STRATEGY STUDIO / PUBLIC DATA EXPLORER

BRADLEY HOSPITAL FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BRADLEY HOSPITAL FOUNDATION (EIN 05-0500688)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-13
IRS object ID
202102259349302220
Schema version
2019v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-13T11:46:22-07:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050500688EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bradley Hospital FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBRADBusinessNameControlTxt
Phone4014446500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1167 Point StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMary A WakefieldPersonNm
Person TitleEVP & CFOPersonTitleTxt
Signature2021-08-13SignatureDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHenry T Sachs MDPrincipalOfficerNm
Gross Receipts$2,487,405GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lifespan.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTo engage in philanthropic activities to support the mission and purposes of Emma Pendleton Bradley Hospital (EPBH), which are delivering health with care.ActivityOrMissionDesc
Voting Members Governing Body26VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers170TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,459,853PYContributionsGrantsAmt
CY Contributions Grants$1,989,494CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$41,973PYInvestmentIncomeAmt
CY Investment Income$66,420CYInvestmentIncomeAmt
PY Other Revenue$54,898PYOtherRevenueAmt
CY Other Revenue$19,000CYOtherRevenueAmt
PY Total Revenue$1,556,724PYTotalRevenueAmt
CY Total Revenue$2,074,914CYTotalRevenueAmt
PY Grants And Similar Paid$1,110,323PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,995,810CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$310,849CYTotalFundraisingExpenseAmt
PY Other Expenses$337,402PYOtherExpensesAmt
CY Other Expenses$320,083CYOtherExpensesAmt
PY Total Expenses$1,447,725PYTotalExpensesAmt
CY Total Expenses$2,315,893CYTotalExpensesAmt
PY Revenues Less Expenses$108,999PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$240,979CYRevenuesLessExpensesAmt
Total Assets BOY$1,405,271TotalAssetsBOYAmt
Total Assets EOY$1,044,570TotalAssetsEOYAmt
Total Liabilities BOY$17,909TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,129TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,387,362NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,037,441NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo be operated exclusively for charitable, scientific, and educational purposes, and, more specifically, for the purpose of supporting and otherwise benefiting and being responsive to the needs of Lifespan Corporation and its affiliates. (see Schedule O)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,085,482ExpenseAmt
Grant$1,085,482GrantAmt
DescThrough the development and administration of its philanthropic activities, Bradley Hospital Foundation (the Foundation) is able to transfer various funds raised to EPBH to support its operating activities, which in turn benefit the Rhode Island community. In fiscal year 2020, the most notable operating activities of EPBH that the Foundation supported included: (1) the COVID Relief Fund to support the expansion and creation of one unified statewide behavioral health COVID-19 crisis hotline/triage service for children and youth; and (2) the Obsessive-Compulsive Disorder (OCD) Intensive Program and the Pediatric Anxiety Research Center. Please see Schedule O of Form 990 for further detail related to EPBH programs which the Foundation supported during the fiscal year.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$593,168ExpenseAmt
Grant$593,168GrantAmt
DescDuring fiscal year 2020, the Foundation transferred $593,168 in funds raised to EPBH to revitalize and improve usability of EPBH's nearly 60-year-old gymnasium from top to bottom, giving inpatients the appropriate space they need to play, while also offering space for staff training during off-hours. These major improvements will ensure that the secure gymnasium remains a space for both therapeutic activities and childlike fun for the years ahead, while contributing to EPBH's legacy of educating the next generation of children's behavioral health clinicians.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$317,160ExpenseAmt
Grant$317,160GrantAmt
DescDuring fiscal year 2020, the Foundation transferred $317,160 in funds raised to EPBH to support renovations of the interior and exterior of the main entrance area of the Laufer Building on EPBH's campus in East Providence, Rhode Island.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,995,810TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members26GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMary A WakefieldPersonNm
Phone4014447093PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Mary A Wakefield
