CHIEF OF HOSPITAL OPERATIONS OF BROWN HEALTH AND AFFILIATES AND PRESIDENT OF RIH IN JUNE 2024. MS. FROST SERVES AS A FULL-TIME EMPLOYEE DEVOTING 40+ HOURS PER WEEK TO THE COMBINED ORGANIZATIONS. MS. FROST'S COMPENSATION WAS PAID BY BROWN HEALTH DURING CALENDAR YEAR 2024. ZIYA L. GOKASLAN, MD, TRUSTEE, IS ALSO THE NEUROSURGEON-IN-CHIEF AT RHODE ISLAND HOSPITAL AND THE MIRIAM HOSPITAL. AS A FULL-TIME EMPLOYEE HE DEVOTES 40+ HOURS PER WEEK TO THE NEUROSURGERY SERVICE-LINE. HIS COMPENSATION IS PAID BY BROWN HEALTH MEDICAL GROUP. G. DEAN ROYE, SVP AND CHIEF MEDICAL OFFICER AT RHODE ISLAND HOSPITAL, SERVED AS INTERIM PRESIDENT OF RHODE ISLAND HOSPITAL AND AFFILIATES UNTIL JUNE 2024. AS A FULL-TIME EMPLOYEE HE DEVOTES 40+ HOURS PER WEEK TO THE ORGANIZATION. HIS COMPENSATION WAS PAID BY RHODE ISLAND HOSPITAL. FORM 990, PART I, LINE 6 VOLUNTEERS VOLUNTEERS SUPPORT AND CONTRIBUTE TO THE MISSION OF RIH AND HCH EVERY DAY, GIVING THEIR TIME, ENERGY, AND ENTHUSIASM. THEY ARE ABLE TO LEARN, MEET OTHER DEDICATED VOLUNTEERS, BETTER UNDERSTAND THE HEALTHCARE ENVIRONMENT, AND GAIN PERSONAL SATISFACTION KNOWING THEY ARE MAKING A DIFFERENCE TO PATIENTS, FAMILIES, AND VISITORS ALIKE. VOLUNTEER OPPORTUNITIES ARE AVAILABLE TO BOTH TEENS AND ADULTS IN A WIDE VARIETY OF AREAS INCLUDING: AMBASSADORS, ART ACTIVITIES, BOOK CART, CANINE ASSISTED THERAPY, COMFORT CART FOR FAMILIES, DIAGNOSTIC IMAGING, EMERGENCY DEPARTMENT, EMPLOYEE SNACK CART, ENDOSCOPY, FOOD PANTRY, GERIATRIC CHAMPIONS, HAND MASSAGE, INFECTION CONTROL, MUSIC ACTIVITIES, OFFICE SUPPORT, ONCOLOGY, OUTPATIENT CLINICS, PATIENT AND GUEST SERVICES, PEDIATRIC PARTIAL DAY PROGRAM, PEDIATRIC PRE-OP AND POST-OP, PEDIATRIC PLAYROOMS, PICU, PT/OT, AND RECOVERY ROOM. VOLUNTEERS INCLUDE COLLEGE AND HIGH SCHOOL STUDENTS, RETIREES, WORKING PROFESSIONALS, INDIVIDUALS CONSIDERING A CAREER CHANGE OR RETURNING TO THE WORK FORCE, AND INDIVIDUALS WITH A SPECIAL SKILL OR TALENT. 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