STRATEGY STUDIO / PUBLIC DATA EXPLORER

NEWPORT HOSPITAL FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NEWPORT HOSPITAL FOUNDATION INC (EIN 22-2535533)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201432269349303553
Schema version
2012v2.0
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)
Timestamp2014-08-14T12:28:35-07:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 Financial Center 60 South StAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222535533EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Newport Hospital FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEWPNameControl
Phone4018466400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Friendship StreetAddressLine1
CityNewportCity
StateRIState
ZIP Code02840ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMary A WakefieldName
TitleEVP & CFOTitle
Date Signed2014-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP01245482PTIN
Phone6179885805Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMary A WakefieldNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Gross Receipts914698924GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SitenoneWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionNewport Hospital Foundation coordinates fundraising in support of integrated health care services for the advancement and well-being of the southern Rhode Island community, in furtherance of the purpose of Newport Hospital.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers56TotalNbrVolunteers
Total Gross UBI546TotalGrossUBI
Contributions Grants Prior Year1898659ContributionsGrantsPriorYear
Contributions Grants Current Year1075323ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year12097997InvestmentIncomePriorYear
Investment Income Current Year8680689InvestmentIncomeCurrentYear
Other Revenue Prior Year-76403OtherRevenuePriorYear
Other Revenue Current Year-71510OtherRevenueCurrentYear
Total Revenue Prior Year13920253TotalRevenuePriorYear
Total Revenue Current Year9684502TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5782358GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7733811GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year531794TotalFundrsngExpCurrentYear
Other Expense Prior Year1089336OtherExpensePriorYear
Other Expenses Current Year1154688OtherExpensesCurrentYear
Total Expenses Prior Year6871694TotalExpensesPriorYear
Total Expenses Current Year8888499TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7048559RevenuesLessExpensesPriorYear
Revenues Less Expenses CY796003RevenuesLessExpensesCY
Total Assets BOY149871665TotalAssetsBOY
Total Assets EOY150962397TotalAssetsEOY
Total Liabilities BOY104715TotalLiabilitiesBOY
Total Liabilities EOY48996TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY149766950NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY150913401NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionNewport Hospital Foundation (the Foundation) coordinates fundraising in support of integrated health care services for the advancement and well-being of the southern Rhode Island community, in furtherance of the purpose of Newport Hospital.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6794000Expense
Grants6794000Grants
DescriptionIn fiscal year 2013, the Foundation transferred $6,794,000 to Newport Hospital to fund debt service payments and major capital expenditures.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense643252Expense
Grants643252Grants
DescriptionThrough the development and administration of philanthropic activities, the Foundation is able to transfer funds raised to Newport Hospital to support its operating activities, which in turn benefit the southern Rhode Island community.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense204809Expense
Grants204809Grants
DescriptionIn fiscal year 2013, the Foundation transferred $204,809 to Newport Health Property Management (NHPM) to fund capital expenditures. NHPM directs the operations of various health care properties.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp91750TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt91750TotalOfOtherProgramServiceGrnt
Total Program Service Expense7733811TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMary A WakefieldNamePerson
Telephone Number4014447093TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeFormerFormer
Orest Zaklynsky MD
Trustee1.000.00X000
Leonard C Taddei DMD
Treasurer1.000.00X000
Charles L Stengel MD
Trustee2.000.00X000
Suzette D Schochet
Secretary3.000.00X000X
Kathleen H Ross
Trustee0.500.00X000
James A Purviance
Trustee1.000.00X000
Sandra J Pattie
Trustee1.000.00X000
Christopher S Ottiano MD
Trustee1.000.00X000
Juliette C McLennan
Trustee1.000.00X000
Stephen P Massed
Chairman3.0013.50X000X
David S Gordon
Vice Chair3.000.00X000X
Christine A Gill MD
V. Chair- 1/130.000.00X000X
Rita B Gewirz
Trustee2.000.00X000
M Lynne Francis
Trustee0.000.00X000
Alan R Feinberg DMD
Trustee0.000.00X000
Peter M DiBari
Trustee0.000.00X000
Norey D Cullen
Trustee2.000.00X000
August B Cordeiro
President6.0034.00X042571378729X
William J Corcoran
Trustee0.000.00X000
Peter Capodilupo
Trustee4.005.00X000
David G Bazarsky Esq
Trustee0.000.00X000
Mary A Wakefield
EVP & CFO1.0039.000798078297927X
Mark T Cummings
Senior VP of Development9.0031.00043292371065X
Arthur J Sampson
Former President & CEO0.0040.00054678690041X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs2203500TotalReportableCompFrmRltdOrgs
Total Other Compensation537762TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events242985FundraisingEvents
All Other Contributions832338AllOtherContributions
Noncash Contributions45802NoncashContributions
Total Contributions1075323TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1715217TotalRevenueColumn
Unrelated Business Revenue431UnrelatedBusinessRevenue
Exclusion$1,714,786ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities911857164Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities904891692Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6965472Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6965472TotalRevenueColumn
Unrelated Business Revenue115UnrelatedBusinessRevenue
Exclusion$6,965,357ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events51220GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events242985CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses122730FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-71510TotalRevenueColumn
Exclusion-$71,510ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9684502TotalRevenueColumn
Unrelated Business Revenue546UnrelatedBusinessRevenue
Exclusion$8,608,633ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total7733811Total
Program Services7733811ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total617104Total
Management And General617104ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total26197Total
Fundraising26197Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
Administrative expenses57905790
Gifts in kind2078020780
Svcs purchased from Lifespan484817484817

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8888499Total
Program Services7733811ProgramServices
Management And General622894ManagementAndGeneral
Fundraising531794Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY82135BOY
EOY229149EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY426175BOY
EOY253193EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31764LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec31764LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY95177329BOY
EOY95584571EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY49904494BOY
EOY50050564EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4281532BOY
EOY4844920EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY149871665BOY
EOY150962397EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY70009BOY
EOY20114EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY34706BOY
EOY28882EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY104715BOY
EOY48996EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY149366589BOY
EOY150578893EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY400361BOY
EOY334508EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY149766950BOY
EOY150913401EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY149871665BOY
EOY150962397EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses796003ReconcilationRevenueExpenses
Reconciliation Unrealized Invest350448ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years929018CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3372803CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4725643CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1569281CurrentTaxYearMinus1Year
Current Tax Year1075323CurrentTaxYear
Total11672068Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years929018CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3372803CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4725643CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1569281CurrentTaxYearMinus1Year
Current Tax Year1075323CurrentTaxYear
Total11672068Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total274716AmountsSubstContributorsTotal
Public Support Total17011397352PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1348955CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2186519CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1607025CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1783306CurrentTaxYearMinus1Year
Current Tax Year1714659CurrentTaxYear
Total8640464Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year734CurrentTaxYearMinus1Year
Total734Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years75600CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years80500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68225CurrentTaxYearMinus1Year
Current Tax Year51220CurrentTaxYear
Total275545Total
FieldValueIRS element (for citing)
Total Support20588811TotalSupport
Public Support Pertcentage1700.55360PublicSupportPertcentage170
Public Support Pertcent Prior Year0.54890PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance148363355BeginningOfYearBalance
Contributions1162306Contributions
Investment Earnings Or Losses8407259InvestmentEarningsOrLosses
Grants Or Scholarships7933811GrantsOrScholarships
Other Expenditures519054OtherExpenditures
End Of Year Balance149480055EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance137876263BeginningOfYearBalance
Contributions2291174Contributions
Investment Earnings Or Losses14581093InvestmentEarningsOrLosses
Grants Or Scholarships5782358GrantsOrScholarships
Other Expenditures602817OtherExpenditures
End Of Year Balance148363355EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance138622220BeginningOfYearBalance
Contributions4315355Contributions
Investment Earnings Or Losses3576725InvestmentEarningsOrLosses
Grants Or Scholarships7885769GrantsOrScholarships
Other Expenditures752268OtherExpenditures
End Of Year Balance137876263EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance126821717BeginningOfYearBalance
Contributions3448403Contributions
Investment Earnings Or Losses12786767InvestmentEarningsOrLosses
Grants Or Scholarships3555886GrantsOrScholarships
Other Expenditures878781OtherExpenditures
End Of Year Balance138622220EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance128945445BeginningOfYearBalance
Contributions1220035Contributions
Investment Earnings Or Losses-1295587InvestmentEarningsOrLosses
Grants Or Scholarships1132749GrantsOrScholarships
Other Expenditures915427OtherExpenditures
End Of Year Balance126821717EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31764OtherCostOrOtherBasis
Depreciation31764Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Securities50050564TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to AffiliatesDescription
Amount$28,882Amount
FieldValueIRS element (for citing)
Total Of Amounts28882TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteThe Foundation, 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. The Foundation recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. The Foundation did not recognize the effect of any income tax positions during the fiscal year ended September 30, 2013.
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.The Foundation's endowment funds are funds designated by the Foundation to function as endowments. These funds are intended to support health care as well as encourage and support development of comprehensive integrated health services through fund management and philanthropy for the advancement and well-being of the southern Rhode Island community, in furtherance of the purpose of Newport Hospital. The largest board-designated endowment held by the Foundation is used to support the facilities and operations of Newport Hospital.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GalaNameOfEvent1
Gross Receipts Event1294205GrossReceiptsEvent1
Charitable Contributions Event1242985CharitableContributionsEvent1
Gross Revenue Event151220GrossRevenueEvent1
Rent Facility Costs Event15000RentFacilityCostsEvent1
Food And Beverage Event128347FoodAndBeverageEvent1
Entertainment Event1850EntertainmentEvent1
Other Direct Expenses Event188533OtherDirectExpensesEvent1
Gross Receipts Total294205GrossReceiptsTotal
Charitable Contributions Total242985CharitableContributionsTotal
Gross Revenue Total Events51220GrossRevenueTotalEvents
Rent Facility Costs Total Events5000RentFacilityCostsTotalEvents
Food And Beverage Total Events28347FoodAndBeverageTotalEvents
Entertainment Total Events850EntertainmentTotalEvents
Other Direct Expenses Total Events88533OtherDirectExpensesTotalEvents
Direct Expense Summary Events122730DirectExpenseSummaryEvents
Net Income Summary-71510NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Newport Hospital
11 Friendship StreetNewportRI02840050258914501(c)(3)74372520Debt Service & Capital Expenditures
Newport Health Property Mgmt
11 Friendship StreetNewportRI02840222535539501(c)(3)2048090Capital Expenditures re: Property
Newport Health Care Co
11 Friendship StreetNewportRI02840222535537501(c)(3)917500Community Healthcare Services
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationThe Foundation engages in philanthropic activities to support the mission and purposes of Newport Hospital, a related 501(c)(3) organization. In the 2013 fiscal year, the Foundation made unrestricted net asset transfers to Newport Hospital totaling $6,794,000, which the Hospital used to fund debt service payments and major capital expenditures, transfers to Newport Health Property Management totaling $204,809 for capital expenditures and transfers to Newport Health Care Corporation for charitable community grants. Also during the fiscal year ended September 30, 2013, the Foundation made temporarily restricted net asset transfers to Newport Hospital amounting to $600,169 to be spent by Newport Hospital in support of certain building and equipment additions or specified clinical programs. The use of funds is monitored by Foundation management to ensure that the funds are utilized for intended purposes. Financial and third-party verification is reviewed depending on purpose and outcome.Additionally, permanently restricted philanthropy of $43,083 was transferred to Newport Hospital by the Foundation in fiscal year 2013.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mary A Wakefield
EVP & CFO5315131750009156528147916448109600568467
Mark T Cummings
Senior VP of Development2847179000058206510232004250398839145
August B Cordeiro
President27874510000046968589851974450444227360
Arthur J Sampson
Former President & CEO37285910400069927734811656063682745784

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveThe Lifespan Annual Incentive Compensation Plan provides a financial award opportunity for designated members of management, based on quantified objectives that are approved in advance by the Compensation Committee of the Lifespan Corporation Board of Directors. A specified level of financial performance must be met before any award is earned. The objectives vary from year to year and generally include various aspects of financial measures in addition to non-financial performance measures. For certain participants in the Annual Incentive Compensation Plan, the award opportunity is divided into two pools. The first pool represents 80% of any earned incentive award, based on the achievement of the team performance objectives. The remaining 20% pool is distributed on an individual basis to participants at the discretion of the CEO, in each case subject to approval by the Compensation Committee of the Lifespan Corporation Board of Directors.
Sch J, Part I, Line 1aPart 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).Social Club Dues:The job responsibilities of certain executives include development of relationships with business leaders and donors. Those relationships are facilitated by the ability to meet in private sessions during which focused business discussions take place. The Hope and University Clubs, which require individual memberships, are places in Providence where businessmen and women, civic, community and social leaders can gather in a businesslike atmosphere. The cost of membership is considered by Lifespan to be reasonable and necessary and thus a qualified business expense not taxable to the employee. IRS regulations regarding documentation requirements are followed for any payments made for meetings held at the respective club, including the business purpose and nature of the business benefit derived; the nature of the business discussion or activity; and the identity and business relationship of attendees.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions5NumberOfContributions
Noncash Contribs Rptd F99023290NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F99020780NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XElectronics1382FMV
XEntertainment1800FMV
XValet Svcs1550FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Section B, Line 15a and 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.