EVP & CFO0.5039.50Yes (X)$0$870,016$242,111
Daniel J Wall
Trustee2.000.00$0$477,324$206,820Yes (X)
Henry T Sachs III MD
President3.0037.00Yes (X)$0$367,919$80,333
Angela C Anderson MD
Trustee0.2040.00$0$195,242$14,761Yes (X)
Thomas F Anders MD
Trustee0.500.10$0$0$0Yes (X)
Richard R Beretta Esq
Trustee1.000.00$0$0$0Yes (X)
Elizabeth G Brito
Trustee2.000.00$0$0$0Yes (X)
David A Brown
Trustee0.500.00$0$0$0Yes (X)
Christine H Carr
Trustee0.750.00$0$0$0Yes (X)
Lynne Barry Dolan
Trustee0.500.00$0$0$0Yes (X)
Joseph L Dowling Jr MD
Trustee1.000.00$0$0$0Yes (X)
Gregory K Fritz MD
Trustee0.500.00$0$0$0Yes (X)
Donald P Galamaga
Trustee- 11/192.000.00$0$0$0Yes (X)
Rick Granoff
Trustee0.000.00$0$0$0Yes (X)
Jeffrey Hirsh
Trustee1.500.00$0$0$0Yes (X)
Diane M Hunter
Trustee2.500.00$0$0$0Yes (X)
Mehdi Khosrovani
Trustee0.250.00$0$0$0Yes (X)
Kelly Lambrese
Trustee0.000.00$0$0$0Yes (X)
Anthony J Landi Jr
Trustee0.000.00$0$0$0Yes (X)
Michelle Levy
Trustee1.000.00$0$0$0Yes (X)
Cynthia Lynch
Trustee- 11/190.250.00$0$0$0Yes (X)
Jozy A Mainelli
Trustee0.250.25$0$0$0Yes (X)
Robert Mancini
Trustee- 2/201.001.00$0$0$0Yes (X)
Stephen O Meredith
Trustee1.000.00$0$0$0Yes (X)
Stacie T Norris
Secretary2.000.00Yes (X)$0$0$0Yes (X)
Tricia S O'Neil
Trustee- 2/200.000.00$0$0$0Yes (X)
Steven Pare
Trustee2.0010.00$0$0$0Yes (X)
Marc Perlman
Trustee1.000.00$0$0$0Yes (X)
Carol A Peterson
Vice Chair2.000.00Yes (X)$0$0$0Yes (X)
Joseph S Ruggiero Sr
Trustee0.000.00$0$0$0Yes (X)
Lawrence B Sadwin
Chair3.509.20Yes (X)$0$0$0Yes (X)
William E Tracey
Trustee0.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$1,910,501TotReportableCompRltdOrgAmt
Total Other Compensation$544,025TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$313,721FundraisingAmt
All Other Contributions$1,675,773AllOtherContributionsAmt
Noncash Contributions$28,298NoncashContributionsAmt
Total Contributions$1,989,494TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,898TotalRevenueColumnAmt
Exclusion$6,898ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$472,013SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$412,491SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$59,522SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,522TotalRevenueColumnAmt
Exclusion$59,522ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$19,000FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$313,721ContriRptFundraisingEventAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,000TotalRevenueColumnAmt
Exclusion$19,000ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,074,914TotalRevenueColumnAmt
Exclusion$85,420ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,995,810TotalAmt
Program Services$1,995,810ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$767TotalAmt
Fundraising$767FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
Svcs purchased from Lifespan$309,523$309,523
Bank Charges$6,714$559$6,155
Other expenses$3,079$3,079

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,315,893TotalAmt
Program Services$1,995,810ProgramServicesAmt
Management And General$9,234ManagementAndGeneralAmt
Fundraising$310,849FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,301BOYAmt
EOY$17,455EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$279,598BOYAmt
EOY$40,976EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$55BOYAmt
EOY$11,850EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$731,431BOYAmt
EOY$599,700EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$270,990BOYAmt
EOY$263,805EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$115,896BOYAmt
EOY$110,784EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,405,271BOYAmt
EOY$1,044,570EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,909BOYAmt
EOY$7,129EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,909BOYAmt
EOY$7,129EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$822,535BOYAmt
EOY$950,370EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$564,827BOYAmt
EOY$87,071EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,387,362BOYAmt
EOY$1,037,441EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,405,271BOYAmt
EOY$1,044,570EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$240,979ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$43,664NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$152,606OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,135,423CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,898,072CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,015,953CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,459,853CurrentTaxYearMinus1YearAmt
Current Tax Year$1,989,494CurrentTaxYearAmt
Total$9,498,795TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,135,423CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,898,072CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,015,953CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,459,853CurrentTaxYearMinus1YearAmt
Current Tax Year$1,989,494CurrentTaxYearAmt
Total$9,498,795TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,128,668SubstantialContributorsTotAmt
Public Support Total170$7,370,127PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,958CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,019CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,937CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,501CurrentTaxYearMinus1YearAmt
Current Tax Year$6,898CurrentTaxYearAmt
Total$25,313TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$173,925CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$146,941CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$165,080CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$240,974CurrentTaxYearMinus1YearAmt
Current Tax Year$19,000CurrentTaxYearAmt
Total$745,920TotalAmt
FieldValueIRS element (for citing)
Total Support$10,270,028TotalSupportAmt
Public Support CY1700.71760PublicSupportCY170Pct
Public Support PY1700.70420PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,002,421BeginningYearBalanceAmt
Contributions$2,099,691ContributionsAmt
Investment Earnings Or Losses$110,083InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,995,810GrantsOrScholarshipsAmt
Other Expenditures$351,361OtherExpendituresAmt
Administrative Expenses$1,519AdministrativeExpensesAmt
End Year Balance$863,505EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$651,163BeginningYearBalanceAmt
Contributions$1,937,607ContributionsAmt
Investment Earnings Or Losses$25,715InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,110,323GrantsOrScholarshipsAmt
Other Expenditures$495,569OtherExpendituresAmt
Administrative Expenses$6,172AdministrativeExpensesAmt
End Year Balance$1,002,421EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$689,788BeginningYearBalanceAmt
Contributions$2,635,650ContributionsAmt
Investment Earnings Or Losses$51,386InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,071,338GrantsOrScholarshipsAmt
Other Expenditures$645,520OtherExpendituresAmt
Administrative Expenses$8,803AdministrativeExpensesAmt
End Year Balance$651,163EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$399,398BeginningYearBalanceAmt
Contributions$1,763,969ContributionsAmt
Investment Earnings Or Losses$47,124InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,179,197GrantsOrScholarshipsAmt
Other Expenditures$338,787OtherExpendituresAmt
Administrative Expenses$2,719AdministrativeExpensesAmt
End Year Balance$689,788EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$295,015BeginningYearBalanceAmt
Contributions$1,528,437ContributionsAmt
Investment Earnings Or Losses$8,119InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,037,014GrantsOrScholarshipsAmt
Other Expenditures$384,625OtherExpendituresAmt
Administrative Expenses$10,534AdministrativeExpensesAmt
End Year Balance$399,398EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.93880BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY0.06120TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd
Total Book Value Securities$263,805TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Charitable Remainder Trust$104,946
Due from Affiliates$5,838
FieldValueIRS element (for citing)
Total Book Value Other Assets$110,784TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.Bradley Hospital Foundation's (the Foundation) endowment funds have been established for a variety of purposes, including both donor-restricted funds and funds designated by the Foundation to function as endowments. The largest temporarily restricted funds held by the Foundation are to be used to support EPBH's: (1) renovation of the interior and exterior of the main entrance area of EPBH's Laufer Building; (2) Center for Autism and Developmental Disabilities; and (3) Healing Arts Program.
Part X : FIN48 FootnoteThe Foundation 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.The Foundation 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. The Foundation did not recognize the effect of any income tax positions in either 2020 or 2019.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Bravo Bradley GalaEvent1Nm
Gross Receipts Event1$332,721GrossReceiptsEvent1Amt
Charitable Contri Event1$313,721CharitableContriEvent1Amt
Gross Revenue Event1$19,000GrossRevenueEvent1Amt
Gross Receipts Total$332,721GrossReceiptsTotalAmt
Charitable Contributions Tot$313,721CharitableContributionsTotAmt
Gross Revenue Total Events$19,000GrossRevenueTotalEventsAmt
Net Income Summary$19,000NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Emma Pendleton Bradley HospBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 Veterans Memorial PkwyAddressLine1Txt
CityEast ProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02915ZIPCd
FieldValueIRS element (for citing)
Recipient EIN050258806RecipientEIN
Cash Grant$1,995,810CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantPhilanthropyPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationBradley Hospital Foundation (the Foundation) engages in philanthropic activities to support the mission and purposes of Emma Pendleton Bradley Hospital (EPBH), a related 501(c)(3) organization. During the fiscal year ended September 30, 2020, the Foundation made temporarily restricted net asset transfers to EPBH amounting to $1,995,810 to be spent by EPBH in support of certain building and equipment additions and specified clinical programs. A master database of EPBH's temporarily restricted funds is maintained as the primary source for identifying each fund's restriction, the availability of the current balance, and the authorized personnel for the respective fund. The database contains the fund's name, primary reporting department, most recent month end balance, fund purpose/restriction, and the management responsible for the fund. Expenditures (purchase requisitions, work order requisitions, check requests, and employee reimbursements) from EPBH's temporarily restricted funds must be presented to the Lifespan Finance Department for approval prior to processing. Each request is reviewed to ensure the availability of funds and that the expense/purchase is both in conformity with the fund's restriction and approved by the required levels of authorized personnel referenced in the database.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Angela C Anderson MD
Trustee$187,505$5,760$1,977$11,656$3,105$210,003
Daniel J Wall
Trustee$214,003$263,321$196,814$10,006$684,144
Henry T Sachs III MD
President$323,609$44,310$55,527$24,806$448,252$31,813
Mary A Wakefield
EVP & CFO$725,836$144,180$222,120$19,991$1,112,127$105,275

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$2,018NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$13,246NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$1,234NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Sports Package4$702FMV
Yes (X)Gift Cards6$1,275FMV
Yes (X)Massage Chair1$6,499FMV
Yes (X)Misc2$3,324FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderLifespan is the sole member of the Foundation.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe bylaws of the Foundation 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 trustees and to approve the election or removal of certain officers. At each annual meeting of the Foundation's Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of the Foundation so that it can be approved and submitted to Lifespan for ratification and election.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersLifespan 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 amendments 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 ProcessThe 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, 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 is sent to the Foundation's Board of Trustees in advance of its next Board meeting, at which the EVP/CFO discusses the highlights of the Form. 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 AvailableLifespan currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification, LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. The Foundation'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 DecreasesUncollectible pledges = -$152606
FORM 990, PART III, LINE 1:To be operated exclusively for charitable, scientific, and educational purposes, and, more specifically, for the purpose of supporting and otherwise benefiting and being responsive to the needs of Lifespan Corporation and its affiliates, in particular, Emma Pendleton Bradley Hospital, a Rhode Island non-profit hospital corporation.
FORM 990, PART III, LINE 4a:Through the development and administration of its philanthropic activities, the Foundation is able to transfer various funds raised to EPBH to support its operating activities, which in turn benefit the Rhode Island community. Major program accomplishments included in Part III, Line 4a during fiscal year 2020 are as follows: (1) $250,685 transferred to Emma Pendleton Bradley Hospital (EPBH) for its COVID-19 Relief Fund; (2) $164,226 transferred to EPBH for general purposes of the OCD Intensive Program and the Pediatric Anxiety Research Center, including equipment purchases; (3) $150,000 transferred to EPBH to support EPBH's Outpatient Clinic;(4) $110,272 transferred to EPBH's Healing Arts Program; (5) $52,492 provided to EPBH in support of the Pediatric Mood, Imaging, & NeuroDevelopment Program (PediMIND), which uses brain imaging techniques, including magnetic resonance imaging (MRI), behavioral measures, and genetic analyses to identify biological and behavioral markers (scans and tests) of psychiatric illness, including bipolar disorder, in children and adolescents; (6) $46,288 transferred to EPBH to enhance the behavioral health of Newport County by implementing a community education program; (7)$42,089 to support EPBH's Family Support Fund; and (8) $41,660 to expand the Pediatric Psychiatry Resource Network at EPBH.
FORM 990, PART VI, LINE 12c:Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including the Foundation, 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 presently not 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. This requirement shall be acknowledged as part of the annual performance evaluation process. 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, LINE 15a&b:The following applies to Lifespan and all of its affiliates, including the Foundation: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 to 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:While the Foundation did not produce an audited financial statement as of and for the fiscal year ended September 30, 2020, it was included in Lifespan Corporation's (Lifespan) audited consolidated financial statements, in which one column is used for the Foundation combined with certain related organizations. Additionally, the Foundation is included in the Lifespan Combined Foundations audited financial statements. There are no regulatory or creditor stipulations which require the preparation of a separate audited financial statement for the 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACdAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALC dba HSR
1 Virginia Avenue Suite 200ProvidenceRI02905050442015Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Bayberry Courts Inc
1 Virginia Avenue Suite 200ProvidenceRI02905204590384Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Capital City Community Centers Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050259090Daycare ServicesRI501(c)(3)7Gateway Healthcare Incfalse
Emma Pendleton Bradley Hospital
1011 Veterans Memorial ParkwayEast ProvidenceRI02915050258806Pediatric Psych. Health Care ServicesRI501(c)(3)3Lifespan Corporationfalse
Families Reaching Into Each New Day Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050504841Bereavement Services for ChildrenRI501(c)(3)7Gateway Healthcare Incfalse
Gateway Healthcare Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050309043Sub. Abuse & Psych. Health Care Svcs.RI501(c)(3)10Lifespan Corporationfalse
Hospital Properties Inc
167 Point StreetProvidenceRI02903222869743Property ManagementRI501(c)(4)N/ALifespan Corporationfalse
JM Apartments Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050435537Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Lifespan Corporation
167 Point StreetProvidenceRI02903222861978Holding Company/ Mgmnt ServicesRI501(c)(3)12 (II)falseN/A
Lifespan Foundation
167 Point StreetProvidenceRI02903050493219Philanthropic ActivitiesRI501(c)(3)7Lifespan Corporationfalse
Lifespan of Massachusetts Inc
225 Carolina Avenue Suite 100ProvidenceRI02905043408517Holding CompanyMA501(c)(3)12 (I)Lifespan Corporationfalse
Lifespan Physician Group Inc
167 Point StreetProvidenceRI02903050389801Health Care ServicesRI501(c)(3)10Lifespan Corporationfalse
Lifespan School Solutions Inc
140 BroadwayProvidenceRI02903464910847Educational ServicesRI501(c)(3)2Emma Pendleton Bradley Hospitalfalse
LJR Corporation
249 Roosevelt AvenueProvidenceRI02905030508346Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Mill River Community Housing Corporation
1 Virginia Avenue Suite 200ProvidenceRI02905050427152Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Newport Health Care Corporation
11 Friendship StreetNewportRI02840222535537Holding Company/ Mgmnt ServicesRI501(c)(3)7Lifespan Corporationfalse
Newport Health Property Management Inc
11 Friendship StreetNewportRI02840222335539Property ManagementRI501(c)(3)12 (I)Newport Health Care Corporationfalse
Newport Hospital
11 Friendship StreetNewportRI02840050258914Health Care ServicesRI501(c)(3)3Lifespan Corporationfalse
Newport Hospital Foundation Inc
11 Friendship StreetNewportRI02840222535533Philanthropic ActivitiesRI501(c)(3)7Lifespan Corporationfalse
NHCC Medical Associates Inc
11 Friendship StreetNewportRI02840050472268Health Care ServicesRI501(c)(3)10Lifespan Corporationfalse
Obed Apartments Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050422771Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Pathways Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050393004Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Rhode Island Hospital
593 Eddy StreetProvidenceRI02903050258954Health Care ServicesRI501(c)(3)3Lifespan Corporationfalse
Rhode Island Hospital Foundation
167 Point StreetProvidenceRI02903050468736Philanthropic ActivitiesRI501(c)(3)7Lifespan Corporationfalse
RIH Ventures
593 Eddy StreetProvidenceRI02903050448686Parking Facilities/Phlebotomy ServicesRI501(c)(3)10Lifespan Corporationfalse
Shore Courts Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050504003Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
The Autism Project
1516 Atwood AvenueJohnstonRI02919050512037Services for Children with AutismRI501(c)(3)10Gateway Healthcare Incfalse
The Miriam Hospital
164 Summit AvenueProvidenceRI02906050258905Health Care ServicesRI501(c)(3)3Lifespan Corporationfalse
The Miriam Hospital Foundation
167 Point StreetProvidenceRI02903050377502Philanthropic ActivitiesRI501(c)(3)7Lifespan Corporationfalse
TLR Realty
1 Virginia Avenue Suite 200ProvidenceRI02860043742771Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Wentworth Corporation
1 Virginia Avenue Suite 200ProvidenceRI02905050488520Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Westerly Courts Inc
1 Virginia Avenue Suite 200ProvidenceRI02905611439766Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
RI Sound Enterprises Insurance Co Ltd
Offshore Insurance CaptiveN/AN/ALifespan Corporationfalse65 Front StreetHamiltonBDHM 12BD

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Lifespan Health Alliance LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1167 Point StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
EIN812732225EIN
Primary ActivitiesAccount. Care Org.PrimaryActivitiesTxt
Legal Domicile StateRILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Lifespan MSO Inc
167 Point StreetProvidenceRI02903050508717Mgmnt SvcsRILifespan CorpC corpfalse
Lifespan Risk Services Inc
167 Point StreetProvidenceRI02903050459767Risk MgmntRILifespan CorpC corpfalse
VNA Technicare Inc
200 Corliss StreetProvidenceRI02904050472710DME SalesRIThe Miriam HospitalC corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd