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NEWPORT HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
NEWPORT HOSPITAL (EIN 05-0258914)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-14
IRS object ID
201732269349300618
Schema version
2015v3.0
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)
Return2017-08-14T07:13:15-07:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12 Financial Center 60 South StAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050258914EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Newport HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNEWPBusinessNameControlTxt
Phone4018466400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Friendship StreetAddressLine1Txt
CityNewportCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02840ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMary A WakefieldPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2017-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTara D'AgostinoPreparerPersonNm
PTINP01245482PTIN
Phone6179881000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCrista F DurandPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Friendship StreetAddressLine1Txt
CityNewportCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02840ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$166,052,444GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lifespan.org/newport/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1873FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionAs a member hospital in the Lifespan health system, Newport Hospital (NH) is committed to its mission: Delivering health with care.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee942TotalEmployeeCnt
Total Volunteers200TotalVolunteersCnt
Total Gross UBI$135,952TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$2,316NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,817,112PYContributionsGrantsAmt
CY Contributions Grants$2,427,468CYContributionsGrantsAmt
PY Program Service Revenue$98,569,263PYProgramServiceRevenueAmt
CY Program Service Revenue$103,757,603CYProgramServiceRevenueAmt
PY Investment Income$3,469,861PYInvestmentIncomeAmt
CY Investment Income$777,797CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$110,856,236PYTotalRevenueAmt
CY Total Revenue$106,962,868CYTotalRevenueAmt
PY Grants And Similar Paid$54,300PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$44,713CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$53,114,806PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$55,052,210CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$52,581,954PYOtherExpensesAmt
CY Other Expenses$54,955,776CYOtherExpensesAmt
PY Total Expenses$105,751,060PYTotalExpensesAmt
CY Total Expenses$110,052,699CYTotalExpensesAmt
PY Revenues Less Expenses$5,105,176PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,089,831CYRevenuesLessExpensesAmt
Total Assets BOY$308,039,967TotalAssetsBOYAmt
Total Assets EOY$300,724,229TotalAssetsEOYAmt
Total Liabilities BOY$52,785,269TotalLiabilitiesBOYAmt
Total Liabilities EOY$55,487,317TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$255,254,698NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$245,236,912NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAs a member hospital in the Lifespan health system, NH is committed to its mission: Delivering health with care.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$39,636,116ExpenseAmt
Revenue$46,212,300RevenueAmt
DescDuring the fiscal year ended September 30, 2016, NH reported 22,403 inpatient days, 4,714 discharges, 445 newborn deliveries, and 1,049 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)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$38,539,173ExpenseAmt
Revenue$54,254,008RevenueAmt
DescNH provides certain healthcare services on an outpatient basis. In fiscal year 2016, NH experienced outpatient volume of 44,267 equivalent outpatient days and performed 4,503 outpatient surgeries. Outpatient services are also provided in NH's Emergency Department, which had 31,632 patient visits in fiscal 2016. (See Schedule O, Part III, Line 4b)Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,617,120ExpenseAmt
Revenue$3,291,295RevenueAmt
DescThe Noreen Stonor Drexel Birthing Center (the Center) at NH delivered 445 newborns during the fiscal year ended September 30, 2016. 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 post-partum care. The Center's staff includes board-certified obstetricians, pediatricians, family practitioners, anesthesiologists, a certified nurse mid-wife, 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$82,792,409TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
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 ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document62IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee942EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
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
Phone4014447914PhoneNum