Form 990, Part XII - Line 2While the organization did not produce an audited financial statement as of and for the year ended September 30, 2013, it was included in NHCC and Affiliates' audited combined financial statements, in which one column is used for the organization individually. The NHCC and Affiliates audited combined financial statements are included in the Lifespan audited consolidated financial statements. There are no regulatory or creditor stipulations which require the preparation of a separate audited financial statement for 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.
Form 990, Part VI, Section B, Line 15a and bThe following applies to Lifespan and all of its affiliates, including Newport Hospital Foundation:EXECUTIVE COMPENSATIONLifespan's executive compensation philosophy balances appropriate stewardship of resources and the need to be competitive in recruiting and retaining talented individuals. It incorporates market-competitive and performance-related principles, and covers the President and CEO of Lifespan as well as other officers, senior management, and key employees. Lifespan's executive compensation program complies 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, Line 12cLifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including Newport Hospital Foundation, and administered by Lifespan's Corporate Compliance Department as follows:Each designated person subject to Lifespan's conflict of interest policy is required to provide Lifespan with an initial disclosure statement and thereafter an annual statement attesting that: (i) the designated person has read and is familiar with this policy, and (ii) the designated person and, to the best of his/her knowledge, family members, have not in the past engaged in, are 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, Line 1b:Charles L. Stengel, MD, Trustee, is the Vice President of Newport Emergency Physicians, a for-profit corporation that provides staffing services to Newport Hospital.
Form 990, Part III, Line 1, Organization's MissionNewport Hospital Foundation (the Foundation) supports, encourages, and coordinates fundraising in support of comprehensive, integrated health care services for the advancement and well-being of the southern Rhode Island community, in furtherance of the purpose of Newport Hospital. The Foundation manages the fundraising activities of Newport Health Care Corporation and Affiliates.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableLifespan, as well as NHCC and Affiliates (NHCC), 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 NHCC's financial information to repositories and investors alike. Newport Hospital Foundation's financial statements are included in the audited combined financial statements of NHCC and Affiliates. In addition, copies of Newport Hospital Foundation'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.Form 990, Part VI, Line 19
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 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 Director of Finance forwards it with all supporting worksheets to KPMG, which then reviews the completed form in detail. The Director of Finance answers questions as they arise and provides additional information as needed. KPMG provides the Director of Finance 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 Foundation'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 11b
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersLifespan has the responsibility for planning, directing, and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Lifespan, in addition to those noted above, include: to approve 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. Lifespan holds these powers with respect to NHCC; NHCC holds identical powers with respect to the Affiliate, which it may exercise with the authorization of Lifespan.Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe bylaws of Newport Hospital Foundation (the Affiliate) 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 trustees and to approve the election of and to remove certain officers. At each annual meeting of the Affiliate Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of the Affiliate so that it can be approved and submitted to Lifespan for ratification and election.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThrough October 22, 2012, Lifespan Corporation was the sole corporate member of Newport Health Care Corporation (NHCC), which in turn was the sole corporate member of Newport Hospital Foundation.Effective October 23, 2012, Lifespan replaced NHCC as sole corporate member of Newport Hospital Foundation, Inc.Form 990, Part VI, Line 6
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsEffective October 23, 2012, Trustees shall serve for a three year term expiring at the annual meeting in December 2015. At such meeting, each trustee shall be assigned a term of 1, 2, or 3 years. Beginning with annual meeting in 2016, trustees shall be elected to serve for staggered terms of three years each.Form 990, Part VI, Line 4
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtSandra J. Pattie, Trustee, is the President and CEO of BankNewport. Peter Capodilupo, Trustee, and David G. Bazarsky, Trustee, are also Directors of BankNewport.Form 990, Part VI, Line 2
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: In fiscal year 2013, the Foundation transferred $91,750 to Newport Health Care Corporation to fund community grants to local agencies.Form 990, Part III, Line 4d

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (36 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivitiesPrimaryActivitiesLegal Domicile Foreign CountryLegalDomicileForeignCountryExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
RI Sound Enterprises Insurance Co Ltd
65 Front StreetHamiltonBDHM 12Offshore Insurance CaptiveBDN/AN/ALifespan Corporationfalse
Westerly Courts Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860611439766RI
Wentworth Corporation
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050488520RI
TLR Realty
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860043742771RI
The Miriam Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050377502RI
The Miriam Hospital
Health Care Services501(c)(3)3Lifespan Corporationfalse164 Summit AvenueProvidenceRI02906050258905RI
The Autism Project
Services for Children with Autism501(c)(3)9Gateway Healthcare Incfalse1516 Atwood AvenueJohnstonRI02919050512037RI
Shore Courts Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050504003RI
RIH Ventures
Parking Facilities/Phlebotomy Services501(c)(3)11Lifespan Corporationfalse593 Eddy StreetProvidenceRI02903050448686RI
Rhode Island Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050468736RI
Rhode Island Hospital
Health Care Services501(c)(3)3Lifespan Corporationfalse593 Eddy StreetProvidenceRI02903050258954RI
Pathways Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050393004RI
Obed Apartments Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050422771RI
NHCC Medical Associates Inc
Health Care Services501(c)(3)11Newport Health Care Corporationfalse11 Friendship StreetNewportRI02840050472268RI
Newport Hospital
Health Care Services501(c)(3)3Lifespan Corporationfalse11 Friendship StreetNewportRI02840050258914RI
Newport Health Property Management Inc
Property Management501(c)(3)11Newport Health Care Corporationfalse11 Friendship StreetNewportRI02840222335539RI
Newport Health Care Corporation
Holding Company/ Mgmnt Services501(c)(3)7Lifespan Corporationfalse11 Friendship StreetNewportRI02840222535537RI
Mill River Community Housing Corporation
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050427152RI
LJR Corporation
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860030508346RI
Lifespan School Solutions Inc
Educational ServicesApplied ForEmma Pendleton Bradley Hospitalfalse167 Point StreetProvidenceRI02903464910847RI
Lifespan Physician Group Inc
Health Care Services501(c)(3)9Lifespan Corporationfalse167 Point StreetProvidenceRI02903050389801RI
Lifespan of Massachusetts Inc
Holding Company501(c)(3)11Lifespan Corporationfalsec/o Archstone Law 245 Winter StWalthamMA02451043408517MA
Lifespan Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050493219RI
Lifespan Diversified Services Inc
Holding Company/ Mgmnt Services501(c)(3)11Lifespan Corporationfalse167 Point StreetProvidenceRI02903050258935RI
Lifespan Corporation
Holding Company/ Mgmnt Services501(c)(3)11NAfalse167 Point StreetProvidenceRI02903222861978RI
JM Apartments Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050435537RI
Human Services Realty Inc
Housing for Elderly and Mentally Ill501(c)(2)N/AGateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050398161RI
Hospital Properties Inc
Property Management501(c)(4)N/ALifespan Corporationfalse167 Point StreetProvidenceRI02903222869743RI
Gateway Healthcare Inc
Subst. Abuse & Psych. Health Care Svcs501(c)(3)9Lifespan Corporationfalse249 Roosevelt AvenuePawtucketRI02860050309043RI
Gateway Foundation
Philanthropic ActivitiesApplied ForLifespan Corporationfalse249 Roosevelt AvenuePawtucketRI02860464002163RI
Families Reaching Into Each New Day Inc
Bereavement Services for Children501(c)(3)7Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050504841RI
Emma Pendleton Bradley Hospital
Pediatric Psych. Health Care Svcs501(c)(3)3Lifespan Corporationfalse1011 Veterans Memorial ParkwayEast ProvidenceRI02915050258806RI
Capital City Community Centers Inc
Daycare Services501(c)(3)7Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050259090RI
Bradley Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050500688RI
Bayberry Courts Inc
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860204590384RI
Alternative Living Concepts
Housing for Elderly and Mentally Ill501(c)(3)9Gateway Healthcare Incfalse249 Roosevelt AvenuePawtucketRI02860050442015RI

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
Gateway Professional Group Inc
249 Roosevelt AvenuePawtucketRI02860050498391PsychotherapyRIGateway HealthcareC Corpfalse
VNA Technicare Inc
622 George Washington HwyLincolnRI02865050472710DME SalesRILDS IncC corpfalse
Lifespan Risk Services Inc
167 Point StreetProvidenceRI02903050459767Risk Mgmnt.RILifespan CorpC corpfalse
Lifespan MSO Inc
167 Point StreetProvidenceRI02903050508717Mgmnt. Svcs.RILifespan CorpC corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg