2015-08-14T10:09:13-07:00 2014-09-30 KPMG LLP Two Financial Center 60 South St Boston MA 02111 990 2013-10-01 050258806 Emma Pendleton Bradley Hospital EMMA 4014321000 1011 Veterans Memorial Parkway East Providence RI 02915 Mary A Wakefield Treasurer 2015-08-14 true P00431862 6179881000 2013 2016-03-07 17:11:31Z Daniel J Wall 1011 Veterans Memorial Highway East Providence RI 02915 122264955 false false X www.lifespan.org X 1957 RI Emma Pendleton Bradley Hospital's mission is to provide a range of family-focused, high quality mental health care to infants, children, adolescents, and young adults with emotional disorders and/or developmental disabilities. 24 16 1199 117 0 1672031 651130 74290100 71787115 2701663 2380548 1606878 771877 80270672 75590670 8000 0 0 60484556 55327580 0 200361 19211350 21778912 79703906 77106492 566766 -1515822 129964006 121641564 42911377 40899602 87052629 80741962 X Emma Pendleton Bradley Hospital's mission is to provide a range of family-focused, high quality mental health care to infants, children, adolescents, and young adults with emotional disorders and/or developmental disabilities. false false 42915358 47922222 Inpatient treatment for children ages 2 to 18 years suffering from serious behavioral disorders and/or developmental conditions such as mental retardation or autism who are in need of stabilization, assessment, and treatment for suicidal, destructive, self-injurious, or other dangerous or aggressive behaviors.Residential treatment providing intensive, family-centered services to children with emotional and behavioral problems which prevent them from living safely at home.Partial programs provide treatment alternatives to inpatient hospitalization or traditional outpatient services for children from infancy to adolescence with serious emotional, behavioral, eating, sleeping, anxiety, or obsessive compulsive disorders, or relationship problems. 12480595 16361066 The Bradley Schools are private, municipal district-funded, day treatment programs for children and adolescents whose psychiatric and behavioral needs cannot be met in a public school setting. Bradley Schools provide special education services to school-age children and adolescents with chronic behavior disorders and additional developmental disabilities, who often present with oppositional and disruptive classroom behaviors, as well as social and life skill difficulties. 5917782 4266864 The Bradley Hasbro Children's Research Center is devoted to the study and treatment of children at risk for serious mental disorders and behavior processes that support the intergenerational transmission of illness. The research areas are broad and include: Child and Adolescent Psychiatric Disorders, Forensic & Juvenile Justice, Pediatric Behavioral Health, Biological Basis of Psychiatric Disorders, Prevention and Early Intervention, Health Services Research, Pediatric Mood, Imaging & Neurodevelopment, and Developmental Disorders Genetics Research. 3109926 4008840 64423661 true true false false false false false false false true true true true true true true true true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true true false false false true 79 0 true 1199 true false false false false false false false false 0 false false false false false false false false false false X 24 16 true false false false true true true true true false false true true true true true true true true false X Mary A Wakefield 4014447093 593 Eddy Street Providence RI 02903 X Thomas Anders MD Trustee 0.25 4.00 X 0 0 0 Sr M Therese Antone Trustee 0.25 3.50 X 0 0 0 Lawrence Aubin Sr Vice Chair 2.00 18.00 X X 0 0 0 Timothy J Babineau MD Trustee 2.00 38.00 X 0 1624647 297468 Emanuel Barrows Trustee 0.25 1.75 X 0 0 0 David A Brown Trustee 0.25 4.75 X 0 0 0 Peter Capodilupo Trustee 0.25 3.25 X 0 0 0 Ellen Collis Trustee 0.50 4.50 X 0 0 0 Michael Ehrlich MD Trustee 0.50 5.00 X 0 5059 0 Jonathan Fain Trustee 0.15 1.90 X 0 0 0 Edward D Feldstein Esq Trustee 0.50 3.00 X 0 0 0 Jason Fowler Trustee 0.00 0.00 X 0 0 0 David Gorelick MD Trustee 0.25 3.75 X 0 0 0 Michael Hanna Trustee 0.50 4.00 X 0 0 0 Pamela Harrop MD Trustee 0.75 4.75 X 0 0 0 Dayle Joseph MD Trustee 0.50 7.50 X 0 0 0 Marie J Langlois Trustee 0.25 5.75 X 0 0 0 Scott B Laurans Chairman 1.00 6.75 X X 0 0 0 Jerrold Lavine Trustee 0.00 0.00 X 0 0 0 Bertram Lederer Trustee 0.10 1.50 X 0 0 0 Alan Litwin Trustee 1.00 6.00 X 0 0 0 Stephen P Massed Trustee 1.00 6.50 X 0 0 0 Steven Pare Trustee 2.00 16.50 X 0 0 0 Lloyd Robertson Trustee 0.25 4.35 X 0 0 0 Lawrence Sadwin Trustee 1.00 12.00 X 0 0 0 Fred Schiffman MD Trustee 0.25 3.25 X 0 0 0 Hon Bruce Selya Trustee 0.50 4.50 X 0 0 0 Shivan Subramaniam Trustee 0.75 7.75 X 0 0 0 Brian Zink MD Trustee 0.25 2.25 X 0 1000 0 Kenneth E Arnold Secretary 2.00 38.00 X 0 572947 30441 Mary A Wakefield Treasurer 2.50 37.50 X 0 674066 376632 Daniel J Wall President 30.00 10.00 X 0 367506 32149 Rowland P Barrett MD Physician 40.00 0.00 X 240925 0 197858 Vareen O'Keefe Domaleski Chief Nursing Officer 40.00 0.00 X 201007 0 22201 Dale F Radka MD Physician 40.00 0.00 X 284462 0 37184 Henry Sachs MD Chief Medical Officer 40.00 0.00 X 268200 0 63601 Geanina O Costea MD Physician 40.00 0.00 X 213105 0 20935 Karyn Horowitz MD Physician 40.00 0.00 X 206631 0 37938 Jeffrey Hunt MD Physician 40.00 0.00 X 237823 0 36606 Margaret G Klitzke MD Physician 40.00 0.00 X 226978 0 33964 Jarle Z Meservy MD Physician 40.00 0.00 X 220980 0 29670 Patricia J Flanagan Trustee 0.00 40.00 X 0 262680 38526 Gregory K Fritz MD Trustee 0.00 40.00 X 0 286723 35171 2100111 3794628 1290344 48 true true false Butler Hospital 350 Duncan Drive Providence RI 02906 Residency Rotations 406874 Cardinal Pharmaceutical 3763 Collections Ctr Dr Chicago IL 60693 Medical Services 393103 Sysco Boston LLC 99 Spring Street Plympton MA 02367 Dietary/Cafe Svcs 334850 Brown University PO Box 1911 Providence RI 02912 Shared Chair 246422 Chapel Building Corp 33 Veterans Memorial Parkway East Providence RI 02914 Gen. Contracting 178843 13 645765 2500 2865 651130 Inpatient Routine 622210 31457485 31457485 Partial Hospitalization 622210 8471162 8471162 Research 541700 4236987 4236987 Residential 623220 7685917 7685917 School 611110 15952459 15952459 3983105 3983105 71787115 1816984 1816984 1126 1126 0 0 47236723 46674285 562438 562438 562438 0 0 0 All other 622210 14878 14878 Grant Indirect Revenue 622210 566076 566076 School Lunch Program 611110 190923 190923 771877 75590670 72558992 2380548 0 0 0 0 1163753 1163753 0 41351844 40035346 1316498 1589160 1535025 54135 8175271 7929181 246090 3047552 2945819 101733 0 0 0 0 0 108502 108502 1097565 1097565 8946 8946 3353122 3207833 145289 0 0 1366492 1156109 210383 194586 187994 6592 0 216367 161634 54733 1631660 1631660 0 2182048 2182048 466880 466880 Purchased services 8468139 2067624 6400515 Equipment contracts &all other 1279854 1255562 24292 Provision for bad debts 1204390 1204390 Fundraising 200361 200361 0 77106492 64423661 12482470 200361 2764499 2651945 0 716324 624526 11086934 6736326 0 0 0 153803 157778 265308 1026247 62829649 24879782 39316044 37949867 12907220 12117948 6417949 6327323 18500000 18500000 0 37835925 35549604 129964006 121641564 6846065 6038535 22643882 25098611 2850000 10571430 9762456 42911377 40899602 X 30420787 23928602 6425731 6454472 50206111 50358888 87052629 80741962 129964006 121641564 X -1515822 465040 -5259885 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 69980810 5977572 1128548 8088886 68998044 65939418 7699595 2163914 5822117 69980810 56382024 10362656 4285722 5090984 65939418 55928526 7257140 -1905627 4898015 56382024 52929583 6659882 1495682 5156621 55928526 0.18800 0.72900 0.08300 true true true 4000 4000 45351771 15487690 29864081 12307203 9392092 2915111 5166675 5166675 37949867 6327323 18500000 Deferred Financing Costs 603118 Interest in NA of Bradley Foundation 353352 Participation in HBCS Net Assets 78180 35549604 Accrued Pension Liability 8121400 Health Care Benefit Self-insurance 477877 Intercompany Liabilities 66024 Lease Payable 393686 Other Long-term Liabilities 88100 Third Party Liabilities 615369 9762456 X 69282573 465040 -6664635 -6199595 75482168 108502 108502 75590670 75593239 75593239 108502 1404751 1513253 77106492 Part V, Line 4: Intended uses of the endowment fund. Bradley Hospital's (BH's) endowment funds were established for a variety of purposes including both donor-restricted endowment funds and funds designated by BH to function as endowments. BH receives support from various irrevocable trusts within its endowment funds, including The Helen Bradley Trust and The George L. Bradley Trust (the Trusts), which were established under the wills of the late Helen and George L. Bradley. At September 30, 2014, the market value of the Trusts held by unrelated entities was approximately $31.8 million (not including the land and the original Laufer Building in East Providence, Rhode Island where BH is located). As a result of a court order in 2007, the Trusts were authorized to make annual distributions to BH based on the trailing twelve-quarter average fair market value of the Trusts' investment assets in amounts equal to 7% of the average market value of the Trusts in 2007, decreasing by one-quarter of one percent per year to 4.5% in 2017.The largest temporarily restricted funds held by BH supports the physical expansion of BH's Outpatient Services Program. Another large fund is used to support the Pedi-MIND (Pediatric Mood, Imaging, and Neuro Development) Program for bipolar disorder, including equipment. The goal of the Pedi-MIND Program is to identify biological and behavioral markers of psychiatric illness in children and adolescents in order to improve diagnosis, treatment, and prevention of these conditions. In addition, the Pedi Partial Hospital Program Fund supports partial hospitalization programs that provide treatment as an alternative to inpatient or traditional outpatient services. Finally, the Art Sensory Fund supports speech, sensory, and occupational therapy staff who work with patients, families, doctors and teachers to develop plans of care and therapy in order to improve patients ability to effectively communicate and manage activities of daily life. Part X : FIN48 Footnote BH, 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. BH 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. BH did not recognize the effect of any income tax positions during the fiscal year ended September 30, 2014. Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Fundraising Expenses $200361 Bad Debt Provision $1204390 true true true X true X true true false false true true 1398681 80093 1318588 0.01740 1398681 80093 1318588 0.01740 79491 10184 69307 0.00090 2070377 2070377 0.02730 23302615 20226301 3076314 0.04050 4542141 3654141 888000 0.01170 15667 15667 0.00020 30010291 23890626 6119665 0.08060 31408972 23970719 7438253 0.09800 true 690963 1502 5771 -4269 true true 1 1 Emma Pendleton BradleyHospital 1011 Veterans Memorial Parkway East Providence RI 02915 X X X Emma Pendleton BradleyHospital 1 true X X X X X X X X 13 true true true X www.bradleyhospital.org X X X X X X X X X X true false false true true 200.0000 true 300.0000 true X X X X X X X X true true X X X X X X X true X X true X X X X X X true X false false Part V, Line 3 - Account Input from Person Who Represent the Community The CHNA encompassed intensive data collection and analysis, as well as qualitative research in the forms of interviews with and surveys of more than 100 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 Emma Pendleton Bradley Hospital and Lifespans three other hospitals. Emma Pendleton Bradley Hospitals leadership team shaped the CHNA by recommending institutional and community leaders for participation, offering observations about community need, 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) nearly two dozen key informant interviews with community leaders, representing an array of constituencies; and (3) a Community Stakeholder Survey of 54 organizations statewide.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. In a few cases, organizations submitted a completed questionnaire in lieu of participating in an interview. Leaders of organizations with a statewide focus on policy, advocacy, and social service provisions were interviewed, covering a broad range of social issue areas. A standard format and questionnaire were used for each interview.To ensure representation from a broad cross-section of the community, a statewide survey of 54 key community stakeholders was conducted. Those surveyed included members of medically underserved, low-income, and minority populations in the community; representatives of organizations that had knowledge, information, or relevant experience re: the health needs of the community (including the Brown University School of Public Health, The Warren Alpert Medical School of Brown University, the Economic Progress Institute, the United Way, and others); and representatives of the Rhode Island Department of Health. The survey was a 19-question instrument designed to elicit information about the general health and social needs of the community. Over 75% of those surveyed self-reported that they serve constituencies spanning either the entire State of Rhode Island or the entire State of Rhode Island and southeastern Massachusetts. Community Stakeholder Survey Respondents:1. AARP, Executive Director2. African Alliance of RI, President3. Aids Project RI, Executive Director4. American Cancer Society5. American Lung Association of the Northeast, Director of Health Education6. Blue Cross/Blue Shield7. Brown School of Public Health8. Camp Street Community Ministries9. Center for Prisoner Health and Human Rights, Miriam Hospital/Brown University Medical School, Executive Director10. Chinese Nursing Association11. Community Asthma Program12. Community Health Workers Association of Rhode Island, Brown Medical School13. Crossroads of Rhode Island, Director of Social Services14. Rhode Island Department of Health, Manager, Safe Rhode Island/Rhode Island Youth Suicide15. Rhode Island Department of Health16. Gateway Healthcare17. Goodwill Industries of Rhode Island, Case Manager / Employment Services Coordinator18. Health Centric Advisors, Senior Scientist19. Health Leads Providence, Executive Director20. Injury Prevention Center at Rhode Island Hospital21. James L. Maher Center, CEO22. Jewish Alliance of Greater Rhode Island, Community Relations Director23. Martin Luther King Community Center, Executive Director24. McAuley House, Associate Director25. Mental Health Association of Rhode Island, Executive Director26. The Miriam Hospital, Ambulatory TB/Immunology Department, Clinical Manager27. Mount Hope Learning Center28. Mount Hope Neighborhood Association29. NAACP Providence, President30. National Association of Social Workers (NASW) RI Chapter, President31. Newport County Community Mental Health Center32. Overeaters Anonymous33. Parent Support Network of Rhode Island34. Partnership to Reduce Cancer in RI, Secretary35. Progreso Latino, Executive Director36. Project Night Vision, Founder37. Providence School Department38. Refugee Clinic at Hasbro Children's Hospital39. Rhode Island Division of Elderly Affairs, Director40. Rhode Island Health Center Association, President & CEO41. Rhode Island Parent Information Network42. Rhode Island Public Health Association, President43. Rhode Island Public Health Institute at Brown University, Executive Director44. Rhode Island Adult Education Professional Development Center, Director45. Rhode Island Breast Cancer Coalition46. Rhode Island Dept of Corrections, Medical Program Director47. Rhode Island Free Clinic48. Samuels Sinclair Dental Center, Director49. Socio-Economic Development Center for Southeast Asians, Executive Director50. Taming Asthma51. TB & Immunology, The RISE Clinic (The Miriam Hospital)52. United Way of Rhode Island, Director of Annual Giving53. Visiting Nurses Services of Newport and Bristol Counties54. Women's Center of Rhode Island, Residential Supervisor Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment Newport HospitalRhode Island HospitalThe Miriam Hospital Part V, Line 5c - Description of Making Needs Assessment Widely Available A copy of the Community Health Needs Assessment report issued for Emma Pendleton Bradley Hospital as of September 30, 2013 can be obtained by visiting:http://www.lifespan.org/Lifespan-Community-Health-Needs-Assessment-Reports.aspx Part V, Line 14g - Other Means Hospital Facility Publicized the Policy An abbreviated version of the Hospital's financial assistance policy is posted in various admitting and outpatient areas of the Hospital. 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 16e - Other Collection Actions Against a Patient Once an account balance or a portion thereof is classified as self-pay, it is placed with the Hospital's pre-collect company. The account remains with them until 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 to a collection agency.The collection agency sends 3 to 5 notices to the patient requesting payment. If there are no responses after letters 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 then 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 17e - Other Collection Actions by Facility or Third Party Engaged The Hospital 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 16e above. Part V, Line 20d - Other Billing Determination of Individuals Without Insurance Uninsured patients receive an automatic 25% Community Benefit discount on Hospital charges. Under Section 501(r)(5), the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care are the amounts generally billed to individuals who have insurance covering such care. 13 The Bradley School - Campus 1011 Veterans Memorial Parkway East Providence RI 02915 Special Education Facility The Bradley School - Portsmouth 2820 East Main Road Portsmouth RI 02871 Special Education Facility The Bradley School - South County 4781 Tower Hill Road Wakefield RI 02879 Special Education Facility Martin Middle School - E Providence Partnership 111 Brown Street East Providence RI 02914 Special Education Facility Bradley Research Center 1 Hoppin Street Providence RI 02903 Research Facility Hill House Proprietary North Providence RI 02911 Residential Program The Bradley School - Westerly 93 Tower Street Westerly RI 02891 Special Education Facility Exeter House Proprietary Exeter RI 02914 Residential Program Heritage House Proprietary Warwick RI 02888 Residential Program Rumford House Proprietary East Providence RI 02916 Residential Program Silver Spring Elementary School - E Prov Pship 120 Silver Spring Avenue East Providence RI 02914 Special Education Facility East Providence High School- E Providence Pship 2000 Pawtucket Avenue East Providence RI 02914 Special Education Facility Whiteknact Elementary School- E Providence Pship 261 Grosvenor Avenue East Providence RI 02914 Special Education Facility Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) Emma Pendleton Bradley Hospital (the Hospital) uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test.The financial screening process at the Hospital is intended to define probable eligibility for public assistance (Medicaid or Community Free Care ("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 any supporting W-2 form(s)- copies of most recent savings and/or checking account statements- two most recently received payroll check stubs3. If the patient's financial situation falls within the guidelines for eligibility for Medicaid or CFS, 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 an automatic 25% deduction at the Hospital.5. Eligibility for CFS above the 25% 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 may 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 25% charity care discount. 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 service for non-urgent care. 7. In either case, the final results of the financial screening are recorded in the comments section of the Hospital's billing system.Requests for Payment Arrangements:Patient Financial Advocates (PFA) will qualify patients that are receiving non-urgent, medically indicated procedures prior to services. The PFA will request 75% to 100% of estimated charges (net of the automatic 25% discount) if the balance is under $5,000 and 50% to 100% of estimated charges (net of the automatic 25% discount) if the estimated bill equals or exceeds $5,000.Patients who do not qualify for total or partial CFS, but who have difficulty in paying their bills after services are rendered, may request to enroll 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 7 - Explanation of Costing Methodology The Hospital'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 the cost accounting system are calculated based on Medicare principles of reimbursement by reducing total operating expenses by items such as bad debt expense, the cost of medical education, internally funded research, 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.e) Community health improvement services and community benefit operations- Community benefit operations expense is recorded as direct expenses incurred as reported by the Hospital's Community Health Services Department. Revenue received for these services is reported as direct offsetting revenue. f) Health professions education- Health professions education expenses represent direct costs related to amounts associated with resident and intern programs utilized at the Hospital. g) Subsidized health services- Subsidized health services' community benefit expense is determined by the Hospital's internally developed allocation model based on the general ledger whereby overhead costs are applied using a historically determined basis to all direct care departments. 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.h) Research- The Hospital conducts extensive medical research focused on child and adolescent health concerns and brain science. For all internal and external research conducted, the costs associated with these activities is calculated by combining the direct and indirect costs as calculated by the Hospital's internally derived methodology. Revenue received for these services is reported as direct offsetting revenue. i) Cash and in-kind contributions for community benefit- Expenses for cash and in-kind contributions for community benefit are direct costs as recorded in the general ledger, including an allocation of contributions made by Lifespan Corporation on the Hospital's behalf. Part I, Line 7, Column F - Explanation of Bad Debt Expense The calculation of percentages disclosed for Schedule H, Part I, Line 7, column (f) "percent of total expense", does not include bad debt expense. Form 990, Part IX, Line 25 includes provision for bad debts of $1,204,390. Part III, Line 4 - Bad Debt Expense Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the ability to collect accounts receivable, the Hospital 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, the Hospital 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 includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital 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.The Hospital's allowance for doubtful accounts increased from $657,000 at September 30, 2013 to $1,050,000 at September 30, 2014. The Hospital's self-pay writeoffs for the years ended September 30, 2014 and 2013 amounted to $778,000 and $345,000, respectively. The Hospital did not change its charity care or uninsured discount policies during the years ended September 30, 2014 and 2013, respectively. The Hospital does not maintain a material allowance for doubtful accounts from third-party payors, nor did it have significant writeoffs from third-party payors in either 2014 or 2013.The Hospital provided $1,204,390 for uncollectible patient accounts during the year ended September 30, 2014. The associated cost reported on Line 2 of Part III was determined by applying an operating cost to charge ratio (exclusive of community benefit costs and charges) to the provision amount.Schedule H, Part III, Section A, Line 2The 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 the Hospital's cost accounting system and is adjusted for medical education, internally funded research, 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 9b - Provisions On Collection Practices For Qualified Patients Bradley Hospital 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 bad debts. The Hospital 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.The Hospital 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, primarily Medicaid. Uninsured patients are offered Community Free Service and/or payment plan options.Lifespan's Patient Financial Services Department (PFS) has the responsibility for 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 Assessment Bradley Hospital is the nation's first children's psychiatric hospital, providing services for children and adolescents not only from Rhode Island, but also from all over the country. The Hospital is designated as a major teaching affiliate for The Warren Alpert Medical School of Brown University, with a focus in areas of child and adolescent psychiatric treatment.In recent years, the Hospital has increased the number of physicians on staff in response to a heightened demand for outpatient services.As a psychiatric and behavioral health center, the Hospital offers specialized services for children and adolescents. Such care begins with an evaluation designed to meet the unique needs of each child and family. This initial assessment provides an understanding of the problem, identifies the child's needs, and determines the best and least restrictive treatment approach. Once a child is admitted, a treatment plan is tailored to the child's needs.The Hospital actively participates with community mental health centers and the Rhode Island Department of Health to understand the mental health needs of children and families in RI and its surrounding communities. The Hospital is also a participant in Kids Count", which is a publicly funded agency that uses questionnaires with pediatricians, schools, and other providers to identify the mental health needs of the population that it serves. In addition, Hospital staff work collaboratively with administration and staff at various schools throughout the State of Rhode Island. There is a multidisciplinary team at each school site, led by a clinical psychologist. This team guides the treatment and education plan for each student. Each classroom is staffed by a teacher certified in special education and a classroom behavior specialist, both professionals with degrees in their fields.The Hospital respects the roles of parents/guardians as partners in their child's care. The Hospital's Family Liaison Program helps parents with questions, problems, or special concerns regarding their child's treatment by appointment or via telephone. The Family Liaison Program sponsors support groups and educational meetings on a regular schedule. Notices are posted in the Hospital's main lobby, outpatient waiting room, and at the various unit entrances.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 Assistance Bradley Hospital provides each patient with a "Patient and Family Information" booklet which includes information on patient rights and responsibilities. There is also multilingual signage in the Hospital's main lobby and waiting area which provides information on financial aid contacts. The Registration Department meets with the patient's family at the outset of care to discuss eligibility for assistance, which is also summarized on the Hospital's website. Part VI - Community Information The Hospital, whose primary location is East Providence, Rhode Island, is a 60-bed, nonprofit teaching hospital with university affiliation providing for the psychiatric treatment of adolescents and children including some with severe developmental disabilities. The Hospital operates several major programs including acute, partial hospitalization, residential, and outpatient, as well as The Bradley School, which provides special education services to children from preschool through high school. The Hospital also operates nine other secondary sites which furnish residential and special education services. As a complement to its role in service and education, the Hospital actively supports research. The Hospital is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The Hospital currently participates as a provider in Rhode Island Medicaid, various out of state Medicaid programs, and State of Rhode Island Department of Children, Youth and Families programs, as well as providing care for patients covered by private health insurers and municipal school departments. The Hospital is also a member of Voluntary Hospitals of America, Inc. (VHA).In 1969, the Hospital and certain other RI hospitals entered into an affiliation agreement to participate jointly in various clinical training programs and research activities with Brown Medical School, renamed The Warren Alpert Medical School of Brown University (Brown). In 2010, Brown named Rhode Island Hospital its Principal Teaching Hospital. The Hospital and The Miriam Hospital continue to be designated as major teaching affiliates. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. The Hospital participates in the Brown residency program in psychiatry and in the Child and Adolescent Psychiatry Fellowship.The Hospital has a diverse service area which is not defined solely by a contiguous geographic grouping of municipalities. The combined service area of the Hospital includes all of the cities and towns in Rhode Island and the neighboring states of New England. The Hospital, which receives referrals from all regions of the United States, has established itself as the national center for training and research in child and adolescent psychiatry. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose The Hospital is governed by a Board of Trustees, which is composed of leaders of the local community elected by Lifespan Corporation. The Hospital's purpose is to be staffed, equipped, and ready to serve the hospital needs of the community and its people from all walks of life. The Hospital works collaboratively with physicians, its employees, other health care organizations, and the community to create a measurably healthier community through the provision of high quality, cost-effective, customer-focused health care services in an environment that promotes patient safety. The Hospital monitors the healthcare needs of its service area to ensure alignment of its resources with its mission. The Hospital 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 the Hospital. The Hospital is organized and operated for the benefit of the community it serves. Part VI - Affilated Health Care System Roles and Promotion Lifespan's mission is delivering health with care. Lifespan is an academically based healthcare system at the forefront of medical care, continually engaging in research that will lead to medical breakthroughs. Lifespan affiliates provide comprehensive inpatient and outpatient medical, surgical, and psychiatric services for adults and children. Lifespan and its affiliates employ more than 13,700 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 2014 generated approximately $1.8 billion in total operating revenue. By each of these measures, Lifespan is RI's largest health system, serving a population of over 1.5 million. Three of its hospital members, Rhode Island Hospital (RIH), The Miriam Hospital (TMH), and Bradley Hospital, 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, TMH, and Bradley Hospital.Lifespan is a RI 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, 2014, Lifespan Corporation employed approximately 840 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 Filed RI X X true true true true false false false false false false false false Dale F Radka MD Physician 271908 12554 14492 22692 321646 Daniel J Wall President 298693 68813 15300 16849 399655 Geanina O Costea MD Physician 212682 423 10717 10218 234040 Gregory K Fritz MD Trustee 278655 8068 14715 20456 321894 Henry Sachs MD Chief Medical Officer 249734 5184 13282 42778 20823 331801 466 Jarle Z Meservy MD Physician 210324 9130 1526 11208 18462 250650 Jeffrey Hunt MD Physician 234711 3112 12377 24229 274429 Karyn Horowitz MD Physician 185762 20187 682 10228 27710 244569 Kenneth E Arnold Secretary 471520 101427 12750 17691 603388 Margaret G Klitzke MD Physician 213995 9814 3169 11433 22531 260942 Mary A Wakefield Treasurer 570570 103496 359872 16760 1050698 76672 Patricia J Flanagan Trustee 252379 7308 2993 13718 24808 301206 Rowland P Barrett MD Physician 165194 75731 180254 17604 438783 Timothy J Babineau MD Trustee 942401 237500 444746 271520 25948 1922115 118412 Vareen O'Keefe Domaleski Chief Nursing Officer 163698 37309 3400 18801 223208 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).Housing Allowances or Residences for Personal Use:A temporary housing allowance may be provided on a case-by-case basis as part of the recruitment of key executives. The allowance is documented in the individual employment contract or employment offer. In calendar year 2013 Lifespan provided this benefit to one executive and the taxable amounts paid for the temporary housing resulting from relocation are included in Medicare wages, more specifically on Schedule J, Part II, column B (iii). A RI Health & Education Bldg Corp 521300173 762243K36 2009-03-30 23038242 See Part VI false false true A 23038242 2299797 339576 398966 19927384 72519 2012 false false true true A false false false true true 0.00500 0.00500 false false true A false false false true false false false true A true Part VI Schedule K, Part I, Line A(f):The proceeds of the bonds have been used for the purposes of financing projects consisting of the acquisition, construction, renovation, expansion and equipping of certain hospital facilities owned and operated or to be owned and operated by the Hospital. More specifically, the construction of an approximately 51,640 square foot, two-story addition located on the west side of the Hospital's existing Laufer Building and the renovation of approximately 18,000 square feet in the vacated space of Bradley's Laufer Building and Swan House for patient and residential school uses.Schedule K, Part IV, Line 2c:For the 2009 Lifespan Obligated Group bond issuance, a rebate computation was performed on May 31, 2014 which reflected no rebate due. Citizens Asset Finance Off./Trustee 432941 Debt Financing false Schedule L, Part V Supplemental Information *Lawrence Aubin, Vice Chair, and Shivan Subramaniam, Trustee, are Directors of Citizens Bank (Citizens). In 2013, Rhode Island Hospital (RIH), The Miriam Hospital (TMH), and Emma Pendleton Bradley Hospital (EPBH) entered into a master lease and loan and security agreement (the 2013 Financing) with Citizens Asset Finance, an affiliate of Citizens. RIH, TMH and Bradley are jointly and severally liable for repayment of the 2013 Financing. EPBH made debt service and interest payments (1.66%) of $432,941 in fiscal year 2014. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: HOME-BASED TREATMENT SERVICES AND OUTPATIENT CLINICSHome-based intensive behavioral treatment is for children who have been diagnosed with autism spectrum disorder and have varying degrees of chronic behavior disorders that, if left untreated, would worsen and require more intensive treatment, including psychiatric hospitalization or out-of-home residential placement. Staff members visit a family's home and deliver clinical services to the child on a one-on-one basis. The treatment plan is family-oriented, as it includes all family members in the treatment process.Bradley also offers a hospital diversion program to children and adolescents with mental retardation. Those admitted to this home-based program present with chronic mild to moderate behavior disorders that, if left untreated, would worsen and require more intensive treatment, including hospitalization or residential placement. This service, which is also a resource for children recently discharged from the Hospital, is used as a preventive measure against the future need for an out-of-home placement.Bradley's outpatient treatment programs are administered by a multidisciplinary staff of psychiatrists, psychologists, nurses, and qualified trainees, who provide comprehensive mental health evaluation and treatment for children, adolescents, and families for a wide range of clinical conditions. Patients may be treated with a variety of modalities including individual, group and family therapy, and psychopharmacologic management. Treatment is often coordinated with other agencies such as mental health centers, schools, or community-based organizations. Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Kenneth E. Arnold, Secretary, Timothy J. Babineau, MD, Trustee, and Mary A. Wakefield, Treasurer, are officers of related for-profit corporations. Mr. Arnold and Ms. Wakefield are officers of Lifespan Management Services Organization, Inc. (MSO) and Lifespan Risk Services, Inc. Dr. Babineau and Ms. Wakefield are officers of VNA Technicare, Inc. (VNA). Additionally, Scott B. Laurans, Chair, is an officer of VNA.Lawrence Aubin, Vice Chair, and Shivan Subramaniam, Trustee, are Directors of Citizens Bank.Jonathan Fain, Trustee, is the CEO of Teknor Apex Co. Bertram Lederer, Trustee, is a Director of Teknor Apex Co. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lifespan is the sole corporate member of Emma Pendleton Bradley Hospital. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Effective October 23, 2012, the Board of Directors of Lifespan and the Boards of Trustees of Rhode Island Hospital, The Miriam Hospital, Newport Health Care Corporation, Newport Hospital, and Emma Pendleton Bradley Hospital (EPBH) 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, and the following ex-officio voting directors: the Chairs of Rhode Island Hospital Foundation, The Miriam Hospital Foundation, Newport Hospital Foundation, Bradley Hospital Foundation, and Gateway Foundation, each of whom, by extension, serves as a trustee of each of the hospitals.Additionally, the bylaws of EPBH 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 include: to elect and remove EPBH 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 Shareholders As noted above, the EPBH Board is comprised of the same individuals who serve on the Lifespan Board. Lifespan has the responsibility for planning, directing, and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Lifespan, in addition to those noted above, include: to approve amendment of the Articles of Incorporation and Bylaws and other charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness. Form 990, Part VI, Line 11b: Form 990 Review Process The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Chief Financial Officer and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP. 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. Further review is performed by the Director of Finance and the Vice President of Finance - Corporate Services. Once the draft Form 990 is complete, the Tax Compliance Manager forwards it with all supporting worksheets to KPMG, which then reviews the completed form in detail. The Tax Compliance Manager answers questions as they arise and provides additional information as needed. 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 Chief Financial Officer for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form is sent to the Hospital's Board of Trustees in advance of its next Board meeting, at which the Chief Financial Officer discusses the highlights of the Form. All questions and concerns of the members of the Board are addressed by the Chief Financial Officer 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 a password protected website portal. The Chief Financial Officer is authorized to file the Form 990. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lifespan currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. In addition, copies of the Hospital's articles of incorporation, bylaws, and conflict of interest policy are available upon request from the office of the Lifespan Chief Financial Officer, either in person or by mail. Other Changes In Net Assets Or Fund Balances - Other Increases Change in Funded Status of Pension Plan. = $0 Other Changes In Net Assets Or Fund Balances - Other Increases Interest in Net Assets of Bradley Hospital Fndtn = $14868 Other Changes In Net Assets Or Fund Balances - Other Decreases Pension fund status adjustment = -$1801700 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to Affiliate- L.S.S. = -$3473053 Form 990, Part VI, Section A, Line 1b: *Michael J. Ehrlich, MD, Trustee, is the President of University Orthopedics, Inc. Rhode Island Hospital contracts with University Orthopedics for various services. *Edward Feldstein, Trustee, is a partner in Roberts, Carroll, Feldstein, and Peirce, a law firm that provides legal services to Lifespan Risk Services, Inc. on behalf of various Lifespan affiliates.*David Gorelick, Trustee, is an officer of Aquidneck Medical Associates, a physician practice which has a professional service contract with Newport Hospital.*The spouse of Pamela Harrop, Trustee, is employed as a cardiologist by The Miriam Hospital. *Shivan Subramaniam, Trustee, is the CEO of FM Global. Lifespan purchases property insurance coverage from Factory Mutual Insurance Company, a member of FM Global. *Brian Zink, MD, Trustee, received taxable tuition reimbursement from Rhode Island Hospital. Form 990, Part VI, Section B, Line 12c Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including Emma Pendleton Bradley 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 15 a&b The following applies to Lifespan and all of its affiliates, including Emma Pendleton Bradley 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 with both 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. Form 990, Part VI, Section B, Lines 15 a&b cont. * 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 to Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program: the Office of the President works with the Committee's independent compensation consultant or relies 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. Schedule K, Part I, Line A, Column (f) The proceeds of the bonds have been used for the purposes of financing projects consisting of the acquisition, construction, renovation, expansion and equipping of certain hospital facilities owned and operated or to be owned and operated by the Hospital. More specifically, the construction of an approximately 51,640 square foot, two-story addition located on the west side of the Hospital's existing Laufer Building and the renovation of approximately 18,000 square feet in the vacated space of Bradley's Laufer Building and Swan House for patient and residential school uses. Alternative Living Concepts 249 Roosevelt Avenue Pawtucket RI 02860 050442015 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Bayberry Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 204590384 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Bradley Hospital Foundation 167 Point Street Providence RI 02903 050500688 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Capital City Community Centers Inc 249 Roosevelt Avenue Pawtucket RI 02860 050259090 Daycare Services RI 501(c)(3) 7 Gateway Healthcare Inc false Families Reaching Into Each New Day Inc 249 Roosevelt Avenue Pawtucket RI 02860 050504841 Bereavement Services for Children RI 501(c)(3) 7 Gateway Healthcare Inc false Gateway Foundation 249 Roosevelt Avenue Pawtucket RI 02860 464002163 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Gateway Healthcare Inc 249 Roosevelt Avenue Pawtucket RI 02860 050309043 Subst. Abuse & Psych.Health Care Svcs RI 501(c)(3) 9 Lifespan Corporation false Hospital Properties Inc 167 Point Street Providence RI 02903 222869743 Property Management RI 501(c)(4) N/A Lifespan Corporation false Human Services Realty Inc 249 Roosevelt Avenue Pawtucket RI 02860 050398161 Housing for Elderly and Mentally Ill RI 501(c)(2) N/A Gateway Healthcare Inc false JM Apartments Inc 249 Roosevelt Avenue Pawtucket RI 02860 050435537 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Lifespan Corporation 167 Point Street Providence RI 02903 222861978 Holding Company/ Mgmnt Services RI 501(c)(3) 11 NA false Lifespan Diversified Services Inc 167 Point Street Providence RI 02903 050258935 Holding Company/ Mgmnt Services RI 501(c)(3) 11 Lifespan Corporation false Lifespan Foundation 167 Point Street Providence RI 02903 050493219 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Lifespan of Massachusetts Inc c/o Archstone Law 245 Winter St Waltham MA 02451 043408517 Holding Company MA 501(c)(3) 11 Lifespan Corporation false Lifespan Physician Group Inc 167 Point Street Providence RI 02903 050389801 Health Care Services RI 501(c)(3) 9 Lifespan Corporation false Lifespan School Solutions Inc 167 Point Street Providence RI 02905 464910847 Education Services RI Applied For N/A Emma Pendleton Bradley Hospital true LJR Corporation 249 Roosevelt Avenue Pawtucket RI 02860 030508346 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Mill River Community Housing Corporation 249 Roosevelt Avenue Pawtucket RI 02860 050427152 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Newport Health Care Corporation 11 Friendship Street Newport RI 02840 222535537 Holding Company/ Mgmnt Services RI 501(c)(3) 7 Lifespan Corporation false Newport Health Property Management Inc 11 Friendship Street Newport RI 02840 222335539 Property Management RI 501(c)(3) 11 Newport Health Care Corporation false Newport Hospital 11 Friendship Street Newport RI 02840 050258914 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Newport Hospital Foundation Inc 11 Friendship Street Newport RI 02840 222535533 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false NHCC Medical Associates Inc 11 Friendship Street Newport RI 02840 050472268 Health Care Services RI 501(c)(3) 11 Lifespan Corporation false Obed Apartments Inc 249 Roosevelt Avenue Pawtucket RI 02860 050422771 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Pathways Inc 249 Roosevelt Avenue Pawtucket RI 02860 050393004 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Rhode Island Hospital 593 Eddy Street Providence RI 02903 050258954 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Rhode Island Hospital Foundation 167 Point Street Providence RI 02903 050468736 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false RIH Ventures 593 Eddy Street Providence RI 02903 050448686 Parking Facilities/ Phlebotomy Services RI 501(c)(3) 11 Lifespan Corporation false Shore Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 050504003 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false The Autism Project 1516 Atwood Avenue Johnston RI 02919 050512037 Services for Children with Autism RI 501(c)(3) 9 Gateway Healthcare Inc false The Miriam Hospital 164 Summit Avenue Providence RI 02906 050258905 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false The Miriam Hospital Foundation 167 Point Street Providence RI 02903 050377502 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false TLR Realty 249 Roosevelt Avenue Pawtucket RI 02860 043742771 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Wentworth Corporation 249 Roosevelt Avenue Pawtucket RI 02860 050488520 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false Westerly Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 611439766 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false JRR Housing 249 Roosevelt Avenue Pawtucket RI 02860 263121266 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false RI Sound Enterprises Insurance Co Ltd 65 Front Street Hamilton BD HM 12 Offshore Insurance Captive BD N/A NA false Lifespan MSO Inc 167 Point Street Providence RI 02903 050508717 Mgmnt Svcs RI Lifespan Corp C corp false Lifespan Risk Services 167 Point Street Providence RI 02903 050459767 Risk Mgmnt RI Lifespan Corp C corp false VNA Technicare Inc 622 George Washington Highway Lincoln RI 02865 050472710 DME Sales RI LDS Inc C corp false CRUT 2 c/o Bank of America PO Box 830269 Dallas TX 75283 Philanthropic CT N/A Trust 1534132 48212727 1.00000 true CRUT 2 c/o Bank of America PO Box 830269 Dallas TX 75283 Philanthropic RI N/A Trust 95653 2085161 1.00000 true Gateway Professional Group Inc 249 Roosevelt Avenue Pawtucket RI 02860 050498391 Psychotherapy RI Gateway Healthcare C Corp false false true true false false false false false false true false false true true true true false false false Lifespan School Solutions Inc b 3473052 Net Book Value CRUT 2 c 1629785 Fair Mkt. Value