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 (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Thomas Anders MD
Trustee0.002.00Yes (X)$0$0$0
Lawrence Aubin Sr
Chair0.000.00Yes (X)$0$0$0Yes (X)
Timothy J Babineau MD
Trustee1.0039.00Yes (X)$0$1,627,372$355,993
Emanuel Barrows
Trustee0.402.00Yes (X)$0$0$0
Roger Begin
Trustee0.004.00Yes (X)$0$0$0
Peter Capodilupo
Trustee0.000.00Yes (X)$0$0$0
Jonathan D Fain
Trustee0.000.95Yes (X)$0$0$0
Edward D Feldstein
Trustee0.506.00Yes (X)$0$0$0
David Gorelick MD
Trustee0.000.00Yes (X)$0$0$0
Michael L Hanna
Trustee0.753.50Yes (X)$0$0$0
Pamela Harrop MD
Trustee1.008.00Yes (X)$0$0$0
Marie J Langlois
Trustee0.003.00Yes (X)$0$0$0
Alan H Litwin
Vice Chair0.505.50Yes (X)$0$0$0Yes (X)
Joseph MarcAurele
Trustee0.006.00Yes (X)$0$0$0
Steven Pare
Trustee2.5012.50Yes (X)$0$0$0
Lloyd Robertson
Trustee0.000.00Yes (X)$0$0$0
Lawrence Sadwin
Trustee0.009.25Yes (X)$0$0$0
Fred Schiffman MD
Treasurer0.004.00Yes (X)$0$0$0
Shivan Subramaniam
Trustee0.004.00Yes (X)$0$0$0
Jane Williams MD
Trustee0.004.00Yes (X)$0$0$0
Brian J Zink MD
Trustee0.502.50Yes (X)$0$1,000$0
Paul J Adler
Secretary0.003.50$0$286,328$57,747Yes (X)
Kenneth E Arnold
Secty thru 5/161.0039.00$0$610,563$41,004Yes (X)
Crista F Durand
President35.005.00$0$356,377$73,212Yes (X)
Mary A Wakefield
Treasurer1.2538.75$0$799,484$142,023Yes (X)
Thomas McGue MD
Chief Medical Officer40.000.00$260,484$0$30,873Yes (X)
Denise Sullivan
Chief Nursing Officer40.000.00$163,897$0$27,059Yes (X)
Nicholas P Coogan
Lead Nuclear Tech40.000.00$118,522$0$29,005Yes (X)
Bartholomew L Grimes
Admin. Director40.000.00$167,588$0$0Yes (X)
Pamela Crocker
Dir.-Facility Svcs40.000.00$115,416$0$9,095Yes (X)
Marielen Maguire
Lead Sonographer40.000.00$116,472$0$16,013Yes (X)
Pamela McLaughlin
Dir.-Patient Exp.40.000.00$115,711$0$30,963Yes (X)
Frank Byrne
VP of Finance0.0040.00$0$251,328$49,961Yes (X)
Todd A Cipriani
VP of Professional Svcs0.0040.00$0$247,072$52,275Yes (X)
Terrence McWilliams
Chief Medical Officer0.000.00$107,742$0$1,296Yes (X)
Arthur J Sampson
President0.0040.00$0$499,739$32,614Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,165,832TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,679,263TotReportableCompRltdOrgAmt
Total Other Compensation$949,133TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K40IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
APG Security Services
171 Service AvenueWarwickRI02886Security Services$756,705
Univ Emergency Medicine Fdtn
125 Whipple StProvidenceRI02908Medical Services$716,990
Sodexho Inc & Affiliates
PO Box 360170PittsburghPA15251Food Services$648,163
Ringo LLC
445 Broadhollow RoadMelvilleNY11747Staffing Services$488,647
Siemens Medical Solutions USA Inc
PO Box 120001DallasTX75312Billing Support$319,769
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Related Organizations$1,665,604RelatedOrganizationsAmt
Government Grants$45,000GovernmentGrantsAmt
All Other Contributions$716,864AllOtherContributionsAmt
Noncash Contributions$73,229NoncashContributionsAmt
Total Contributions$2,427,468TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Ancillary OP Service Rev.622110$54,107,838$54,107,838
Cafe./Misc Pharm. sales622110$10,218$10,218
Inpatient Service Revenue622110$46,212,300$46,212,300
Lifespan Laboratory621150$135,952$135,952
Obstetrics - Birthing Ctr622110$3,291,295$3,291,295
FieldValueIRS element (for citing)
Total Program Service Revenue$103,757,603TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,515,202TotalRevenueColumnAmt
Exclusion$1,515,202ExclusionAmt

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$58,352,171SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$58,544,127SecuritiesAmt
Other$545,449OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$191,956SecuritiesAmt
Other-$545,449OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$737,405TotalRevenueColumnAmt
Exclusion-$737,405ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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$106,962,868TotalRevenueColumnAmt
Related Or Exempt Func Income$103,621,651RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$135,952UnrelatedBusinessRevenueAmt
Exclusion$777,797ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$44,713TotalAmt
Program Services$44,713ProgramServicesAmt

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$510,259TotalAmt
Program Services$510,259ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$41,757,739TotalAmt
Program Services$37,208,904ProgramServicesAmt
Management And General$4,548,835ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,319,162TotalAmt
Program Services$2,071,317ProgramServicesAmt
Management And General$247,845ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,526,772TotalAmt
Program Services$6,726,447ProgramServicesAmt
Management And General$800,325ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,938,278TotalAmt
Program Services$2,626,198ProgramServicesAmt
Management And General$312,080ManagementAndGeneralAmt

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$541,773TotalAmt
Management And General$541,773ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,514,385TotalAmt
Program Services$3,514,385ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$166,768TotalAmt
Program Services$166,768ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$99,156TotalAmt
Program Services$84,283ProgramServicesAmt
Management And General$14,873ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,742,931TotalAmt
Program Services$5,731,491ProgramServicesAmt
Management And General$1,011,440ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$31,570TotalAmt
Program Services$29,360ProgramServicesAmt
Management And General$2,210ManagementAndGeneralAmt

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$593,651TotalAmt
Management And General$593,651ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,619,227TotalAmt
Management And General$6,619,227ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,508,205TotalAmt
Program Services$1,281,974ProgramServicesAmt
Management And General$226,231ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased services$14,110,328$1,902,619$12,207,709
Medical & surgical supplies$10,794,245$10,792,778$1,467
State license fee$5,337,654$5,337,654
Provision for bad debts$4,138,971$4,138,971

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$756,912TotalAmt
Program Services$624,288ProgramServicesAmt
Management And General$132,624ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$110,052,699TotalAmt
Program Services$82,792,409ProgramServicesAmt
Management And General$27,260,290ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,312,790BOYAmt
EOY$5,047,824EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,940,036BOYAmt
EOY$9,394,422EOYAmt

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)
BOY$1,520,440BOYAmt
EOY$1,478,443EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$533,712BOYAmt
EOY$542,991EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$175,508,334LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$115,027,264LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$61,148,635BOYAmt
EOY$60,481,070EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$52,309,929BOYAmt
EOY$55,397,653EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$29,315,853BOYAmt
EOY$26,926,103EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,330,893BOYAmt
EOY$1,330,893EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$148,627,679BOYAmt
EOY$140,124,830EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$308,039,967BOYAmt
EOY$300,724,229EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,932,110BOYAmt
EOY$8,146,857EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,096,723BOYAmt
EOY$17,970,723EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,756,436BOYAmt
EOY$29,369,737EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,785,269BOYAmt
EOY$55,487,317EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$186,753,778BOYAmt
EOY$175,042,100EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$57,733,228BOYAmt
EOY$59,362,816EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,767,692BOYAmt
EOY$10,831,996EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$255,254,698BOYAmt
EOY$245,236,912EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$308,039,967BOYAmt
EOY$300,724,229EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,089,831ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,297,321NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$9,225,276OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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$84,279,294BeginningYearBalanceAmt
Contributions$1,734,227ContributionsAmt
Investment Earnings Or Losses$3,083,962InvestmentEarningsOrLossesAmt
Other Expenditures$3,411,566OtherExpendituresAmt
End Year Balance$85,685,917EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$88,297,544BeginningYearBalanceAmt
Contributions$677,962ContributionsAmt
Investment Earnings Or Losses-$2,508,607InvestmentEarningsOrLossesAmt
Other Expenditures$2,187,605OtherExpendituresAmt
End Year Balance$84,279,294EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$85,114,869BeginningYearBalanceAmt
Contributions$1,040,214ContributionsAmt
Investment Earnings Or Losses$4,555,691InvestmentEarningsOrLossesAmt
Other Expenditures$2,413,230OtherExpendituresAmt
End Year Balance$88,297,544EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$82,940,259BeginningYearBalanceAmt
Contributions$740,577ContributionsAmt
Investment Earnings Or Losses$3,772,004InvestmentEarningsOrLossesAmt
Other Expenditures$2,337,971OtherExpendituresAmt
End Year Balance$85,114,869EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$79,227,445BeginningYearBalanceAmt
Contributions$1,852,434ContributionsAmt
Investment Earnings Or Losses$7,437,381InvestmentEarningsOrLossesAmt
Other Expenditures$5,577,001OtherExpendituresAmt
End Year Balance$82,940,259EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.17920BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.12640PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.69440TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,406,761OtherCostOrOtherBasisAmt
Book Value$1,406,761BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$102,164,474OtherCostOrOtherBasisAmt
Depreciation$61,826,757DepreciationAmt
Book Value$40,337,717BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,147,603OtherCostOrOtherBasisAmt
Depreciation$1,111,585DepreciationAmt
Book Value$36,018BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,789,496OtherCostOrOtherBasisAmt
Depreciation$52,088,922DepreciationAmt
Book Value$18,700,574BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$60,481,070TotalBookValueLandBuildingsAmt
Total Book Value Securities$26,926,103TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Cash and short-term investments$2,149,122
Deferred financing costs & other assets$141,977
Intercorporate financing$8,495,301
Interest in Net Assets of NH Foundation$127,972,424
Other Receivables$152,967
Outside trusts$1,213,039
FieldValueIRS element (for citing)
Total Book Value Other Assets$140,124,830TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Accrued Pension Liability$24,991,000
Accrued Post Retirement Liab$651,600
Health care benefit self-insurance$879,331
Note Payable to Affiliate$1,992,494
Third-party liabilities$855,312
FieldValueIRS element (for citing)
Total Liability$29,369,737TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$93,638,284TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,297,321NetUnrealizedGainsInvstAmt
Other Revenue-$10,941,161OtherRevenueAmt
Revenue Not Reported-$8,643,840RevenueNotReportedAmt
Revenue Subtotal$102,282,124RevenueSubtotalAmt
Investment Expenses Not Incld$541,773InvestmentExpensesNotIncldAmt
Other Revenues Not Included$4,138,971OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$4,680,744RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$106,962,868TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$105,371,955TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$105,371,955ExpensesSubtotalAmt
Investment Expenses Not Incld2$541,773InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$4,138,971OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,680,744ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$110,052,699TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.Newport Hospital's (NH's) endowment funds were established for a variety of purposes, including both donor-restricted endowment funds and funds designated by NH to function as endowments. NH's largest permanently restricted endowment funds 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 physician practices. 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 NH's Birthing Center.
Part X : FIN48 FootnoteNH, as a not-for-profit corporation, is recognized under Section 501(c)(3) of the Internal Revenue 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 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 during the fiscal year ended September 30, 2016.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SProvision for bad debts $4138971
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SProvision for bad debts $4138971

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,020,312TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,162,663DirectOffsettingRevenueAmt
Net Community Benefit Expns$857,649NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,636,803TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,352,020DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,284,783NetCommunityBenefitExpnsAmt
Total Expense0.04990TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,657,115TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,514,683DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,142,432NetCommunityBenefitExpnsAmt
Total Expense0.05800TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$257,556TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,009DirectOffsettingRevenueAmt
Net Community Benefit Expns$240,547NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,056,930TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,587,982DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,468,948NetCommunityBenefitExpnsAmt
Total Expense0.03280TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,817TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$57,817NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,372,303TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,604,991DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,767,312NetCommunityBenefitExpnsAmt
Total Expense0.03560TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,029,418TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,119,674DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,909,744NetCommunityBenefitExpnsAmt
Total Expense0.09360TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,235,483BadDebtExpenseAmt
Bad Debt Expense Attributable$63,518BadDebtExpenseAttributableAmt
Reimbursed By Medicare$21,131,453ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$24,902,207CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,770,754MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Newport HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Friendship StreetAddressLine1Txt
CityNewportCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02840ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Newport HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLPlease refer to Schedule OOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLPlease refer to Schedule O supplemental info for full URL.StrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.0000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLPlease refer to Schedule OFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLPlease refer to Schedule OFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLPlease refer to Schedule OFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection ActivitiesYes (true)CollectionActivitiesInd
Other ActionsYes (X)OtherActionsInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the CommunityThe CHNA encompassed intensive data collection and analysis, as well as qualitative research in the forms 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) 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 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 community 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 interest 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 AssessmentRhode Island HospitalThe Miriam HospitalEmma Pendleton Bradley Hospital
Part V, Line 7d - Description of Making Needs Assessment Widely AvailableA 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 16i - Other Means Hospital Facility Publicized the PolicyAn 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 18d - Other Collection Actions Against a PatientOnce an account balance or a portion thereof is classified as self-pay, it is placed with NH's pre-collect company until the balance is paid in full, a monthly payment plan is in place, or insurance information is provided for billing.After 120 days, if there is no payment activity, the account qualifies for bad debt and the pre-collect company returns the account to Patient Financial Services, which in turn forwards it to a collection agency.The collection agency sends 3 to 5 notices to the patient requesting payment. If there are no responses after the notices are sent, collection calls are made. If there is no response after 120 days, the account is reviewed for legal action in the appropriate court.If there are no assets to pursue, the collection agency deems the account uncollectible and returns it to Patient Financial Services for write-off.Note: In accordance with Center for Medicare and Medicaid Services mandates, Medicare patient accounts are held 130 days from last payment, after which if there has been no activity, the account is referred to collection.
Part V, Line 19d - Other Actions Took Before Any Collection ActionsNH engages third parties to perform certain collection actions on its behalf. A pre-collect company is used for all self-pay accounts. Additionally, a collection agency is used if there is no payment activity on such accounts after 120 days. The collection process is explained in further detail in the response to Question 18d above.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Portsmouth Imaging Center
69 Turnpike AvenuePortsmouthRI02871Diagnostic Imaging Services
Newport Hospital Medical Imaging
345 Valley RoadMiddletownRI02842Diagnostic Imaging Services

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. Under Section 501(r)(5), the maximum amounts that can be charged to Financial Assistance Program (FAP)-eligible individuals for emergency or other medically necessary care are the amounts generally billed to individuals who have Medicare insurance covering such care. In no case was there a situation where an uninsured patient paid more than amounts reimbursed from Medicare.5. Eligibility for CFS above the discount is provided for those applicants whose family gross income is at or below twice the Federal Poverty Guidelines, with a sliding scale for individuals up to three times the poverty level in effect at the time of application. Full charity care applicants with assets worth more than $9,400 for an individual (or $14,100 for a family) may not qualify for care without charge, but will qualify for discounted care. While the maximum 100% discount may not be available to all charity care applicants based on the results of their asset test, all uninsured patients who receive care are eligible for, at a minimum, the same charity care discount as provided by the Medicare program. 6. For patients who qualify for less than 100% of the financial assistance program, a payment schedule is determined and agreed upon (discussed further below). Payment arrangements are established prior to services for non-urgent care. 7. In either case, the final results of the financial screening are recorded in the comments section of NH's billing system.Requests for Payment Arrangements:Patient Financial Advocates (PFA) will qualify patients that are receiving non-urgent, medically indicated procedures prior to services. The PFA will request 75% to 100% of estimated discounted charges if the balance is under $5,000 and 50% to 100% of estimated discounted charges if the estimated bill equals or exceeds $5,000.For elective or non-urgent cases, the policy will require financial clearance prior to services or an exception from the Medical Director based on the clinical circumstances if the patient cannot meet the above payment agreement.Patients who do not qualify for total or partial CFS, but who have difficulty in paying their bills after services are rendered, may request enrollment in a payment plan. Eligibility for the payment plan includes the following guidelines:1. Immediate payment in full will result in financial hardship to the patient or the patient's family.2. Deposit of one-half of the estimated total bill is requested prior to admission.3. The minimum monthly payment of $50.00.4. The maximum length of the payment plan is twenty-four months.The Customer Service staff will set up the payment plan using the above guidelines as well as complete the necessary information on the "Payment Agreement" form and mail to the patient for signature. Account documentation will be done online. The pre-collect agency will be sent a copy of the Payment Agreement and all forms will be scanned into the PFS Optical Imaging System.
Part I, Line 6a - Related Organization Community Benefit ReportThe community benefit report maintained for all Lifespan affiliated hospitals (The Miriam Hospital, Rhode Island Hospital, Emma Pendleton Bradley Hospital, and Newport Hospital) is maintained by Lifespan Corporation and included in Lifespan's annual report. The annual report for the year ended September 30, 2016 is available at the following link. https://issuu.com/lifespanmc/docs/lifespan_2016_annual_report?e=28083767/49287282Please see pages 22-23 for community benefit information.
Part I, Line 7 - Explanation of Costing MethodologyNH'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 applies 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 ExpenseThe 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 bad debt expense of $4,138,971.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseThe 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 BenefitAccounts 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 ExpenseAccounts receivable are reduced by an allowance for doubtful accounts. In evaluating the ability to collect accounts receivable, NH analyzes its past 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 increased from 71% of self-pay accounts receivable at September 30, 2015 to 84% of self-pay accounts receivable at September 30, 2016. NH's self-pay writeoffs for the years ended September 30, 2016 and 2015 amounted to approximately $3,611,000 and $4,889,000, respectively. NH did not change its charity care or uninsured discount policies during the years ended September 30, 2016 and 2015, respectively.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitMedicare 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 PatientsNH 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 co-payments, deductibles, and amounts denied by insurers. After all collection attempts are exhausted, any remaining balances, including any co-payments 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 co-payments 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 - Needs AssessmentNH 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 employee 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 - Patient Education of Eligibility for AssistanceNH 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 a summary of the financial assistance policy, along with all assistance applications and the Patient Financial Services contact number to all self-pay patients. The same process is also used for patients seen during the outpatient discharge process. Attempts are made to contact patients prior to their visit to screen for financial assistance and to inform them what documents are required for their financial assistance determination or to set up an appointment to see a "Patient Financial Advocate" (PFA) prior to service. 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 that received by Medicare beneficiaries. 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 - Community InformationNH 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 formally named Voluntary Hospitals of America, Inc., which has partnered with UHC Alliance NewCo, Inc. to become Vizient, Inc. Vizient, Inc. is the largest member-owned health care company in the United States.
Part VI - Community Building ActivitiesNH 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 full-time physician with a nonprofit practice, a local mentoring program, and a program to identify middle school children who require help. In addition, NH has partnered with a local philanthropist to form a committee to oversee a grant 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 - Explanation Of How Organization Furthers Its Exempt PurposeNH is governed by a Board of Trustees, which is composed of community members who are elected by Lifespan Corporation. NH's vision is to work collaboratively with physicians, our 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 - Affilated Health Care System Roles and PromotionLifespan'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 14,000 people. The Lifespan system has approximately 2,400 physicians on the medical staffs of its affiliated hospitals, operates 1,155 licensed beds in four hospital complexes, and in 2016 generated approximately $2.0 billion in total operating revenue. By each of these measures, Lifespan is Rhode Island's largest health system, serving a population of over 1.5 million. Three of its hospital members, Rhode Island Hospital (RIH), TMH, and Emma Pendleton Bradley Hospital (EPBH), are teaching affiliates of The Warren Alpert Medical School of Brown University, with 69 percent of the residents and fellows in this program based at RIH, The Miriam Hospital (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, 2016, Lifespan Corporation employed approximately 990 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, telecommunications, 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, develop, negotiate, and approve all managed care agreements, develop affiliations with other institutions for educational and research purposes, and approve human resource plans, executive compensation, and benefits for system affiliates. The bylaws of the Hospital confer certain reserved powers on Lifespan to provide it with the means of effective oversight, coordination and support of the system. Powers reserved to Lifespan as sole member include: to elect and remove trustees; to approve the election of and to remove certain officers; to approve the 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.For a complete listing of affiliated members of Lifespan's integrated healthcare delivery system, please refer to Schedule R.
Part VI - States Where Community Benefit Report FiledRI

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 Line1Rhode Island HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Recipient EIN050258904RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$44,713CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantPhilanthropic Program ServicesPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceAdditional Supplemental InformationFormAndLineReferenceDesc
ExplanationNH is committed to community programs and provides support to various charitable organizations in Rhode Island. Donations are made to organizations recognized by the IRS as being described in IRC Section 501(c)(3). All contributions are approved by management and are made to organizations whose missions and goals align with those of NH.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Arthur J Sampson
President$416,654$83,085$15,900$16,714$532,353
Bartholomew L Grimes
Admin. Director$167,588$167,588$167,588
Crista F Durand
President$338,507$17,870$52,505$20,707$429,589
Denise Sullivan
Chief Nursing Officer$9,947$190,956$153,950$18,649$8,410
Frank Byrne
VP of Finance$226,344$24,984$29,254$20,707$301,289$18,426
Kenneth E Arnold
Secty thru 5/16$507,389$103,174$23,250$17,754$651,567
Mary A Wakefield
Treasurer$683,686$115,798$125,469$16,554$941,507$84,972
Paul J Adler
Secretary$251,646$34,682$36,440$21,307$344,075
Terrence McWilliams
Chief Medical Officer$105,720$109,038$105,720$2,022$1,296
Thomas McGue MD
Chief Medical Officer$11,180$291,357$249,304$30,849$24
Timothy J Babineau MD
Trustee$1,202,478$424,894$332,557$23,436$1,983,365$85,364
Todd A Cipriani
VP of Professional Svcs$211,296$35,776$34,849$17,426$299,347$21,253

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.Tax Indemnification and Gross-up Payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan 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 III, Additional InformationIncluded in the Schedule J, Part II, Line (B)(iii) calendar year 2015 compensation for Timothy J. Babineau, MD, President & Chief Executive Officer, was a retention payment of $250,000 (earned during the transition to a new Lifespan CEO) made by Lifespan Corporation to Dr. Babineau in his capacity as President & CEO of the Lifespan health system.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1RIHEBC Series 2014BusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521300173BondIssuerEIN
Bond Issued2014-11-05BondIssuedDt
Issue Price$20,390,000IssuePriceAmt
PurposeSee Schedule K, Part VIPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,916,937RetiredAmt
Total Proceeds$20,887,660TotalProceedsAmt
Issuance Costs From Proceeds$154,665IssuanceCostsFromProceedsAmt
Other Spent Proceeds$20,732,995OtherSpentProceedsAmt
Substantial Completion2014SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationSchedule K, Part I, Line A, Column (f) - The proceeds of the Series 2014 Bonds are being used for the purposes of the full redemption of Newport Hospital's 1999 Series 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 interest expense of $497,660 outstanding on the 1999 Bonds. This balance was incorporated into the 2014 bond issue proceeds. Schedule K, Part IV, Line 2b- No arbitrage calculation is required because the 2014 bond issue meets the 6-month spending exception.Schedule K, Part V:Because the proceeds of the 2014 bond issuance were used solely for the purpose of retirement and redemption of Newport Hospital's 1999 Series Bonds, Newport Hospital does not have in place written post-issuance tax compliance procedures for tax-exempt obligations but is in the process of putting one in place. Newport Hospital did not use the funds from this 2014 private placement bond issue to fund any other projects associated with Newport Hospital or any of its other affiliates.ExplanationTxt

Schedule M IRS990ScheduleM

Real Estate Residential RealEstateResidentialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$73,229NoncashContributionsRptF990Amt
Method Of Determining RevenuesNet Book ValueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtTimothy J. Babineau, MD, Trustee, and Mary A. Wakefield, Treasurer, 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), a separate related for-profit organization. Mr. Adler is a director and Ms. Wakefield is an officer of MSO.Lawrence Aubin, Chairman, and Shivan Subramaniam, Trustee, are Directors of Citizens Bank.
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderLifespan Corporation is the sole corporate member of NH.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyEffective 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 to remove certain officers.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe 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 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, 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 Director of Finance, 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, are posted to NH's Board of Directors 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 AvailableLifespan, 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 DecreasesChange in Funded Status of Pension Plan = -$4816900
Other Changes In Net Assets Or Fund Balances - Other DecreasesDecrease in Net Assets of NHF = -$6079552
Other Changes In Net Assets Or Fund Balances - Other IncreasesTransfer From Newport Health Property Management = $1671176
Form 990, Part III, Line 4aNH first received the Magnet designation from the American Nurses Credentialing Center (ANCC) in 2004. Of more than 5,000 hospitals in the United States, only about 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; Magnet once again redesignated NH 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.NH was tied for first place, with The Miriam Hospital, in the U.S News & World Report's best regional hospitals ranking, the only two hospitals in Rhode Island to make the list.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. 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 is offered to all other uninsured patients equal to the Medicare program. NH determines the cost 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 $857,649 in fiscal 2016. Charges forgone, based on established rates, amounted to approximately $4,797,000.NH substantially subsidized various health services including adult psychiatry, Vanderbilt Rehabilitation, and obstetrics at a net cost of $3,468,948 in fiscal year 2016.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 $240,547 in fiscal year 2016.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 4bOutpatient 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. NH substantially subsidizes various health services including adult psychiatry, Vanderbilt Rehabilitation, occupational health, and certain other specialty services.
Form 990, Part VI, Section A, Line 1b:*Lawrence A. Aubin, 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 2016, Lifespan paid rent to Lawrence Investments, LLC under the terms of this lease.*Edward Feldstein, Director, is a partner in Roberts, Carroll, Feldstein, andPeirce, a law firm that provides legal services to Lifespan Risk Services, Inc. onbehalf of various Lifespan affiliates.*The spouse of Pamela Harrop, Trustee, is employed as a cardiologist by TMH. *Brian J. Zink, MD, Trustee, received taxable tuition reimbursement from RIH.
Form 990, Part VI, Section B, Line 12cLifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including Newport Hospital, 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 bThe following applies to Lifespan and all of its affiliates, including Newport Hospital: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 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 and affiliate 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. The independent consultants are not engaged by management to perform any services for Lifespan without prior approval by the Committee.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, 2016. 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.
Schedule 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.pdf
Schedule 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
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-resources

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 entries)

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Alternative Living Concepts
249 Roosevelt AvenuePawtucketRI02860050442015Housing for Elderly and Mentally IllRI501(c)(3)9Gateway Healthcare Incfalse
Bayberry Courts Inc
249 Roosevelt AvenuePawtucketRI02860204590384Housing for Elderly and Mentally IllRI501(c)(3)9Gateway Healthcare Incfalse
Bradley Hospital Foundation
167 Point StreetProvidenceRI02903050500688Philanthropic ActivitiesRI501(c)(3)7Lifespan Corporationfalse
Capital City Community Centers Inc
249 Roosevelt AvenuePawtucketRI02860050259090Daycare 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
249 Roosevelt AvenuePawtucketRI02860050504841Bereavement Services for ChildrenRI501(c)(3)7Gateway Healthcare Incfalse
Gateway Foundation
249 Roosevelt AvenuePawtucketRI02860464002163Philanthropic ActivitiesRI501(c)(3)7Lifespan Corporationfalse
Gateway Healthcare Inc
249 Roosevelt AvenuePawtucketRI02860050309043Subst. Abuse & Psych. Health Care SvcsRI501(c)(3)9Lifespan Corporationfalse
Hospital Properties Inc
167 Point StreetProvidenceRI02903222869743Property ManagementRI501(c)(4)N/ALifespan Corporationfalse
Human Services Realty Inc
249 Roosevelt AvenuePawtucketRI02860050398161Housing for Elderly and Mentally IllRI501(c)(2)N/AGateway Healthcare Incfalse
JM Apartments Inc
249 Roosevelt AvenuePawtucketRI02860050435537Housing for Elderly and Mentally IllRI501(c)(3)9Gateway Healthcare Incfalse
Lifespan Corporation
167 Point StreetProvidenceRI02903222861978Holding Company/ Mgmnt ServicesRI501(c)(3)11falseN/A
Lifespan Diversified Services Inc
167 Point StreetProvidenceRI02903050258935Holding Company/ Mgmnt ServicesRI501(c)(3)9Lifespan Corporationfalse
Lifespan Foundation
167 Point StreetProvidenceRI02903050493219Philanthropic ActivitiesRI501(c)(3)7Lifespan Corporationfalse
Lifespan of Massachusetts Inc
c/o Archstone Law 245 Winter StWalthamMA02451043408517Holding CompanyMA501(c)(3)11Lifespan Corporationfalse
Lifespan Physician Group Inc
167 Point StreetProvidenceRI02903050389801Health Care ServicesRI501(c)(3)9Lifespan Corporationfalse
Lifespan School Solutions Inc
225 Chapman StreetProvidenceRI02905464910847Educational ServicesRI501(c)(3)2Emma Pendleton Bradley Hospitalfalse
LJR Corporation
249 Roosevelt AvenuePawtucketRI02860030508346Housing for Elderly and Mentally IllRI501(c)(3)9Gateway Healthcare Incfalse
Mill River Community Housing Corporation
249 Roosevelt AvenuePawtucketRI02860050427152Housing for Elderly and Mentally IllRI501(c)(3)9Gateway 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)11Newport Health Care Corporationfalse
Newport Hospital Foundation Inc
11 Friendship StreetNewportRI02840222535533Philanthropic ActivitiesRI501(c)(3)7Lifespan Corporationfalse
NHCC Medical Associates Inc
11 Friendship StreetNewportRI02840050472268Health Care ServicesRI501(c)(3)9Lifespan Corporationfalse
Obed Apartments Inc
249 Roosevelt AvenuePawtucketRI02860050422771Housing for Elderly and Mentally IllRI501(c)(3)9Gateway Healthcare Incfalse
Pathways Inc
249 Roosevelt AvenuePawtucketRI02860050393004Housing for Elderly and Mentally IllRI501(c)(3)9Gateway 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)9Lifespan Corporationfalse
Shore Courts Inc
249 Roosevelt AvenuePawtucketRI02860050504003Housing for Elderly and Mentally IllRI501(c)(3)9Gateway Healthcare Incfalse
The Autism Project
1516 Atwood AvenueJohnstonRI02919050512037Services for Children with AutismRI501(c)(3)9Gateway Healthcare Incfalse
The Miriam Hospital
164 Summit AvenueProvidenceRI02906050258905Health Care ServicesRI501(c)(3)3Lifespan Corporationfalse
The Miriam Hospital Foundation
167 Point StreetProvidenceRI02903050377502Philanthropic ActivitiesAL501(c)(3)7Lifespan Corporationfalse
TLR Realty
249 Roosevelt AvenuePawtucketRI02860043742771Housing for Elderly and Mentally IllRI501(c)(3)9Gateway Healthcare Incfalse
Wentworth Corporation
249 Roosevelt AvenuePawtucketRI02860050488520Housing for Elderly and Mentally IllRI501(c)(3)9Gateway Healthcare Incfalse
Westerly Courts Inc
249 Roosevelt AvenuePawtucketRI02860611439766Housing for Elderly and Mentally IllRI501(c)(3)9Gateway Healthcare Incfalse
JRR Housing
249 Roosevelt AvenuePawtucketRI02860263121266Housing for Elderly and Mentally IllRI501(c)(3)9Gateway Healthcare Incfalse
RI Sound Enterprises Insurance Co Ltd
Offshore Insurance CaptiveN/AN/ALifespan Corporationfalse65 Front StreetHamiltonHMBD12BD

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

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Lifespan MSO Inc
167 Point StreetProvidenceRI02903050508717Mgmnt SvcsRILifespan CorpC corpfalse
Lifespan Risk Services Inc
167 Point StreetProvidenceRI02903050459767Risk MgmntRILifespan CorpC corpfalse
VNA Technicare Inc
622 George Washington HighwayLincolnRI02865050472710DME SalesRILDS IncC corpfalse
Gateway Professional Group Inc
249 Roosevelt AvenuePawtucketRI02860050498391PsychotherapyRIGateway HealthcareC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd