2024-08-14T10:50:40-07:00 2023-09-30 990 2022-10-01 050258914 Newport Hospital NEWP 4018466400 11 Friendship Street Newport RI 02840 Peter K Markell Treasurer 2024-08-14 true 2022 2024-08-08 14:25:15Z Crista F Durand 11 Friendship Street Newport RI 02840 176628995 false X www.lifespan.org/newport/ X 1873 RI As a member hospital in the Lifespan health system, Newport Hospital (NH) is committed to its mission: Delivering health with care. 16 10 1086 150 115272 4582885 2595240 129716919 142455937 -3228819 3883464 26726 115272 131097711 149049913 0 0 69677473 76002755 0 0 62440079 67733492 132117552 143736247 -1019841 5313666 317340774 332869228 38192570 32161307 279148204 300707921 X As a member hospital in the Lifespan health system, NH is committed to its mission: Delivering health with care. false false 61020305 66592580 During the fiscal year ended September 30, 2023, NH reported 29,150 inpatient days, 4,947 discharges, 421 newborn deliveries, and 482 inpatient surgeries. NH provides a range of diagnostic therapeutic healthcare services including: behavioral medicine, cardiac services, obstetrics, orthopedics, pulmonary medicine, and cancer care. (See also Schedule O, Part III, Line 4a) 47836441 68771185 NH provides certain healthcare services on an outpatient basis. In fiscal year 2023, NH experienced outpatient volume of 51,091 equivalent outpatient days and performed 2,353 outpatient surgeries. Outpatient services are also provided in NH's Emergency Department, which had 31,666 patient visits in fiscal year 2023.(See also Schedule O, Part III, Line 4b) 5242909 4581980 The Noreen Stonor Drexel Birthing Center (the Center) at NH delivered 421 newborns during the fiscal year ended September 30, 2023. The Center is a separate unit at NH for labor and delivery, enabling patients to remain in the same location for labor, delivery, recovery, and postpartum care. The Center's staff includes board-certified obstetricians, pediatricians, family practitioners, anesthesiologists, a certified nurse midwife, and registered nurses who have received national certifications in obstetrical nursing. The Center at NH has received the "Baby Friendly" designation from the World Health Organization and UNICEF. 114099655 true true false false false false false false false true true true false true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 62 0 true 1086 true true true false false false false false false 0 false false false false false false false X 16 10 true false false false true true true true true false false true true true true true true true true false RI X Peter K Markell 4014447914 167 Point Street Providence RI 02903 X Timothy J Babineau Fmr. Trustee 0.00 0.00 0 6453503 383339 Ziya L Gokaslan MD Trustee 0.50 44.50 X 0 1671096 49960 Paul J Adler Secretary 1.00 39.00 X 0 744106 145044 David A Kirshner Treas.-11/22 0.00 0.00 X 0 857218 20609 G Alan Kurose Fmr. Trustee 0.00 50.00 0 636825 63815 Crista F Durand President 33.00 7.00 X 0 501054 113302 Jeffrey T Gaines MD Chief Medical Officer 40.00 0.00 364201 0 85172 Arthur J Sampson Trustee- 1/23 2.00 6.00 X 0 417696 18300 Orla M Brandos Chief Nursing Officer 40.00 0.00 285994 0 66025 Eva Greenwood Treasurer 0.50 39.50 X 0 198973 34915 Paul W Parchesky Dir. Inpatient RX 40.00 0.00 164414 0 38169 Christopher Monteiro Dir. of Radiology 40.00 0.00 160945 0 38874 Sarah A Nekraz Dir. Med Nursing 40.00 0.00 153431 0 38205 Perry J Wein Director-Op.Room 40.00 0.00 172706 0 11725 Elizabeth M Lima-Tessier Dir. Emergency Svs 40.00 0.00 163624 0 20488 Lawrence A Aubin Sr Chair 0.50 7.50 X X 0 0 0 Emanuel Barrows Trustee 1.50 5.50 X 0 0 0 Roger N Begin Trustee 2.00 10.50 X 0 0 0 Peter Capodilupo Vice Chair 1.00 4.00 X X 0 0 0 Sarah T Dowling JD LLM Trustee 0.00 13.00 X 0 0 0 Edward D Feldstein Esq Trustee 0.20 2.90 X 0 0 0 John Fernandez Trustee 1.00 49.00 X 0 0 0 Michael L Hanna Trustee 2.00 6.60 X 0 0 0 Philip Kydd Trustee 0.50 6.00 X 0 0 0 Alan H Litwin Vice Chair 0.50 9.00 X X 0 0 0 Martha B Mainiero MD Trustee 0.25 2.85 X 0 0 0 Steven Pare Trustee 0.00 3.00 X 0 0 0 Lawrence B Sadwin Trustee 0.00 17.00 X 0 0 0 Shivan Subramaniam Trustee 5.00 27.00 X 0 0 0 Jane Williams PhD RN Trustee 0.25 6.50 X 0 0 0 Peter K Markell EVP & CFO 2.00 48.00 X 0 0 0 1465315 11480471 1127942 93 true true false AMN Healthcare Inc 2735 Collection Center Drive Chicago IL 60693 Healthcare Staffing 3001737 Allied Universal Security Svcs PO Box 828854 Philadelphia PA 19182 Security 1280487 Brown Surgical Associates PO Box 16149 Rumford RI 02916 Medical Services 961922 Sodexo Inc & Affiliates PO Box 360170 Pittsburgh PA 15251 Food Services 785757 University Orthopedics Inc PO Box 1119 Providence RI 02901 Medical Services 389500 19 2543590 51650 2595240 Ancillary OP Service Rev. 622110 69970763 69970763 Cafe./Misc Pharm. sales 622110 12994 12994 Inpatient Service Revenue 622110 67890200 67890200 Obstetrics - Birthing Ctr 622110 4581980 4581980 142455937 3675979 3675979 0 0 0 27786567 27579082 207485 207485 207485 0 0 0 Lab Services 621500 115272 115272 115272 149049913 142455937 115272 3883464 0 0 0 0 835441 835441 0 60832400 55910409 4921991 2191185 2008842 182343 8048347 7400521 647826 4095382 3767776 327606 0 0 0 0 0 284923 284923 6469127 6469127 286558 286558 47448 40331 7117 0 0 8533648 7253601 1280047 38160 35489 2671 0 0 300697 300697 0 7826551 7826551 2033663 1728614 305049 Purchased services 16054540 2786369 13268171 Medical & surgical supplies 13114487 13100107 14380 License fee 6447840 6447840 Provision for bad debts 4799448 4799448 1496402 1229182 267220 143736247 114099655 29636592 0 79429 173011 27900780 31377859 0 12061291 12408022 0 0 0 2022067 2144195 391732 212367 134776908 72463203 65475154 62313705 60243813 67812930 35521556 35135159 0 0 113644952 121291980 317340774 332869228 11465080 11923502 10492723 9115723 16234767 11122082 38192570 32161307 X 195274288 209639179 83873916 91068742 279148204 300707921 317340774 332869228 X 5313666 5391199 10854852 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 97559776 2770550 9070467 4201845 105198948 116287274 4788585 -16152544 7352908 10631 97559776 97690543 9046895 20903376 11353540 116287274 92616434 2496253 6634445 4056589 97690543 98114438 3020936 985185 9504125 92616434 0.14830 0.10560 0.74610 true true true 1406761 1406761 90273804 48676934 41596870 118828 81287 37541 42977515 23704982 19272533 62313705 35135159 Cash and short-term investments 962023 Deferred financing costs & other assets 47590 Intercompany Receivables 734400 Interest in HBCS 440 Interest in Net Assets of NH Foundation 115855998 Other Receivables 1867000 Outside trusts 1288836 Right-of-Use Asset , Net Operating Lease 535693 121291980 Accrued Pension Liability 6104400 Accrued Postretirement Liability 403700 Health care benefit self-insurance 826916 Intercompany Liabilities 1166590 Lease Liabilities 529218 Non-current Liability 6474 Third-party Payor Liabilities 2084784 11122082 X 149049913 149049913 149049913 143736247 143736247 143736247 Part V, Line 4: Intended uses of the endowment fund. Newport Hospital's (NH) endowment funds consist of both donor-restricted endowment funds and funds designated by NH to function as endowments. NH's largest permanently restricted endowments support its emergency department, as well as promoting athletic activity and wellness among youth and families of Newport County. Other permanently restricted endowments of NH support patient care, including a comprehensive range of diagnostic and therapeutic health care services, as well as providing financial aid for persons requiring medical and nursing services.NH's largest board-designated endowment is used to support and maintain its facilities and operations. Significant temporarily restricted funds held by NH are used for the purposes of: (1) supporting the operations of NH's Emergency Department; (2) funding charity care; (3) the purchase of medical equipment; (4) support of NH's Cancer Center; and (5) support of emergency preparedness. Part X : FIN48 Footnote NH is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from Federal income taxes pursuant to Section 501(a) of the Code. NH 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. NH did not recognize the effect of any income tax positions in either 2023 or 2022. true true true X true X true true true false true true 2309102 1286229 1022873 0.00736 28749260 23913409 4835851 0.03481 31058362 25199638 5858724 0.04217 357341 39097 318244 0.00229 26778386 22845765 3932621 0.02831 35928 35928 0.00026 27171655 22884862 4286793 0.03086 58230017 48084500 10145517 0.07302 true 1250256 36147 19234441 20085005 -850564 X true true 1 1 Newport Hospital 11 Friendship Street Newport RI 02840 https://www.newporthospital.or HOS00127 X X X Newport Hospital 1 false false true X X X X X X X X X X 22 true true false true X See Schedule H, Part V, Section C X true 22 true See Schedule H, Part V, Section C false false true X 200.0000 300.0000 X X X X X X true true X X X X true X See Schedule H, Part V, Section C X See Schedule H, Part V, Section C X See Schedule H, Part V, Section C X X X X X X X true X false X X X X true X false false Facility: Newport Hospital - Part V, Section B, Line 3j Part V, Line 3e- The CHNA process involved the integration of information from a range of data sources to identify the significant health needs of the community served by Newport Hospital, prioritize those needs, and identify the resources, facilities, and programs to address them. In order to identify the significant health needs of this community, primary quantitative and qualitative data and secondary quantitative data were collected. In addition, it is critical to highlight the context of the ongoing COVID-19 pandemic which has impacted the health concerns of the communities served by NH as well as the hospitals provision of health services.On March 1, 2020, the first case of COVID-19 was confirmed in Rhode Island, moving the nations smallest state onto the worldwide coronavirus map. After that date, cases began to increase quickly throughout the state. The first stay-at-home order was issued on March 20, 2020, requiring all Rhode Island residents to stay at home unless getting food, medicine, or other essentials. Originally scheduled to remain in effect until April 13, the order also banned gatherings of more than five individuals and required out-of-state visitors to quarantine for 14 days. As cases increased, Governor Gina Raimondo announced on April 23 that schools would remain closed for the rest of the academic year. Many hospitals also postponed elective and non-emergent procedures until a later date. By April 28, 2020 hospitalization rates were at their first all-time high at 373, with 88 of these patients in the ICU and 59 on ventilators. Eventually, hospitalization rates and case numbers began to decrease, reaching a low on July 7, 2020 with only 58 Rhode Islanders hospitalized due to COVID.During the month of July 2020, the state started to slowly re-open allowing some beaches, restaurants, and entertainment businesses to resume operations (with minimum capacity), and hospitals to begin performing elective procedures again. By fall, most schools were also able to open up again. After an increase in COVID cases in November, 2020, Raimondo announced a statewide pause reclosing many restaurants, gyms, and recreational venues. By December 15, 2020, hospitalization rates reached a high of 514 in-patients.After this COVID peak, rates slowed for a period, partly due to the distribution of vaccines that started in February 2021 with doses initially being offered to individuals aged 75 and older. In February 2021, NH offered a vaccination clinic to members of the general public. To assist with access and potential transportation issues, the vaccination clinic was held in the hospitals Borden Carey building, which is on a bus route and is accessible to public. After first distributing the vaccine to those most at risk, Rhode Island gradually allowed other groups of residents to register. As of the writing of this report (June 2022), 98.5% of the Rhode Island population is at least partially vaccinated; 83% have completed their primary series; and 41.2% have received boosters. These statistics vary depending on age, gender, and race. For example, 99% of residents between the ages of 70 and 79 have received their primary COVID-19 vaccine series while those between 19 and 24 have a lower primary vaccination rate of 62.2%. As of April 10, 2021, approximately 68.5% of the states partially vaccinated population identified as white and less than 5% identified as Black.On July 20, 2021, hospitalization rates hit another low when only 23 patients were inflicted with COVID. However, as the season changed to winter, rates spiked again with a new all-time high of 618 inpatients on January 17, 2022. Despite this being the highest record of hospitalizations, the greatest number of COVID-related fatalities still occurred at the beginning of the pandemic.Since the beginning of 2022, COVID-related rates have decreased, with a slight increase as of the drafting of this report (June, 2022). Overall, the town of Central Falls has the highest rate of COVID cases in the state, ahead of Pawtucket, East Greenwich, and Providence (respectively at 2nd, 3rd, and 4th place). In contrast, the towns of Little Compton and Jamestown have the lowest COVID rates and related hospitalizations. Across the state of Rhode Island, over 8 million COVID tests have been administered; approximately 400,000 positive cases have been reported; and over 3,500 COVID-related deaths have occurred.Like hospitals across the country, NH had to restrict or cancel services during the peak months of the pandemic and continues to experience staffing challenges. At NH and across the Lifespan system, several initiatives to recruit and retain talented team members were implemented, including sign-on bonuses and market adjustments for select positions, expanding our employee referral program, and introducing new resources to support employees total wellbeing. NH is also assessing the ways patients access care and how it can best meet the needs of our community into the future, while maintaining the hospitals financial stability. Following are examples of service line modifications as a result of the COVID-19 pandemic: NH outpatient cardiac and pulmonary rehabilitation, pulmonary medicine and dermatology programs discontinued operations. NHs acute inpatient Vanderbilt rehabilitation program expanded with the addition of 15 new patient rooms for a total of 28 newly renovated inpatient rooms. NHs new pharmacy not only provides prescription medications, but also offers over-the-counter medications. This new on-site pharmacy makes it convenient for patients to fill prescription when leaving the hospital for inpatient and outpatient visits. The newly renovated Lifespan Cancer Institute was conveniently relocated to the first floor of the hospital; the newly constructed area provides cancer patients with four new exam rooms and nine outpatient infusion bays. Facility: Newport Hospital - Part V, Section B, Line 5 The CHNA process involved the integration of information from a range of data sources to identify the significant health needs of the community served by NH, prioritization of those needs, and identification of resources, facilities, and programs to address the prioritized needs. Both qualitative primary data and secondary quantitative data were gathered to identify the significant health needs of the community.Primary data sources used for this report include community health forums, individual surveys, and key informant interviews. Secondary data sources include national and local publications of data that is specific to the state of Rhode Island and the NH service area.Community Health ForumsQualitative data was collected through Community Health Forums (CHF) to solicit input from individuals representing the broad interests and perspectives of the community. Community forums are a standard qualitative social science data collection method, used in community-based or participatory action research. Participants in the CHFs included members of the medically underserved, low-income, and minority populations in the NH service area.Six CHF were held between May 9 and June 7, 2022 across the NH service area, with 86 participants. Participants were recruited using social media, electronic newsletter, email, and word of mouth. A mix of in-person and virtual (Zoom) forums were scheduled at easily accessible locations and at various times of the day. In-person NH forums were held at a senior center and two community centers. At each in-person forum, a full meal was provided, along with childcare and interpretation if requested in advance. All CHF were open to the public and participants were fully engaged throughout the 90-minute discussion. In lieu of the provision of a meal, five $25 grocery store gift cards were raffled off as an appreciation of participation at each virtual forum. A community outreach representative of NH served as a hospital liaison to help plan and facilitate the CHF. The hospital liaison was a critical link between the LCHI as the coordinating body, the expertise and resources within the hospital, and the Community Liaisons described below.An important and unique component of the CHF was the involvement of Community Liaisons. Two people representing the diverse populations served by NH were hired as consultants to assist with the CHNA. These Community Liaisons helped plan the CHF, recruited participants, and co-facilitated the forums. Community Liaisons were chosen through a competitive selection process and completed a 2-hour training prior to leading the CHF. The training included project planning tips, role-playing activities, conflict management tips, and logistical expectations. Community Liaisons were responsible for identifying an accessible community venue for each forum, selecting a food vendor and menu that would be appealing to the target audience, and co-facilitating the discussion at the CHF with their hospital liaison.Each in-person CHF was two hours in duration and followed a similar format that began with a meal, followed by a 90-minute discussion, co-facilitated by the hospital and Community Liaison, that generated consensus on the participants health concerns, their prioritization of those concerns, and their ideas for how NH could respond to those concerns. Discussion began with a brief presentation of NHs 2019 CHNA priorities and examples of activities the hospital has performed in response. Participants were invited to share their reactions to what was presented as well as their current health concerns. Virtual forums were 90 minutes in duration and followed the same discussion format as the in-person CHF. The input gathered during the CHF was assessed qualitatively to extract themes and quantitatively to determine the frequency with which those themes were cited. Community Liaisons also met with the LCHI and the hospital liaison to debrief the forums and offer their interpretation of the findings to ensure all input was captured and that priorities were appropriately aligned.Hiring, training, and empowering community members to serve as Community Liaisons in the CHNA process enriched the quantity and quality of community input. It also allowed NH to build relationships with communities that might not otherwise have become aware of or engaged in the needs assessment process.Individual SurveysTo broaden the reach of community input, an online survey was promoted, and paper surveys were distributed and collected by LCHI staff at community events they attended in June 2022. The surveys addressed the same questions as the CHF (See Appendix E for the survey). Eight individual surveys were received for NH. Key Informant InterviewsPublic health and health policy leaders who could inform the 2022 CHNA process and had knowledge, information, or expertise about the community that NH serves were invited to be interviewed as part of the CHNA. Key informant interviews were conducted with these leaders to supplement the other quantitative and qualitative data collected. Key informants included: Chief Strategy Officer, Executive Office of Health and Human Services, State of Rhode Island Director of Policy, Planning and Research, Executive Office of Health and Human Services, State of Rhode Island Director, Health Equity Institute and Maternal and Child Health, Rhode Island Department of Health Vice President and Chief Medical Officer, Providence Community Health Centers Executive Director, Rhode Island Parent Information Network Director, Community Health Worker Association of Rhode Island Executive Vice President and Chief Medical Officer, Blue Cross Blue Shield Rhode IslandThe key informants identified the following statewide health priorities, with the first three named by multiple leaders: Apply hospital resources to address the social determinants of health, including housing, food, transportation, and employment, among other barriers to care. Improve access to behavioral health care for children and adults, especially noting access challenges for children and the burden of substance misuse among adults. Ensure the provision of equitable care with particular attention to ensuring equal access to high quality care for persons regardless of their race, ethnicity, language spoken or disability status. They noted that equitable care also required a workforce representative of the patients and implementation of the principles of anti-racism. Improve access to primary and specialty care locally. Grow the healthcare and behavioral health workforces through career pathways, higher reimbursement rates, and increased compensation. Improve access to community-based services including home-based therapeutic services for children with special needs. Reduce racial and ethnic disparities in maternal and child health.The interviewed leaders noted several opportunities for hospitals to contribute to efforts to address these goals including: innovate around care delivery models for behavioral health services for adults; invest in systems and technology to facilitate improved care coordination between primary and specialty care, as well as hospital and community-based providers; partner with state and community-based agencies on workforce development pathways for high-demand roles- notably behavioral health providers and community health workers; provide assistance to patients to help them navigate the healthcare system; and sustain access to telemedicine that was made available during the peak of the COVID-19 pandemic.NH Patient Data, Fiscal Years 2020-2022Lifespans Planning Department analyzed NH patient data on patients, discharges, and encounters was disaggregated by town of residence, age, race, ethnicity, and language spoken for fiscal years ending September 30, 2019 through September 30, 2021. This inpatient, outpatient and ED data is important for understanding trends in utilization of hospital services. Facility: Newport Hospital - Part V, Section B, Line 6a Rhode Island HospitalThe Miriam HospitalEmma Pendleton Bradley Hospital Facility: Newport Hospital - Part V, Section B, Line 11 NH's Community Health Needs Assessment issued for the fiscal year ended September 30, 2022 identified five significant health issue areas requiring a further implementation strategy. Those significant health issue areas include: (1) improve access to primary care and specialty services; (2) increase access to mental and behavioral health services; (3) provide outreach, education and navigation assistance to address health and social services; (4) establish a patient-family relationship; and (5) healthy aging. The implementation strategy to address those significant health needs outlined between October 1, 2022 - September 30, 2025 is available at: https://www.lifespan.org/sites/default/files/2023-04/2022-RIH-CHNA-Implementation-Plan.pdfDuring the fiscal year ended September 30, 2023, NH implemented specific actions listed below in order to address the significant community health needs outlined in its CHNA dated September 30, 2022.ACCESS TO PRIMARY CARE AND SPECIALTY SERVICES:- Took steps, in partnership with Coastal Medical, to establish a new primary care practice in Middletown.-Hired (1) GYN MD and contracted with OB Hospital Group to provide OBGYN coverage. Continued to build midwifery program through the recruitment of a CNM for 1 year assignment.-Increased access to neurosurgical orthopedics/total joint program, and urology services through the hiring of a TJR surgeon and working collaboratively with Brown Urology Leadership to recruit and retain an experienced urologist, and have 2 physicians seeing full panel at NH while APP assisting in seeing follow-up neurological patients.-Improved local patient access to high demand specialty services and diagnostic imaging services through implementation of Ziehm C-Arm and Curve Navigation System. Received approval from RI Health Services Council to obtain a second CT scanner on the main campus. Officially went live with Hicuity Healths Tele-ICU hybrid model of care.-Explored the creation of community-based therapeutic space for patient rehabilitation by identifying potential outdoor space and continued efforts to finalize location, design and build-out space.-Contracted with Coastline Ambulance Service to transport patients home and to congregate care/rehab settings.ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES:-Hired 1 NP and 1 Per Diem NP as well as utilizing select NP students to expand collaboration with psychiatry across Lifespan through the recruitment of new advanced practice providers.-Received written Certificate of Need approval from RI Department of Health for an Adolescent Behavioral Health Unit. Implementation to be completed in FY24, along with plans to collaborate with EPBH to increase support for adolescents.OUTREACH, EDUCATION AND NAVIGATION ASSISTANCE TO ADDRESS HEALTH AND SOCIAL SERVICES:-Six (6) Safe Sitter classes were held between November 2022 and June 2023 for 73 students to provide training on safe and responsible babysitting and how to prevent unintentional injuries among children.-LCHI has partnered with Conexion Latina Newport, an important link to the Hispanic Community, to provide community-based education to help patients understand available resources and services, as well as the benefits of risk factor management. Eight (8) participants received blood pressure and blood glucose screenings at Middletown Town Hall on 3/7/23. Sixty-eight (68) participants received a flu vaccine from LCHI nurses at Conexion Latina Newport during October and November 2022.-NH sponsored and presented five monthly Hour of Health radio programs on 1540 WADK radio:May 2023-Skin Cancer Treatment and PreventionJune 2023-Start Early to Reduce the Risk of DementiaJuly 2023-NH Celebrates 20 Years of Patient Care (Hospitalists)August 2023-The Importance of Health: Safety MattersSeptember 2023-Suicide Awareness: Prevention, Signs and Treatments-NH runs a Health Matters column in the local newspaper with seven articles in FY2023 on topics including: Breast Cancer, RSV, Employee Engagement, Newport Hospitals 150th, Migraines, Menopause, and Sports Injuries.-Equity and Inclusion trainings on Trust Building, Unconscious Bias, Dominant Cultural Norms and Safe & Inclusive Spaces to be offered in 2024.-LCHI offers a monthly Community Health Ambassadors lecture series, virtually. In FY23, 281 people attended the programs from across RI. Topics included: Oral Health Equity, Online Safety and Prevention, Overview of RI Life Index, Lead Safe Homes, Healthy Eating for Your Heart, Learning from Lifespans 2022 CHNA, Living Kidney Donation, Advance Care Plans, Building a Resilient Brain, Sleep Well Live Well, Pediatric Anxiety, and Retirement/SSI/Disability.-LCHI continues to offer food and nutrition programs to patients and residents of the hospital service area. In FY23, 50 people participated in food demonstrations, Food is Medicine, and A Taste of African Heritage food & nutrition programs in the Newport County service area. LCHI also provided educational articles for the Fall and Spring issues of Healthbeat newsletter on health and wellness, food security and available programs for youth and families. The newsletter is issues twice a year and reaches an audience of 34,000+ people.ESTABLISH A PATIENT-FAMILY PARTNERSHIP:-In efforts to improve patient and family engagement, clinical outcomes, staff retention & recruitment, and high value care, T2/T4 visitor waiting areas were expanded by adding consult rooms, 2-day Patient-centered Care Steering Committee & Patient/Family Engagement Coaching was held at NH. A Planetree Experience-based Co-Design Workshop, which focuses on person-centered care, was also held.-Continue to offer Project Search at NH. In June 2023, 4 students graduated from Project Search and all were placed in gainful employment.-Three (3) students from Rogers High School enrolled in the pilot mentoring program for the 2023-24 school year. They are each paired with a Newport Hospital staff mentor. HEALTHY AGING:-NH participates in Age Friendly RI (AFRI)- a coalition of community and state agencies, healthcare and social service providers, among others, who are committed to building a community that enables older Rhode Islanders to live independently with the care, support and resources needed to foster health, well-being, social connectedness and a meaningful life. The program has added another van for transportation due to growing demand. -Offer breast and cervical cancer screenings for women ages 40+ and include partners like Conexion Latina Newport to recruit participants. In FY23, 6 women were screened at the 4/15/23 event and 15 registered for the 10/21/23 event.-Promoting the Lifespan Pharmacy drug take-back program to increase safety for seniors and their caregivers at home and reduce opportunities for accidental drug exposure/overdose.-Raising awareness of Lifespan Pharmacy services for the public, including home delivery service through marketing and communications. Facility: Newport Hospital - Part V, Section B, Line 16j An abbreviated version of NH's Financial Assistance Policy is posted in various admitting and outpatient areas of NH. 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. Portsmouth Imaging Center 69 Turnpike Avenue Portsmouth RI 02871 Diagnostic Imaging Services Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) Newport Hospital (NH) uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test.The financial screening process at NH 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 residency3. 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 the Hospital.)4. Uninsured patients receive a discount equal to the discount received by Medicare beneficiaries on NH 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 $9,400 for an individual (or $14,100 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 services for non-urgent care. 7. In either case, the final results of the financial screening are recorded in the comments section of NH'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 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 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. Part I, Line 6a - Related Organization Community Benefit Report The community benefit report for all Lifespan affiliated hospitals (Newport Hospital (NH), Rhode Island Hospital (RIH), The Miriam Hospital (TMH), and Emma Pendleton Bradley Hospital (EPBH)) is maintained by Lifespan Corporation and included in Lifespan's annual report. The annual report for the year ended September 30, 2022 is available at the following link. https://www.lifespan.org/sites/default/files/2023-08/LS-Annual-Report-2022-230816.pdf The annual report for the year ended September 30, 2023 is not yet available at:https://www.lifespan.org/sites/default/files/2024-08/LS-Annual-Report-2023-final-8-6-2024.pdf Part I, Line 7 - Explanation of Costing Methodology NH'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 NH's cost accounting system are calculated based on Medicare principles of reimbursement by reducing total operating expenses (as calculated per Form 990 requirements) by items such as bad debt expense, 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 NH'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 expense and charity care, 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 NH's Community Health Services Department. Revenue received for these services is reported as direct offsetting revenue. g) Subsidized health services- Subsidized health services' community benefit expense is determined by NH's cost accounting system. These subsidized health services are recorded at cost in NH's cost accounting system for all qualified subsidized health service divisions. This expense is adjusted to remove all related 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 Medicaid is excluded from the amount disclosed for subsidized health services.i) Cash and in-kind contributions for community benefit- Expenses for cash and in-kind community benefit contributions are incurred by NH, including an allocation of contributions made by Lifespan Corporation on NH's behalf. Part I, Line 7, Column F - Explanation of Bad Debt Expense The calculation of percentages disclosed in 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 $4,799,448. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense 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 NH's cost accounting system and is adjusted for 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. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit Accounts pending transfer to bad debt are reviewed by NH's Patient Financial Advocate staff to determine qualification for financial assistance under NH'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. Part III, Line 4 - Bad Debt Expense 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. NHs 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. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare shortfall has not been treated as a community benefit. The source of the Medicare allowable costs reported on Part III, Section B, Line 6 is the Medicare cost report, Form 2552-10. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients NH does not bill for the excess of charges over agreed upon reimbursement amounts from third-party payors. Rather, such differences are recorded as a reduction of revenue through contractual adjustments. Collection efforts are focused on copayments, deductibles, and amounts denied by insurers. After all collection attempts are exhausted, any remaining balances, including any copayments and deductibles, are written off as a bad debt. NH classifies its bad debts as uncompensated care. This does not apply to Medicaid, however, as there are no associated copayments or deductibles for this payor.NH generally does not require collateral or other security in extending credit to patients; however, it routinely obtains assignment of patients' benefits payable under their health insurance programs, plans, or policies. Uninsured patients are offered Community Free Service and/or payment plan options.Lifespan's Patient Financial Services Department (PFS) has the responsibility for communicating and administering collection policies and procedures to all patient accounts. PFS engages the services of various pre-collect agencies as necessary. The following are highlights of the overall collection effort:* If a patient presents for admission who is not insured, staff assists the family with a Medicaid application.* If the patient is ineligible for Medicaid, a financial screening is performed to determine status of qualification for Community Free Service.* If the patient does not qualify for Community Free Service, PFS or the pre-collect agency attempts at least four contacts with the responsible party within the first 120 days.* If the third-party carrier denies in writing any responsibility for payment, arrangements regarding an extended payment plan are discussed with the patient.* At 120 days, if there is no payment activity or no hold placed on the account, the account is transferred to the appropriate collection agency. Part VI, Line 2 - Needs Assessment NH continually assesses community needs in several ways. NH has a formal survey process for patient feedback but more importantly, NH uses a physician liaison position to facilitate physician communication with NH. Doctors in the community provide information on what services patients need. Recent examples of the usefulness of this information include NH's establishment of a wound care service, a dermatology practice, and a hand surgery practice. In addition, NH reviews volumes in service areas to glean information on the utilization of various types of care. NH functions as the first line of defense against illness, injury, and disease for its communities. With an Emergency Department that is open and staffed 24 hours a day with the ability to evaluate and treat everything from minor conditions to urgent care and stroke, as well as a dedicated, award-winning nursing staff that provides care for inpatients, NH's importance to the community cannot be overstated. NH is the designated disaster planning leader for its region of the State of Rhode Island and as such holds regular meetings and drills with first responders from the various municipalities within the region, as well as representatives from other facilities (e.g., nursing homes, hotels, and physician groups).Newport's significant seasonal patient population and large numbers of uninsured patients present financial challenges that NH strives to deal with each year as part of its mission. Uncompensated care provided to members of the community signals commitment to the residents and visitors of Newport County and its surrounding towns.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 Lifespan. Part VI, Line 3 - Patient Education of Eligibility for Assistance NH does not deny necessary medical treatment to anyone, regardless of insurance status or ability to pay. Financial counselors of NH inform patients personally about their potential eligibility for payment assistance. In addition, at such public events as health fairs, NH actively promotes financial assistance programs. When patients believe they might be eligible, financial counselors set up appointments to talk with them privately to determine their eligibility. Applications for financial assistance are provided in the registration office, the Emergency Department, the financial counseling office, and other departments providing care. As part of NH's inpatient intake process, NH provides self-pay patients with a summary of its Financial Assistance Policy, along with all assistance applications and the Patient Financial Services contact number. The same steps are 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.Uninsured patients receive a discount on charges equal to the amount calculated using the Prospective Method, which is the amount that Medicare or Medicaid would allow for the care. Medicare patients may receive waivers of cost-sharing amounts if they qualify based on financial need; qualification is determined through an application for charity care. Further discounts may apply, depending on a patient's income level. Part VI, Line 4 - Community Information NH is the only hospital on Aquidneck Island and in Newport County, which comprises a population of approximately 82,000. Located in Newport, the southernmost town in Newport County, NH is approximately 20 miles from other hospitals; bridges link Newport and Aquidneck Island with the rest of the State of Rhode Island (two bridges to the west, one to the northwest, and one to the north). The community includes people on government assistance, working-class and middle-class constituents, U.S. Navy personnel and retirees, students from three colleges, and a small percentage of families of significant wealth. NH is also a member of Vizient, Inc., the largest member-owned health care company in the United States. Part VI, Line 4 - Community Building Activities NH connects with the community in several ways, both within NH's walls and at other venues. More than a dozen monthly support groups are held at NH, some facilitated by medical professionals and others by community members. An annual health fair provides hundreds of screenings for diseases and health conditions, and NH follows up with individuals whose tests identify a problem. Screenings for breast and prostate cancers are conducted free of charge at various times during the year.Several NH committees exist to provide interaction between NH and the community. NH supports community initiatives such as Rebuilding Together, an organization dedicated to helping those who are in dire need of home rehabilitation, and the Newport Partnership for Families, which coordinates community services that prevent child abuse and neglect for children at risk. In addition, NH has partnered with a major philanthropist to form a committee to oversee grants funded by NH to help children become active and healthy. The committee began distributing grants in 2011. Parenting and breastfeeding support are available through NH's Birthing Center, and a series of bimonthly presentations and lectures on relevant health topics is scheduled for the community to attend free of charge. Part VI, Line 5 - Promotion of Community Health NH is governed by a Board of Trustees, which is comprised of leaders of the local community elected by Lifespan Corporation. NH works collaboratively with physicians, its employees, other health care organizations, and the community to create a measurably healthier Newport County through the provision of high quality, cost-effective, customer-focused health care services in an environment that promotes patient safety. NH monitors the healthcare needs of its service area to ensure alignment of its resources with its mission. NH 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 NH. NH is organized and operated for the benefit of the community it serves. Part VI, Line 6 - Affilated Health Care System Lifespan's mission is delivering health with care. Lifespan is an academically based healthcare system at the forefront of medical care, continually engaging in research that will lead to medical breakthroughs. Lifespan affiliates provide comprehensive inpatient and outpatient medical, surgical, and psychiatric services for adults and children. Lifespan and its affiliates employ approximately 17,000 people. The Lifespan system has approximately 4,100 physicians on the medical staffs of its affiliated hospitals, operates 1,165 licensed beds in four hospital complexes, and in 2023 generated approximately $2.9 billion in total operating revenue. By each of these measures, Lifespan 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.Lifespan is a Rhode Island 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, 2023, Lifespan Corporation employed approximately 1,200 full-time and part-time personnel, most of whom are located in Providence, Rhode Island. Lifespan Corporation 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 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, 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 Lifespan to provide it with the means of effective oversight, coordination, and support of the system. Powers specifically reserved to Lifespan 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 Lifespan's integrated healthcare delivery system, please refer to Schedule R. Part VI, Line 7 - States Filing of Community Benefit Report RI Part VI - Additional Information Schedule H, Part V, Line 7:The website which makes NH's 9/30/2022 CHNA report widely available is located at the following URL:https://www.lifespan.org/sites/default/files/2022-09/NH2022CommunityHealthNeedsAssessment.pdfSchedule H, Part V, Line 10a:The URL to view NH's most recently adopted implementation strategy is below:https://www.lifespan.org/sites/default/files/2023-04/2022-NH-CHNA-Implementation-Plan.pdfForm 990, Schedule H, Part V, Line 16a: The URL to view and download NH's Financial Assistance Policy is below:https://www.lifespan.org/sites/default/files/2023-04/2023_04_23_Lifespan-Financial-Assistance-Policy.pdfForm 990, Schedule H, Part V, Line 16b: The URL to view and download NH's Financial Assistance Policy application form is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/pfs/cfs-english_051920.pdfForm 990, Schedule H, Part V, Line 16c: The URL to view NH's plain language summary of the Financial Assistance Policy is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/pfs/Lifespan-Financial-Assistance-Summary_052020.pdf X true true X X X X X true true false false false false false true false Arthur J Sampson Trustee- 1/23 412504 5192 18300 435996 Christopher Monteiro Dir. of Radiology 160543 402 10045 28829 199819 Crista F Durand President 411596 89458 84820 28482 614356 64634 David A Kirshner Treas.-11/22 662492 194726 12141 8468 877827 Elizabeth M Lima-Tessier Dir. Emergency Svs 155309 7500 815 9721 10767 184112 Eva Greenwood Treasurer 134109 50000 14864 27186 7729 233888 G Alan Kurose Fmr. Trustee 589012 36227 11586 39196 24619 700640 Jeffrey T Gaines MD Chief Medical Officer 330956 33245 56719 28453 449373 Orla M Brandos Chief Nursing Officer 244344 41650 43777 22248 352019 27652 Paul J Adler Secretary 616787 127319 116284 28760 889150 86715 Paul W Parchesky Dir. Inpatient RX 162871 1543 9965 28204 202583 Perry J Wein Director-Op.Room 171644 1062 10325 1400 184431 Sarah A Nekraz Dir. Med Nursing 152608 823 9385 28820 191636 Timothy J Babineau Fmr. Trustee 1010777 3000000 2442726 358564 24775 6836842 4007802 Ziya L Gokaslan MD Trustee 1511572 152000 7524 18300 31660 1721056 Part I, Line 1a: Relevant information in regards to selections on 1a. Tax Indemnification and Grossed Up Payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan 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 Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii). Part I, Line 7: Non-Fixed payments not listed above 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 2014 521300173 2014-11-05 20390000 See Schedule K, Part VI false false false A 5269937 20887660 154665 20732995 true false true true A false false false false false false true A false true true false false false false true A true Part VI Schedule K, Part I, Line A, Column (f): The proceeds of the Series 2014 Bonds were used for the purpose of the full redemption of Newport Hospital's Series 1999 Bonds.Schedule K, Part II, Line 3, Column (A):The variance between the issue price and total proceeds of the 2014 bond issuance is due to accrued interest of $497,660 outstanding on the Series 1999 Bonds. This balance was incorporated into the Series 2014 bond issue proceeds. Schedule K, Part IV, Line 2b: No arbitrage calculation is required because the Series 2014 Bonds meet the 6-month spending exception. Form 990, Part VI, Section A, Line 2 Lawrence A. Aubin, Sr., Chairman, and Michael L. Hanna, Trustee, are partners in the same for-profit organization. Form 990, Part VI, Section A, Line 6 Lifespan Corporation is the sole member of NH. Form 990, Part VI, Section A, Line 7a Effective October 23, 2012, the Board of Directors of Lifespan and the Boards of Trustees of NH, Rhode Island Hospital, The Miriam Hospital, Newport Health Care Corporation, and Emma Pendleton Bradley Hospital approved a restructuring of their governance. Gateway Healthcare, Inc. joined the Lifespan health system on July 1, 2013 and adopted this restructured governance. The restructuring has increased governance effectiveness and has streamlined governance operation, as well as provided a single strategic perspective for the Lifespan system hospitals. Pursuant to the restructuring, the bylaws of each of the affiliates were amended such that the composition of the Boards of Trustees of each of the hospitals and Newport Health Care Corporation is defined as those persons serving from time to time as the directors of Lifespan. As a result, the Boards of each entity are comprised of the same individuals. The Board of each entity retains its responsibilities and authorities notwithstanding the revision in its composition. The Board of Directors of Lifespan consists of not less than fourteen nor more than thirty-one directors, including the President and CEO of Lifespan, who serves ex-officio with vote.Additionally, the bylaws of NH confer certain reserved powers upon 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 NH trustees and to approve the election/removal of certain officers. Form 990, Part VI, Section A, Line 7b The NH Board is comprised of the same individuals who serve on the Lifespan Board. Lifespan 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. Powers reserved to Lifespan, in addition to those noted above, include: to approve 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. Form 990, Part VI, Section B, Line 11b 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 Lifespan's Finance Department. The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit and is reviewed by the Corporate Services Tax Compliance Manager and the Director of Finance. 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 NH'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 Lifespan Director of Finance and 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 is authorized to file the Form 990 Form 990, Part VI, Section C, Line 19 Lifespan, as well as the Newport Hospital Obligated Group (NH and Newport Hospital Foundation), currently make their annual and quarterly consolidated/combined 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 Lifespan's and the Newport Hospital Obligated Group's financial information to repositories and investors alike. Newport Hospital's financial statements are included in the Newport Hospital Obligated Group's combined financial statements. NH's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Lifespan EVP/CFO, either in person or by mail. Form 990, Part XI, Line 9 Change in funded status of pension plan = $5321627 Form 990, Part XI, Line 9 Increase in interest in net assets- NHF = $5533225 Form 990, Part III, Line 4a NH's greatest reward is caring for our patients. Thats why NH is committed to turning treatment guidelines into lifelines.In both spring 2023 and fall 2023, NH earned a Hospital Safety Grade of A from the Leapfrog Group, a national health care rating organization. NH received this distinction for its achievements in prioritizing patient safety by protecting patients from preventable harm and errors. This grade reflected performance primarily during the height of the pandemic.In October 2023, NH was named one of Newsweek's Best In State Hospitals 2024. In March 2023, NH was ranked #394 in the Newsweek World's Best Hospitals 2023 list. In 2022, NH joined the Age-Friendly Health Systems Initiative, a national movement to improve care for older adults.The American Heart Association/American Stroke Association presented NH, a primary stroke center, with a Get With The Guidelines - Gold Plus award in 2023 including the Type 2 Diabetes Honor Roll Award. Receiving the Gold Plus award means that NH continues to reach an aggressive goal of treating patients with 85 percent or higher compliance to core standard levels of care outlined by the AHA for 24 consecutive months or more.NH has been designated a Diagnostic Imaging Center of Excellence (DICOE) by the American College of Radiology, setting it apart from all other hospitals in the state. DICOE represents the pinnacle of medical imaging care and is an achievement that goes beyond accreditation to recognize best-quality imaging practices and diagnostic care.In Spring 2021, NHl also earned its eighth consecutive semi-annual A grade for hospital safety from The Leapfrog Group.In 2020, the Lifespan Cancer Institute at NH was designated a Blue Distinction Center Blue Cross Blue Shield for its exceptional cancer care. The national designation recognizes expertise in delivering quality care and improved patient safety, based on objective clinical measures that result in better outcomes for patients.In 2020, The Leapfrog Group named NH a top general hospital in the United States. NH was one of just 29 hospitals to make the list.For the fourth consecutive time, the Noreen Stonor Drexel Birthing Center has been designated a Baby-Friendly hospital by the World Health Organization and the United Nations International Childrens Emergency Fund for its outstanding support of breastfeeding mothers and infants. First approved in 2003, the birthing center's designation will continue through 2023.NH has been certified as a Primary Stroke Center by the Joint Commission.The American College of Radiology has certified Newport Hospital as a Breast Imaging Center of Excellence. NH has earned accreditation and recognition from the American Association of Blood Banks, the College of American Pathologists, the American Association of Cardiovascular and Pulmonary Rehab, the Commission on Accreditation of Rehab Facilities and the Intersocietal Commission for the Accreditation of Echocardiography Laboratories.NH provides full charity care for individuals at or below twice the federal poverty level, with a sliding scale for individuals based upon the federal poverty level guidelines, as set by the Department of Health and Human Services. In addition, a substantial discount consistent with Medicare program reimbursement is offered to all other uninsured patients. NH determines the costs associated with providing charity care by aggregating the applicable direct and indirect costs, including compensation and benefits, supplies, and other operating expenses, based on data from its costing system. The total net cost incurred by NH to provide charity care amounted to $1,022,873 in fiscal 2023. Charges forgone, based on established rates, amounted to approximately $5,739,000 in fiscal 2022.NH substantially subsidized various health services including adult psychiatry, obstetrics, Vanderbilt Rehabilitation Center, and certain other specialty services at a net cost of $3,932,621 in fiscal 2023.NH 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, immunization and nutrition programs, diabetes education, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions. The net cost of these services amounted to $318,244 in fiscal 2023.NH subsidizes the cost of treating patients who receive government assistance where reimbursement is below cost. Medicaid is a means-tested health insurance program, jointly funded by state and federal governments. States administer the program and set rules for eligibility, benefits, and provider payments within broad federal guidelines. The program provides health care coverage to low-income children and families, pregnant women, long-term unemployed adults, seniors, and persons with disabilities. Eligibility is determined by a variety of factors, which include income relative to the federal poverty line, age and immigration status, and assets. Form 990, Part III, Line 4b Outpatient services include an emergency department, diagnostic medical imaging, laboratory, Vanderbilt Rehabilitation Center, and wound care, among others. The Emergency Department (ED) is open and staffed 24 hours a day, 365 days a year, with emergency medicine physicians and specially trained physician assistants and nurses. The ED, in accordance with NH's mission and civic obligations, treats every person who seeks care, regardless of their ability to pay. Form 990, Part VI, Section A, Line 1b: *Shivan S. Subramaniam, Trustee, is the Lead Director on the Board of Directors at Citizens Bank, N.A. During fiscal year 2023, Lifespan paid Citizens Bank, N.A.,in its normal course of business as part of Lifespan's accounts payable function.*Lawrence A. Aubin, Sr., Chair, and Michael Hanna, Trustee, are owners of New England Real Estate Holding Group, LLC (NEREHG), with which Lifespan has entered into an operating lease of a health care facility. During fiscal year 2023, Lifespan paid rent to NEREHG under the terms of its lease. Terms of the rent expense related to the lease have been established at fair market value.*Phillip Kydd, Trustee, has a family relationship with a principal owner of The Gemini Group. During fiscal year 2023, RIH paid The Gemini Group to provide business consulting and advisory services to RIH. Form 990, Part VI, Section B, Line 12c Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including NH, and administered by Lifespan's Corporate Compliance Department as follows:Each designated person subject to Lifespan's conflict of interest policy is required to provide Lifespan with an initial disclosure statement and thereafter an annual statement attesting that: (i) the designated person has read and is familiar with this policy, and (ii) 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 contravenes this policy.If, at any time during the course of employment or association, a designated person has reason to believe that an existing or contemplated activity may contravene this policy, the person shall submit a full written description of the activity to the Lifespan Compliance Officer or the Office of the General Counsel to seek a determination as to whether the contemplated activity does or does not contravene this policy. If the activity in question involves either the Chief Executive Officer, the Senior Vice President and General Counsel, or a Trustee, a full written disclosure must be made to, and a determination sought from, the Chairman of the Board of Directors of Lifespan Corporation.Annually, the Lifespan Compliance Officer shall review and report to the Lifespan Executive Corporate Compliance Committee and to the Lifespan 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, will be grounds for removal from his/her position and/or termination of his/her employment with Lifespan. Form 990, Part VI, Section B, Lines 15a and b The following applies to Lifespan and all of its affiliates, including NH:EXECUTIVE COMPENSATIONLifespan'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 Lifespan as well as other officers, senior management, and key employees. Lifespan'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 Lifespan's Corporate Compliance Policy on Excess Benefit Transactions.The Compensation Committee of the Lifespan Corporation Board of Directors (the Committee), comprised of disinterested Lifespan 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 Lifespan'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 Lifespan's performance within the healthcare industry and the degree to which total remuneration levels at Lifespan are generally commensurate with Lifespan performance relative to healthcare industry performance* Conducting an annual performance review of Lifespan'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 Lifespan's executive compensation philosophy. Lifespan'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 Lifespan'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 Lifespan 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 through acceptance of a reasonable compensation offer. Form 990, Part XII, Line 2: NH was included in the Lifespan Corporation and Affiliates audited consolidated financial statements as of and for the fiscal year ended September 30, 2023, in which one column is used for the Newport Hospital Obligated Group, which includes Newport Hospital and Newport Hospital Foundation. The Lifespan Audit and Compliance Committee assumes responsibility for oversight of the audit of Lifespan Corporation's consolidated financial statements and the selection of Lifespan Corporation's independent accountant. ALC dba HSR 1 Virginia Avenue Suite 200 Providence RI 02905 050442015 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Bayberry Courts Inc 1 Virginia Avenue Suite 200 Providence RI 02905 204590384 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Bradley Hospital Foundation 167 Point Street Providence RI 02903 050500688 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Capital City Community Centers Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050259090 Daycare Services RI 501(c)(3) 7 Gateway Healthcare Inc false Emma Pendleton Bradley Hospital 1011 Veterans Memorial Parkway East Providence RI 02915 050258806 Pediatric Psych. 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