2019-08-15T05:44:13-07:00 2018-09-30 135565207 KPMG LLP 2 Financial Center 60 South St Boston MA 02111 990 2017-10-01 050258914 Newport Hospital NEWP 4018466400 11 Friendship Street Newport RI 02840 Mary A Wakefield Treasurer 2019-08-15 true Tara D'Agostino P01245482 6179881000 2017 2019-02-21 02:37:17Z Crista F Durand 11 Friendship Street Newport RI 02840 195050699 false 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. 15 12 956 244 159906 4799601 4416497 110290571 116019885 5318538 4363716 216526 215523 120625236 125015621 67872 2885 0 57877208 58918576 0 0 54227335 58481099 112172415 117402560 8452821 7613061 314268132 315400939 50849857 44563398 263418275 270837541 X As a member hospital in the Lifespan health system, NH is committed to its mission: Delivering health with care. false false 43664188 51579096 During the fiscal year ended September 30, 2018, NH reported 24,731 inpatient days, 5,055 discharges, 503 newborn deliveries, and 1,190 inpatient surgeries. NH provides a range of diagnostic therapeutic healthcare services including: behavioral medicine, cardiac services, childbirth, orthopedics, and pulmonary medicine. (See Schedule O, Part III, Line 4a) 41564802 2885 60029767 NH provides certain healthcare services on an outpatient basis. In fiscal year 2018, NH experienced outpatient volume of 47,677 equivalent outpatient days and performed 4,833 outpatient surgeries. Outpatient services are also provided in NH's Emergency Department, which had 32,741 patient visits in fiscal 2018. (See Schedule O, Part III, Line 4b) 4685707 4411022 The Noreen Stonor Drexel Birthing Center (the Center) at NH delivered 503 newborns during the fiscal year ended September 30, 2018. 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. 89914697 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 66 0 true 956 true true true false false false false false false 0 false false false false false false false false false false X 15 12 true false false false true true true true true false false true true true true true true true true false RI X Mary A Wakefield 4014447914 593 Eddy Street Providence RI 02903 X Lawrence A Aubin Sr Chair 1.00 29.00 X X 0 0 0 Timothy J Babineau MD Trustee 1.00 39.00 X 0 2217856 527817 Emanuel Barrows Trustee 0.50 2.50 X 0 0 0 Roger N Begin Trustee 0.50 9.50 X 0 0 0 Peter Capodilupo Vice Chair 2.00 7.00 X X 0 0 0 Jonathan D Fain Trustee 0.08 0.92 X 0 0 0 Edward D Feldstein Esq Trustee 1.00 12.00 X 0 0 0 Michael L Hanna Trustee 0.75 4.85 X 0 0 0 Pamela Harrop MD Trustee 0.25 7.75 X 0 35000 0 Alan H Litwin Vice Chair 0.50 9.50 X X 0 0 0 Joseph J MarcAurele Trustee 0.25 4.00 X 0 0 0 Steven Pare Trustee 2.00 10.50 X 0 0 0 Lawrence B Sadwin Trustee 0.25 13.50 X 0 0 0 Shivan Subramaniam Trustee 0.25 5.25 X 0 0 0 Jane Williams MD Trustee 0.10 5.30 X 0 0 0 Brian J Zink MD Trustee-12/17 1.00 27.50 X 0 0 0 Paul J Adler Secretary 1.00 39.00 X 0 532564 99156 Crista F Durand President 6.00 35.00 X 0 460193 84141 Mary A Wakefield Treasurer 1.25 38.75 X 0 1022911 282563 Orla M Brandos Chief Nursing Officer 40.00 0.00 X 268914 0 52606 Thomas E McGue MD Chief Medical Officer 40.00 0.00 X 368474 0 5514 Regina M Dublin Mgr.-Nurs. Resrcs. 40.00 0.00 X 130913 0 32090 Pamela McLaughlin Dir.-Patient Exper 40.00 0.00 X 127327 0 33121 Christopher J Monteiro Mgr.-Diag. Imaging 40.00 0.00 X 139214 0 28585 Paul W Parchesky Pharmacy Mgr. 40.00 0.00 X 130675 0 26460 Perry J Wein Director-Op. Room 40.00 0.00 X 155048 0 3631 Frank J Byrne Director of Finance 0.00 40.00 X 0 318339 59128 Arthur J Sampson President 0.00 40.00 X 0 641102 34406 Denise A Sullivan Fmr. Chief Nursing Officer 40.00 0.00 X 117781 0 0 1438346 5227965 1269218 39 true true false APG Security Services 171 Service Avenue Warwick RI 02886 Security Services 776980 Ringo LLC 445 Broadhollow Road Melville NY 11747 Staffing Services 744854 Michael Mason DO 24 Brown Howard Wharf 304 Newport RI 02840 Medical Services 310411 Siemens Medical Solutions USA Inc PO Box 120001 Dallas TX 753120733 Medical Services 288440 Aquidneck Radiologists Inc 11 Friendship Street Newport RI 02840 Medical Services 287500 13 4382236 17625 16636 4416497 Ancillary OP Service Rev. 622110 60021633 60021633 Cafe./Misc Pharm. sales 622110 15123 15123 Inpatient Service Revenue 622110 51572107 51572107 Obstetrics - Birthing Ctr 622110 4411022 4411022 116019885 1292862 1292862 0 0 0 73105932 70035078 3070854 3070854 3070854 0 0 0 Auxiliary 900099 25392 25392 Lab Services 621500 159906 159906 Medical Staff Association 900099 30225 30225 215523 125015621 116019885 159906 4419333 2885 2885 0 0 0 691941 691941 0 45695048 40893384 4801664 1606328 1439437 166891 7745930 6952377 793553 3179329 2854306 325023 0 0 0 0 0 562715 562715 4383737 4383737 151092 151092 83873 71292 12581 0 0 7750525 6587946 1162579 45664 42468 3196 0 0 504452 504452 0 7149564 7149564 2053866 1745786 308080 Purchased services 13759196 2244741 11514455 Medical & surgical supplies 12007708 12002973 4735 License fee 5580361 5580361 Provision for bad debts 3432500 3432500 1015846 837471 178375 117402560 89914697 27487863 0 6549720 7946224 0 0 9065841 9385526 0 0 0 1611990 1850633 553633 432914 183899290 122515307 58520178 61383983 64049460 64243956 27904262 31375968 0 1330893 1330893 144682155 137450842 314268132 315400939 7272161 9676942 16811723 15617723 26765973 19268733 50849857 44563398 X 182177428 185172938 