2022-08-12T06:43:58-07:00 2021-09-30 990 2020-10-01 050258914 Newport Hospital NEWP 4018466400 11 Friendship Street Newport RI 02840 David A Kirshner Treasurer 2022-08-12 David A Kirshner 999009999 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z Crista F Durand 11 Friendship Street Newport RI 02840 197022599 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. 18 14 1048 150 72211 10109415 9007783 115557226 129049435 3544967 9498687 144833 100601 129356441 147656506 7225 0 0 62996620 65605607 0 0 61621914 64254191 124625759 129859798 4730682 17796708 317088724 361028051 61636477 51929929 255452247 309098122 X As a member hospital in the Lifespan health system, NH is committed to its mission: Delivering health with care. false false 52176635 62817464 During the fiscal year ended September 30, 2021, NH reported 29,847 inpatient days, 5,031 discharges, 428 newborn deliveries, and 999 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) 37665995 61944253 NH provides certain healthcare services on an outpatient basis. In fiscal year 2021, NH experienced outpatient volume of 43,955 equivalent outpatient days and performed 4,619 outpatient surgeries. Outpatient services are also provided in NH's Emergency Department, which had 26,507 patient visits in fiscal year 2021.(See also Schedule O, Part III, Line 4b) 4227798 4287718 The Noreen Stonor Drexel Birthing Center (the Center) at NH delivered 428 newborns during the fiscal year ended September 30, 2021. 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. 94070428 true true false false false false false false false true true true false true true true true 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 57 0 true 1048 true true true false false false false false false 0 false false false false false false false X 18 14 true false false false true true true true true false false true true true true true true true true false RI X David A Kirshner 4014447914 593 Eddy Street Providence RI 02903 X Timothy J Babineau MD Trustee 1.00 39.00 X 0 2572012 1324073 Ziya L Gokaslan MD Trustee 0.50 43.50 X 0 1574942 50206 Mary A Wakefield Treas.- 6/21 1.25 38.75 X 0 1107285 192804 Paul J Adler Secretary 1.00 39.00 X 0 718440 127072 Michael D Mason Med.Dir.-Joint Ctr 40.00 0.00 676941 0 14221 Crista F Durand President 35.00 5.00 X 0 562901 109565 Jeffrey T Gaines MD Chief Medical Officer 40.00 0.00 449250 0 71633 Orla M Brandos Chief Nursing Officer 40.00 0.00 316753 0 64867 Christopher Monteiro Dir. of Radiology 40.00 0.00 163275 0 37435 Paul W Parchesky Pharmacy Mgr. 40.00 0.00 146576 0 36680 Perry J Wein Director-Op. Room 40.00 0.00 168786 0 11432 Sarah A Nekraz Nursing Director 40.00 0.00 142134 0 36880 Lawrence A Aubin Sr Chair 1.00 16.00 X X 0 0 0 Emanuel Barrows Trustee 0.60 3.00 X 0 0 0 Roger N Begin Trustee 0.25 5.75 X 0 0 0 Peter Capodilupo Vice Chair 0.20 6.70 X X 0 0 0 Sarah T Dowling JD LLM Trustee 0.25 7.75 X 0 0 0 Jonathan D Fain Trustee 0.10 1.95 X 0 0 0 Edward D Feldstein Esq Trustee 0.50 10.50 X 0 0 0 Michael L Hanna Trustee 2.00 8.75 X 0 0 0 Phillip Kydd Trustee 0.25 2.75 X 0 0 0 G Alan Kurose MD Trustee 0.25 41.25 X 0 0 0 Alan H Litwin Vice Chair 0.50 9.60 X X 0 0 0 Martha B Mainiero MD Trustee 0.25 5.25 X 0 0 0 Steven Pare Trustee 2.00 11.50 X 0 0 0 Lawrence B Sadwin Trustee 0.20 13.15 X 0 0 0 Shivan Subramaniam Trustee 0.25 5.50 X 0 0 0 Jane Williams PhD RN Trustee 0.20 3.60 X 0 0 0 David A Kirshner Treasurer 5.00 35.00 X 0 0 0 2063715 6535580 2076868 56 false true false Allied Universal Security Svcs PO Box 828854 Philadelphia PA 19182 Security Services 1332303 Brown Surgical Associates PO Box 16149 Rumford RI 02916 Medical Services 739372 AMN Healthcare Inc 2735 Collection Center Drive Chicago IL 60693 Healthcare Staffing 491846 Aquidneck Radiologists Inc 11 Friendship Street Newport RI 02840 Medical Services 300000 Quest Diagnostics PO Box 912512 Pasadena CA 91110 Diagnostics Svcs. 296457 14 1265193 7722639 19951 9007783 Ancillary OP Service Rev. 622110 61929457 61929457 Cafe./Misc Pharm. sales 622110 14796 14796 Inpatient Service Revenue 622110 62817464 62817464 Obstetrics - Birthing Ctr 622110 4287718 4287718 129049435 2324651 2324651 0 0 0 56540129 49366093 7174036 7174036 7174036 0 0 0 Auxiliary 900099 165 165 Lab Services 621500 72211 72211 Medical Staff Association 900099 28225 28225 100601 147656506 129049435 72211 9527077 0 0 0 0 873260 873260 0 49846457 41487449 8359008 4482575 3724971 757604 6950317 5794763 1155554 3452998 2882748 570250 0 0 0 0 0 520323 520323 6291979 6291979 146849 146849 47376 40270 7106 0 0 7853704 6675648 1178056 1347 1253 94 0 0 369888 369888 0 7429117 7429117 3013126 2561157 451969 Purchased services 15746217 2380137 13366080 Medical & surgical supplies 12362399 10860429 1501970 License fee 5538757 5538757 Provision for bad debts 4080147 4080147 852962 730611 122351 129859798 94070428 35789370 0 507906 2453549 23364353 29585404 0 11057898 11954930 0 0 0 2065338 2116669 487134 488303 203354872 138550538 66731779 64804334 66625690 77250574 25215633 34558042 0 0 121032993 137816246 317088724 361028051 11104527 12454002 11464 13127723 11830723 37392763 27645204 61636477 51929929 X 171169289 209312704 84282958 99785418 255452247 309098122 317088724 361028051 X 17796708 12043541 23805626 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 97690543 9046895 20903376 11353540 116287274 92616434 2496253 6634445 4056589 97690543 98114438 3020936 985185 9504125 92616434 95218917 4632042 3873778 5610299 98114438 85685917 4807335 7710459 2984794 95218917 0.16040 0.09820 0.74140 true true true 1406761 1406761 122536039 75499003 47037036 1242299 1187218 55081 78169773 61864317 16305456 64804334 34558042 Cash and short-term investments 2892942 Deferred financing costs & other assets 81052 Interest in HBCS 1400 Interest in Net Assets of NH Foundation 132148032 Outside trusts 1585716 Right-of-Use Asset , Net Operating Lease 1107104 137816246 Accrued Pension Liability 13956000 Accrued Postretirement Liability 624300 Cares Act Deferred Emp Payroll Tax 1049314 Health care benefit self-insurance 740683 Intercompany Liabilities 6440 Lease Liabilities 1087673 Non-current Liability 19432 Third-party Payor Liabilities 10161362 27645204 X 179421881 12043541 24322304 36365845 143056036 520323 4080147 4600470 147656506 125259328 125259328 520323 4080147 4600470 129859798 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 2021 or 2020. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Change in funded status of pension plan $7264654 Change in Interest in Net Assets of NHF $17057650 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Provision for bad debts $4080147 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Provision for bad debts $4080147 true true true X true X true true true false true true 1729598 1188732 540866 0.00430 27648472 25168612 2479860 0.01972 29378070 26357344 3020726 0.02402 422501 19845 402656 0.00320 22594200 20637296 1956904 0.01556 34811 34811 0.00028 23051512 20657141 2394371 0.01904 52429582 47014485 5415097 0.04305 true 1082961 84510 19165263 20694458 -1529195 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 19 true true false true X See Schedule H, Part V, Section C X true 19 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 significant needs identified in NH's 9/30/2019 CHNA have been prioritized in order of significant needs of the community, as determined by a steering committee comprised of the Community Liaisons, an NH liaison, Lifespan Community Health Institute (LCHI) leadership, NH leadership, and Lifespan leadership. 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.The primary data sources included community health forums, key informant interviews, and individual surveys. Secondary data sources included national and local publications of state-specific data. 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 Health Forums:Qualitative data was collected through Community Health Forums (CHFs) to solicit input from individuals representing the broad interests and perspectives of the community. Participants in the CHFs included members of the medically underserved, low-income, and minority populations in the NH service area.CHFs are a standard qualitative social science data collection method, used in community-based or participatory action research. Seven CHFs were held between May 15 and June 13, 2019 across the NH service area. Participants were recruited using social media, posted fliers, email, and word of mouth. Locations were selected to be easily accessible to the public and hospital patients, and forums were held at various times of the day on weekdays and weekends. NH forums were held at community centers, places of worship, a high school, a homeless shelter, local non-profit agencies, and NH. At each forum, a meal was provided, along with child care and interpretation if requested in advance. All CHFs were open to the public and participants were fully engaged throughout the 90-minute discussions.A representative of NH served as a hospital liaison to help plan and facilitate the CHFs. The hospital liaison was a critical link between the Lifespan Community Health Institute (LCHI) as the coordinating body, the expertise and resources within NH, and the Community Liaisons described below.An important and unique component of the CHFs was the involvement of Community Liaisons. Three people representing the diverse populations served by NH were hired as consultants to assist with the CHNA. These Community liaisons helped plan the CHFs, recruited participants, and co-facilitated the forums. All Community Liaisons were chosen through a competitive selection process and completed a two-hour training prior to leading the CHFs. The training included project planning tips, role-playing activities, conflict management strategies, and logistical expectations. Community Liaisons were responsible for identifying an accessible 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 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 NH and Community Liaisons. The discussion 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 2016 CHNA priorities and examples of activities NH has performed in response. Participants were invited to share their reactions to what was presented as well as their current health concerns. The input gathered during the CHFs 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 ranked.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 Surveys:To broaden the reach of community input, surveys were distributed and collected by LCHI staff at events they attended in May and June 2019, such as the annual Pride Festival. The surveys addressed the same questions as the CHFs. Three individual surveys were received for NH.Key Informant Interviews:The Director of the LCHI identified public health and health policy leaders who could inform the 2019 CHNA process and who had knowledge, information, or expertise about the community that NH serves. Key informant interviews were conducted with state leaders to supplement the other quantitative and qualitative data collected. Key informants include the: Acting Chief of Staff, Executive Office of Health and Human Services, State of Rhode Island and Policy Director, Rhode Island Childrens Cabinet Director of Policy, Planning, and Research, Executive Office of Health and Human Services, State of Rhode Island Director, Health Equity Institute and Special Needs Director, Rhode Island Department of Health Physician Lead, Health Equity Institute, Rhode Island Department of HealthWhen crafting the NH implementation strategy, NH reflected upon the key themes that emerged from these conversations. The statewide priorities and recommendations of the key informants included: incorporate health equity targets; generate and monitor data on health disparities, especially by race, ethnicity, and income; build strategies that incorporate the social determinants of health; go beyond individual interventions to family/household level interventions; make investments in early childhood; consider comorbidities, especially between behavioral health and chronic diseases; confront racism and bias to improve care; provide personalized care; be sensitive to misalignments within healthcare; and continue to address substance misuse and behavioral health conditions.To ensure representation from a broad cross section of the community, CHF's were held in the following locations:Tiverton Senior Center, 207 Canonicus Street, Tiverton, Rhode IslandJamestown Recreational Center, 41 Conanicus Avenue, Jamestown, Rhode IslandCommunity College of RI, 1 John H. Chafee Blvd., Newport, Rhode IslandSt. Clare's Church, 309 Spring Street, Newport, Rhode IslandThe Pennfield School, 110 Sandy Point Avenue, Portsmouth, Rhode IslandMiddletown Town Hall, 350 East Main Road, Middletown, Rhode IslandNewport Hospital, Gudoian Conference Room, 11 Friendship Street, Newport, Rhode Island. 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, 2019 identified five significant health issue areas requiring a further implementation strategy. Those significant health issue areas include: (1) access to primary care and specialty services; (2) outreach and education; (3) mental and behavioral health services;(4) wellness programs; and (5) aging in place. The implementation strategy to address those significant health needs outlined between October 1, 2019 - September 30, 2022 is available at: https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/NH-CHNA-Implementation-Plan.pdfDuring the fiscal year ended September 30, 2021, NH implemented the specific actions listed below in order to address the significant community health needs outlined in its CHNA Implementation Strategy:Significant Health Need #1- Access to primary care and specialty services:- Lifespan Pharmacy, LLC added a new location on the first floor of NH. Lifespan's fifth, this pharmacy location offers a full range of services such as free home delivery, courtesy refills, appointment or walk-in vaccinations for adults, and access to Lifespan's team of expert pharmacists.- Promoted the Lifespan Link service offered by NH and other Lifespan affiliates which helps connect patients to community-based primary care providers. LifespanLink is a web-based portal that allows community providers to view their patients clinical information in a read-only format, including medications, allergies, notes, problems and test/treatment results. LifespanLink can also provide real-time notifications to providers based on specific triggers, including visits to a Lifespan emergency department, admission and discharge to and from a Lifespan hospital, and new lab results. Additionally, LifespanLink allows providers to make referrals to departments within Lifespan. From physicians to nurses, from skilled nursing facility admission coordinators to home care staff and office managers, LifespanLink provides the necessary information about patients care.- Improve access to medication by launching "meds to beds" program through the Lifespan Pharmacy, provides prescriptions at the bedside before discharge: This program began operations on July 28, 2020 at Matt's Local Pharmacy, located at 88 East Main Road in Middletown, Rhode Island. As noted previously, Lifespan Pharmacy, LLC opened a new location during FY '21 in NH which has continued to operate the "meds to beds" program.- Since 2019, Lifespan Physician Group, Inc. (LPG) has opened three urgent care locations in Rhode Island (Providence, Warwick, and Middletown), with the newest location opening in November 2019 in Middletown. -A NH urologist performed Rhode Islands first laser-assisted procedure for enlarged prostate. Known as laser enucleation, the technique uses a surgical laser to remove tissue that is blocking urine flow. Significant Health Need #2- Outreach and education:- Raise awareness of NH services and community based programs by developing a communication strategy that employs multiple channels to effectively promote health and wellbeing programs across the service area and continue the free Community Lecture Series: NH continues to promote programs, lecture series, and services offered via NH and LPG practices through multiple communication channels with community partners, i.e., weekly updates from Newport Partnership for Families, in addition to other partner groups. Lecture topics during FY '21 included: "Broken Bones Heal Stronger", "Back to School with the Autism Project", "Everything you Want to Know About Cancer and Shouldn't be Afraid to Ask", "The Ins and Outs of Interventional Radiology and Diagnostic Imaging at Newport Hospital", "COVID-19 Vaccines: What You Need to Know", "Managing Benign Prostatic Hyperplasia (BPH)", "Spinal Stenosis and How to Treat It", "Your Heart in Winter", and "Updates from the Front Line- A View of the COVID-19 Pandemic".- The Lifespan Community Health Institute offered a free community lecture series during FY '21 available to the public covering topics such as Financial Literacy, a "Food is Medicine" series (4 week sessions), cooking demonstrations, Safe Sitter lectures, and events on becoming a Lifespan Community Health Ambassador to promote health in the community. A total of 64 educational and Safe Sitter lectures took place in FY '21, reaching over 20,000 participants.-The Lifespan Community Health Institute helped meet the pressing need for COVID-19 immunizations among the states most vulnerable populations through a series of free vaccination clinics in cities including Providence, Pawtucket, and Central Falls. Clinics were held at senior centers, public housing complexes, faith-based and civic organizations, and other community sites. 115 COVID-19 vaccine events were organized, providing over 6,400 COVID-19 vaccines to members of the community.- Leverage technology to offer more telehealth services: As a result of COVID-19 restrictions imposed, in FY '21 NH continued offering a multitude of primary care and behavioral health telehealth services in order to provide healthcare services to its patients as well as offer a source of outreach and education during a time when many face-to-face interactions have been limited.Significant Health Need #3- Access to mental and behavioral health services:-Offer an educational series on mental health topics: NH participates in the No Wrong Door initiative, through a Van Beuren Charitable Foundation grant awarded to the Newport Prevention Coalition. "No Wrong Door" works to assure that people in need efficiently and seamlessly receive the appropriate treatment services needed. NH continues to provide Recovery Coaches from Anchor Recovery Center in its Emergency Department to support and encourage treatment for patients struggling with substance use disorders. NH has a strong partnership with the Hope Recovery Center in Middletown whereby NH actively refers substance use patients to the Center for peer support and recovery service support post-discharge from NH programs. NH also offers a Partial Hospitalization Program (PHP), one group per week, which serves to introduce and connect PHP patients to available services offered. This program is managed by the director of the Hope Recovery Center.Significant Health Need #4- Wellness programs:- Offer holistic wellness programs for residents of the service area (e.g., 5K, walking programs, yoga, Food is Medicine, etc.): NH works closely with the NPFF and its "Newport for All Ages" group to promote various wellness services and a community lecture series which emphasizes maintaining good health habits.- Continue to partner with community groups for prevention programming: The LCHI offers its "Food is MedicineX and "Health Ambassador" lecture series across the state and the Newport service area. Significant Health Need #5- Aging in Place:- Expand access to Certified Nursing Assistant and Medical Assistant training programs for residents of the service area: COVID-19 restrictions have also impacted NH's ability to work on this initiative. During FY '21 NH continued working with its Workforce Development Team to add training programs for CNAs and Medical Assistants, as well as Behavioral Health Specialist training programs in the Newport service area. - NH has joined the Age-Friendly Health Systems Initiative, a national movement to improve care for older adults. Age-Friendly Health Systems aim to follow an essential set of evidence-based practices; cause no harm; and align with what matters to the older adult and their family caregivers. Becoming an Age-Friendly Health System entails reliably providing a set of four evidence-based elements of high-quality care, known as the 4Ms, to all older adults in your system: What Matters, Medication, Mentation, and Mobility. 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 (NH, Rhode Island Hospital (RIH), The Miriam Hospital (TMH), and Emma Pendleton Bradley Hospital (EPBH)) is maintained by Lifespan Corporation and is included in Lifespan's Annual Report. The annual report for the year ended September 30, 2021 is available at the following link. https://www.lifespan.org/sites/default/files/2022-05/LS-Annual-Report-2021-22-05-26.pdfPlease see pages 5-6, 10, 30, and 38-39 of the Lifespan Annual Report for community benefit information. 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 $4,080,147. 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 83,000. 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 16,500 people. The Lifespan system has approximately 3,900 physicians on the medical staffs of its affiliated hospitals, operates 1,165 licensed beds in four hospital complexes, and in 2021 generated approximately $2.8 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, with 79 percent of the residents and fellows in this program based at RIH, TMH, and EPBH.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, 2021, Lifespan Corporation employed approximately 1,100 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 NH 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 NH 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 NH website which makes NH's CHNA report widely available is located at the following URL:https://www.lifespan.org/sites/default/files/lifespan-files/documents/centers/lifespan-community-health/9-30-2019-NH-CHNA.pdfSchedule H, Part V, Line 10a: The URL to view NH's most recently adopted CHNA implementation strategy is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/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/2021-11/FAP-eng_10-1-21-2.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 its 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 false true false false false false false true false Christopher Monteiro Dir. of Radiology 148909 14183 183 9925 27510 200710 Crista F Durand President 386471 99713 76717 81800 27765 672466 56065 Jeffrey T Gaines MD Chief Medical Officer 320527 114625 14098 43835 27798 520883 Mary A Wakefield Treas.- 6/21 730104 223806 153375 173498 19306 1300089 112130 Michael D Mason Med.Dir.-Joint Ctr 668818 600 7523 10857 3364 691162 Orla M Brandos Chief Nursing Officer 238238 43328 35187 45384 19483 381620 26056 Paul J Adler Secretary 494175 125112 99153 99723 27349 845512 63837 Paul W Parchesky Pharmacy Mgr. 134555 11779 242 8998 27682 183256 Perry J Wein Director-Op. Room 154587 13384 815 9945 1487 180218 Sarah A Nekraz Nursing Director 128431 13475 228 8642 28238 179014 Timothy J Babineau MD Trustee 1328621 768085 475306 1292096 31977 3896085 371011 Ziya L Gokaslan MD Trustee 1421018 146400 7524 17100 33106 1625148 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, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Timothy J. Babineau, MD, Lifespan President & CEO, and David A. Kirshner, Lifespan Treasurer/EVP/CFO, are board members of VNA Technicare, Inc. (VNA), a related for-profit corporation. Dr. Babineau is a director and Mr. Kirshner is an officer of VNA. Additionally, Mr. Kirshner and Paul J. Adler, Lifespan Secretary, are board members of Lifespan MSO, Inc. (MSO) and Lifespan Risk Services, Inc. (LRS), separate related for-profit organizations. Mr. Adler is a director of MSO and LRS while Mr. Kirshner is an officer of those two organizations.Lawrence A. Aubin, Sr., Chairman, and Michael L. Hanna, Trustee, are partners in the same for-profit organization. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lifespan Corporation is the sole member of NH. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body 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, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders 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, Line 11b: Form 990 Review Process The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Lifespan 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, the Director of Finance, and the Vice President of Finance - Corporate Services. 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, along with a video presentation detailing form highlights, is posted to NH's Board of Trustees website portal in advance of its next Board meeting, at which 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, Line 19: Other Organization Documents Publicly Available 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. Other Changes In Net Assets Or Fund Balances - Other Increases Change in funded status of pension plan = $7264654 Other Changes In Net Assets Or Fund Balances - Other Increases Change in interest in net assets of NHF = $17040972 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to Newport Hospital Foundation = -$500000 Form 990, Part III, Line 4a NH received 2021 Gold Plus national recognition from the American Heart Association/American Stroke Association for adhering to the high standards of the "Get With The Guidelines" program. NH first received the Magnet designation from the American Nurses Credentialing Center (ANCC) in 2004. Of more than 5,000 hospitals in the United States, approximately 4 percent have achieved Magnet status. Standards for Magnet status are rigorous and include not only outstanding patient care but also best practices in nursing, management philosophy, national standards for quality improvement, leadership by the chief nursing officer, nurse education levels, and professional models of care. The Magnet process is continuous; the ANCC redesignated NH as a Magnet hospital in 2009, 2014, and 2019.The Noreen Stonor Drexel Birthing Center at NH has received the prestigious Baby Friendly designation from the World Health Organization and UNICEF. NH is recognized for providing an optimal environment for the promotion, protection, and support of breastfeeding. Hospitals are awarded this status only when trained, independent evaluators have determined that all hospital practices meet the rigorous Baby Friendly standards.The American Heart Association/American Stroke Association presented NH, a primary stroke center, with a Get With The Guidelines - Gold Plus award in 2022 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.In the Spring of 2021 NH earned its eighth consecutive 'A' grade for safety from Leapfrog, while also being named one of their 2020 top hospitals in the country. It was one of 29 hospitals in the country and the only hospital in Rhode Island to make the list. Afer almost two years of preparation, 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.NH was selected as a Guardian of Excellence Award recipient for the quality of its inpatient rehabilitation. Deemed to be in the 95th percentile or above by the awarding group, Press Ganey Associates, NH recently expanded its rehabilitation capacity with the creation of a physiatry service line and the addition of two physiatrists. The new staff work closely with NHs Vanderbilt Rehabilitation Center staff, providing medical support, enhanced services, and continuum of care after discharge. Other significant accreditations earned by NH include: certification as a Primary Stroke Center by the Joint Commission on Accreditation of Healthcare Organizations, certification by The American College of Radiology as a Breast Imaging Center of Excellence, and 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 has developed formal and informal educational affiliations with the University of Rhode Island College of Nursing; Community College of Rhode Island; Salve Regina University; and the University of Massachusetts-Dartmouth, pursuant to which their nursing students obtain clinical training and experience at NH, which does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.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 $540,866 in fiscal 2021. Charges forgone, based on established rates, amounted to approximately $4,724,000 in fiscal 2021.NH substantially subsidized various health services including adult psychiatry, obstetrics, Vanderbilt Rehabilitation Center, and certain other specialty services at a net cost of $1,956,904 in fiscal 2021.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 $402,656 in fiscal 2021.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: *Lawrence A. Aubin, Sr., Chair, is the owner of Lawrence Investments, LLC, with which Lifespan entered into a ten-year operating lease of certain health care facilities in July 2015. During fiscal year 2021, Lifespan paid rent to Lawrence Investments, LLC under the terms of this lease. Terms of the rent expense related to this lease have been established at fair market value. 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 Council 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 produced audited financial statements as of and for the year ended September 30, 2021. Additionally, it was included in Newport Health Care Corporation's audited combined financial statements as well as Lifespan Corporation's audited consolidated financial statements, 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. Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Families Reaching Into Each New Day Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050504841 Bereavement Services for Children RI 501(c)(3) 7 Gateway Healthcare Inc false Gateway Healthcare Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050309043 Subst. Abuse & Psych. Health Care Svcs RI 501(c)(3) 10 Lifespan Corporation false Hospital Properties Inc 167 Point Street Providence RI 02903 222869743 Property Management RI 501(c)(4) N/A Lifespan Corporation false JM Apartments Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050435537 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Lifespan Corporation 167 Point Street Providence RI 02903 222861978 Holding Company/ Mgmnt Services RI 501(c)(3) 12(II) N/A false Lifespan Foundation 167 Point Street Providence RI 02903 050493219 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Lifespan of Massachusetts Inc 45 Baker Street 2nd Floor Providence RI 02905 043408517 Holding Company MA 501(c)(3) 12(I) Lifespan Corporation false Lifespan Physician Group Inc 167 Point Street Providence RI 02903 050389801 Physician Health Care Services RI 501(c)(3) 10 Lifespan Corporation false Lifespan School Solutions Inc 140 Broadway Providence RI 02903 464910847 Educational Services RI 501(c)(3) 2 Emma Pendleton Bradley Hospital false LJR Corporation 1 Virginia Avenue Suite 200 Providence RI 02905 030508346 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Mill River Community Housing Corporation 1 Virginia Avenue Suite 200 Providence RI 02905 050427152 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Newport Health Care Corporation 11 Friendship Street Newport RI 02840 222535537 Holding Company/ Mgmnt Services RI 501(c)(3) 7 Lifespan Corporation false Newport Health Property Management Inc 11 Friendship Street Newport RI 02840 222335539 Property Management RI 501(c)(3) 12(I) Newport Health Care Corporation false Newport Hospital Foundation Inc 11 Friendship Street Newport RI 02840 222535533 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false NHCC Medical Associates Inc 11 Friendship Street Newport RI 02840 050472268 Health Care Services RI 501(c)(3) 10 Lifespan Corporation false Obed Apartments Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050422771 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Pathways Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050393004 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Rhode Island Hospital 593 Eddy Street Providence RI 02903 050258954 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Rhode Island Hospital Foundation 167 Point Street Providence RI 02903 050468736 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false RIH Ventures 593 Eddy Street Providence RI 02903 050448686 Parking Facilities/Phlebotomy Services RI 501(c)(3) 10 Lifespan Corporation false Shore Courts Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050504003 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false The Autism Project 1516 Atwood Avenue Johnston RI 02919 050512037 Services for Children with Autism RI 501(c)(3) 10 Gateway Healthcare Inc false The Miriam Hospital 164 Summit Avenue Providence RI 02906 050258905 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false The Miriam Hospital Foundation 167 Point Street Providence RI 02903 050377502 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false TLR Realty 1 Virginia Avenue Suite 200 Providence RI 02905 043742771 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Wentworth Corporation 1 Virginia Avenue Suite 200 Providence RI 02905 050488520 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Westerly Courts Inc 1 Virginia Avenue Suite 200 Providence RI 02905 611439766 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Coastal Medical Physicians Inc 10 Davol Square Providence RI 02903 844944884 Physician Health Care Services RI 501(c)(3) 10 Lifespan Corporation false RI Sound Enterprises Insurance Co Ltd 65 Front Street Hamilton HM BD 12 Offshore Insurance Captive BD N/A N/A Lifespan Corporation false Lifespan Health Alliance LLC 167 Point Street Providence RI 02903 812732225 Accountable Care Org. RI N/A false false Lifespan MSO Inc 167 Point Street Providence RI 02903 050508717 Mgmnt Svcs RI Lifespan Corp C corp false Lifespan Risk Services Inc 167 Point Street Providence RI 02903 050459767 Risk Mgmnt RI Lifespan Corp C corp false VNA Technicare Inc 200 Corliss Street Providence RI 02904 050472710 DME Sales RI The Miriam Hospital C corp false false false true false true false false false false true true true true true true true false true false