70244058 74607722 10996789 11056881 263418275 270837541 314268132 315400939 X 7613061 130544 -324339 X X false true X true false X 95218917 4632042 3873778 5610299 98114438 85685917 4807335 7710459 2984794 95218917 84279294 1734227 3083962 3411566 85685917 88297544 677962 -2508607 2187605 84279294 85114869 1040214 4555691 2413230 88297544 0.16270 0.11270 0.72460 true true true 1406761 1406761 105640307 65174893 40465414 1196192 1126857 69335 75656030 56213557 19442473 61383983 31375968 Cash and short-term investments 1161607 Deferred financing costs & other assets 116460 Intercorporate financing 6549937 Interest in Net Assets of NH Foundation 127644220 Outside trusts 1332907 Third-party Payor Settlements 645711 137450842 Accrued Pension Liability 16493700 Accrued Postretirement Liability 576000 Health care benefit self-insurance 668547 Note Payable to Affiliate 675174 Third-party Payor Liabilities 855312 19268733 X 120826611 130544 -324339 -193795 121020406 562715 3432500 3995215 125015621 113407345 113407345 562715 3432500 3995215 117402560 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 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 the early design stage of NH's Emergency Department renovations, which began during the fiscal year ended September 30, 2018. 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 2018 or 2017. Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Provision for bad debts $3432500 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Provision for bad debts $3432500 true true true X true X true true true false true true 2072701 1484673 588028 0.00520 23214222 19645276 3568946 0.03130 25286923 21129949 4156974 0.03650 311792 16186 295606 0.00260 14990179 12908586 2081593 0.01830 56320 56320 0.00050 15358291 12924772 2433519 0.02140 40645214 34054721 6590493 0.05790 true 927462 163080 22274343 24647447 -2373104 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 16 true true false true X Please refer to Schedule O X X true 16 true Please refer to Schedule O supplemental info for full URL. false false true X 200.0000 300.0000 X X X X X X true true X X X X true X Please refer to Schedule O X Please refer to Schedule O X Please refer to Schedule O X X X X X X X true false X X X X true X false false Part V, Line 3j - Description of Other Needs Assessment Part V, Line 3e- The significant needs identified in NH's 9/30/2016 CHNA have been prioritized in order of significant needs of the community, as determined by the organization. Part V, Line 5 - Account Input from Persons Who Represent the Community The CHNA encompassed intensive data collection and analysis, as well as qualitative research in the form of interviews with internal and external stakeholders, including hospital-based physicians, nurses, social workers, administrators, and other professionals, as well as community-based stakeholders representing constituencies served by NH and Lifespans three other hospitals. NH also conducted six Community Health Forums (CHFs) between April-June 2016 which are a qualitative social science data collection method used in community-based or participatory action research. These CHFs were held strategically throughout various locations identified within NH's patient population community as a way to increase the mix of the participants in an effort to identify the entire community's most significant health needs. The CHFs were open to the public and provided opportunities for residents to share their health concerns and needs with Lifespan staff. NHs leadership team shaped the CHNA by recommending institutional and community leaders for participation, offering observations about community needs, and providing insight about existing and planned programs.Qualitative data collected during the course of 2015-2016 related to the preparation of the CHNA consist of: (1) interviews completed with internal stakeholders (i.e., hospital-based and Lifespan-based); (2) interviews with key informant community leaders, representing an array of constituencies; and (3) six Community Health Forums held within the communities of the NH patient population.Interviews with leaders of organizations encompassed a wide range of issues and populations, including historically underserved communities, such as minority populations, children and youth, and immigrant/refugee populations, and also included leaders of organizations with specific interests or expertise in key issues such as obesity, cancer, and asthma. To ensure representation from a broad cross-section of the community, CHF's were held in the following locations:- Pell Elementary School, located at 35 Dexter Street, Newport, RI 02840;- Newport County YMCA, located at 792 Valley Road, Middletown, RI 02842;- Edward King House, a full service senior center located at 35 King Street, Newport, RI 02840; - Common Fence Point Community Hall, located at 933 Anthony Road, Portsmouth, RI 02871;- Middletown Fire Department, located at 239 Wyatt Road, Middletown, RI 02842; and- Community College of Rhode Island, located at 1 John H. Chafee Boulevard, Newport, RI 02840. Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment Rhode Island HospitalThe Miriam HospitalEmma Pendleton Bradley Hospital Part V, Line 7d - Description of Making Needs Assessment Widely Available A copy of the Community Health Needs Assessment report issued for NH as of September 30, 2016 can be obtained by visiting: https://www.lifespan.org/sites/default/files/lifespan-files/documents/centers/lifespan-community-health/Newport-Hospital-2016-CHNA.pdf Part V, Line 16j - Other Means Hospital Facility Publicized the Policy 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. Part V, Line 22d - Other Billing Determination of Individuals Without Insurance NH uses the prospective method in determining amounts generally billed. Internal Revenue Code Section 501(r) defines the prospective method as the amount that Medicare would reimburse NH for billed care (including both the amount that would be reimbursed by Medicare and the amount that the beneficiary would be personally responsible for paying in the form of co-payments, co-insurance, and deductibles) if the patient was a Medicare fee-for-service beneficiary. 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 the Hospital'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 maintained for all Lifespan affiliated hospitals (Newport Hospital, The Miriam Hospital, Rhode Island Hospital, and Emma Pendleton Bradley Hospital) is maintained by Lifespan Corporation and included in Lifespan's annual report. The annual report for the year ended September 30, 2018 is available at the following link. https://issuu.com/lifespanmc/docs/2018-annual-report-final-190419?e=28083767/69263174Please see pages 5 and 23-24 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 contributions for community benefit are made 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 $3,432,500. 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 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 Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, NH analyzes its history and identifies its revenue trends for each of its major payors to estimate the appropriate allowance for doubtful accounts and the associated provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, NH analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which include both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), NH records a significant allowance for doubtful accounts and provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates, if applicable) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.NH's allowance for doubtful accounts for self-pay patients decreased from 81% of self-pay accounts receivable at September 30, 2017 to 63% of self-pay accounts receivable at September 30, 2018. NH's self-pay write-offs for the years ended September 30, 2018 and 2017 amounted to approximately $3,946,000 and $5,904,000, respectively. NH did not change its charity care or uninsured discount policies during the years ended September 30, 2018 and 2017. 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 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. Newport Hospital 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, the Hospital's importance to the community cannot be overstated. Newport Hospital 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 the Hospital 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 RI 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. PFA's discuss with patients the various government programs that might be available to them for financial assistance. PFA's 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 100,000. 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 the formerly-named Voluntary Hospitals of America, Inc., which has partnered with UHC Alliance NewCo, Inc. to become Vizient, Inc., the largest member-owned health care company in the United States. Part VI, Line 4 - Community Building Activities NH connects with the community in several ways, both within the Hospital 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 the Hospital 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, the Newport Partnership for Families, a local mentoring program, and a program to identify middle school children who require help. 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 composed 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 15,000 people. The Lifespan system has approximately 3,500 physicians on the medical staffs of its affiliated hospitals, operates 1,165 licensed beds in four hospital complexes, and in 2018 generated approximately $2.3 billion in total operating revenue. By each of these measures, Lifespan is Rhode Island's largest health system, serving a population of over 1.0 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 76 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, 2018, Lifespan Corporation employed approximately 1,020 full-time and part-time personnel, most of whom are located in Providence, RI. 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 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 the hospital's CHNA report widely available is located at the following URL:https://www.lifespan.org/centers-services/lifespan-community-health-institute/community-health-reports-and-resourcesSchedule H, Part V, Line 10a: The URL to view NH's most recently adopted implementation strategy is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/centers/lifespan-community-health/Newport-Hospital-2016-CHNA.pdfPlease refer to page 16 of the CHNA to view the implementation strategy.Schedule H, Part V, Line 16b: The URL to view and download NH's FAP application form is below:https://www.lifespan.org/uploadedFiles/Lifespan/Content/Patient_Financial_Services/Lifespan-FAF-ENG.pdfSchedule H, Part V, Line 16c: The URL to view NH's plain language summary of the FAP is below:https://www.lifespan.org/sites/default/files/lifespan-files/documents/lifespan-main/pfs/Lifespan-Financial-Assistance-Summary.pdf X true true X X X X X true true false false false false false true false false Arthur J Sampson President 425373 127000 88729 16200 18206 675508 Christopher J Monteiro Mgr.-Diag. Imaging 128479 10343 392 5766 22819 167799 Crista F Durand President 338596 83000 38597 61697 22444 544334 20199 Denise A Sullivan Fmr. Chief Nursing Officer 117781 117781 27165 Frank J Byrne Director of Finance 240060 47000 31279 36721 22407 377467 23099 Mary A Wakefield Treasurer 684712 209000 129199 264493 18070 1305474 97769 Orla M Brandos Chief Nursing Officer 218064 43600 7250 30205 22401 321520 Pamela McLaughlin Dir.-Patient Exper 116610 9597 1120 8016 25105 160448 Paul J Adler Secretary 384397 95000 53167 74695 24461 631720 1533 Paul W Parchesky Pharmacy Mgr. 120842 9700 133 4063 22397 157135 Perry J Wein Director-Op. Room 143477 11097 474 3091 540 158679 Regina M Dublin Mgr.-Nurs. Resrcs. 120554 9615 744 8183 23907 163003 Thomas E McGue MD Chief Medical Officer 274766 53200 40508 5400 114 373988 Timothy J Babineau MD Trustee 1261691 600490 355675 501925 25892 2745673 267558 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, President & CEO, and Mary A. Wakefield, Treasurer/EVP/CFO, are board members of VNA Technicare, Inc. (VNA), a related for-profit corporation. Dr. Babineau is a director and Ms. Wakefield is an officer of VNA. Additionally, Ms. Wakefield and Paul J. Adler, 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 Ms. Wakefield is an officer of those two organizations.Lawrence A. Aubin, Sr., Chair, and Shivan Subramaniam, Trustee, are Directors of the same for-profit organization. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lifespan Corporation is the sole corporate 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 Rhode Island Hospital, The Miriam Hospital, Newport Health Care Corporation, NH, and Emma Pendleton Bradley Hospital approved a restructuring of their 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 of and 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 Executive Vice President & Chief Financial Officer (EVP/CFO) and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP (KPMG). The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit and reviewed by the Corporate Services Tax Compliance Manager, the Vice President of Finance - Newport Hospital, and the Vice President of Finance - Corporate Services. The Form 990 is forwarded to KPMG for further review. KPMG provides the Tax Compliance Manager with any recommended changes which are reviewed, and if agreed upon, are incorporated into the return. 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 = $3558500 Other Changes In Net Assets Or Fund Balances - Other Decreases Decrease in Interest in Net Assets of NHF = -$3882839 Form 990, Part I, Line 7b: The amount reported on Part I, Line 7b includes certain fringe benefit expenses subject to unrelated business taxable income under IRC Section 512(A)(7). Such amounts are not considered revenue, and therefore, are not reported as such on Form 990, Part VIII. Form 990, Part III, Line 4a 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 again redesignated NH as a Magnet hospital in 2009 and 2014.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.During 2018, NH, RIH, and TMH all received an "A" in the national Leapfrog Hospital Safety Grade ratings from The Leapfrog Group. Lifespan was the only health system in Rhode Island to earn the top score at each of its eligible hospitals.In 2017, NH was the only community hospital in Rhode Island to be recognized as a high performer in two clinical areas chronic obstructive pulmonary disease (COPD) and heart failure by U.S. News & World Report in its 2017 Best Regional Hospitals rankings. Additionally, NH received The Joint Commission Gold Seal of Approval for health care quality and safety. NH was selected as a Guardian of Excellence Award recipient for the quality of its inpatient rehabilitation. Deemed to be in the top 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 up to three times the poverty level. 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 $588,028 in fiscal 2018. Charges forgone, based on established rates, amounted to approximately $5,456,000.NH substantially subsidized various health services including adult psychiatry, Vanderbilt Rehabilitation, and obstetrics at a net cost of $2,081,593 in fiscal year 2018.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 $295,606 in fiscal year 2018.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, 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 the hospital'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 2018, Lifespan paid rent to Lawrence Investments, LLC under the terms of this lease. 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. 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, 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 audited 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, 2018. 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. 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