2014-08-14T12:28:35-07:00 2013-09-30 KPMG LLP 2 Financial Center 60 South St Boston MA 02111 990 2012-10-01 222535533 Newport Hospital Foundation NEWP 4018466400 11 Friendship Street Newport RI 02840 Mary A Wakefield 2014-08-14 true P01245482 6179885805 2012 2015-11-30 17:44:51Z Mary A Wakefield 593 Eddy Street Providence RI 02903 914698924 false false X none X 1983 RI Newport 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. 15 13 0 56 546 1898659 1075323 0 12097997 8680689 -76403 -71510 13920253 9684502 5782358 7733811 0 0 0 531794 1089336 1154688 6871694 8888499 7048559 796003 149871665 150962397 104715 48996 149766950 150913401 X Newport 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. false false 6794000 6794000 In fiscal year 2013, the Foundation transferred $6,794,000 to Newport Hospital to fund debt service payments and major capital expenditures. 643252 643252 Through 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. 204809 204809 In 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. 91750 91750 7733811 true true false false false false false false false true true true false false true true false true false false false false false false true false false true false true false false false false false false false false false false false true false false false false true false false false false true 5 0 true 0 false true false false false false true true false 0 false false false false false false false false false false X 15 13 true false true 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 Orest Zaklynsky MD 1.00 0.00 X 0 0 0 Leonard C Taddei DMD 1.00 0.00 X 0 0 0 Charles L Stengel MD 2.00 0.00 X 0 0 0 Suzette D Schochet 3.00 0.00 X X 0 0 0 Kathleen H Ross 0.50 0.00 X 0 0 0 James A Purviance 1.00 0.00 X 0 0 0 Sandra J Pattie 1.00 0.00 X 0 0 0 Christopher S Ottiano MD 1.00 0.00 X 0 0 0 Juliette C McLennan 1.00 0.00 X 0 0 0 Stephen P Massed 3.00 13.50 X X 0 0 0 David S Gordon 3.00 0.00 X X 0 0 0 Christine A Gill MD 0.00 0.00 X X 0 0 0 Rita B Gewirz 2.00 0.00 X 0 0 0 M Lynne Francis 0.00 0.00 X 0 0 0 Alan R Feinberg DMD 0.00 0.00 X 0 0 0 Peter M DiBari 0.00 0.00 X 0 0 0 Norey D Cullen 2.00 0.00 X 0 0 0 August B Cordeiro 6.00 34.00 X X 0 425713 78729 William J Corcoran 0.00 0.00 X 0 0 0 Peter Capodilupo 4.00 5.00 X 0 0 0 David G Bazarsky Esq 0.00 0.00 X 0 0 0 Mary A Wakefield 1.00 39.00 X 0 798078 297927 Mark T Cummings 9.00 31.00 X 0 432923 71065 Arthur J Sampson 0.00 40.00 X 0 546786 90041 2203500 537762 0 true true false 0 242985 832338 45802 1075323 0 1715217 431 1714786 0 0 0 911857164 904891692 6965472 6965472 115 6965357 51220 242985 122730 -71510 -71510 0 0 0 9684502 546 8608633 7733811 7733811 0 0 0 0 0 0 0 0 0 0 0 0 0 0 617104 617104 0 0 0 0 0 26197 26197 0 0 0 0 0 0 0 Administrative expenses 5790 5790 Gifts in kind 20780 20780 Svcs purchased from Lifespan 484817 484817 0 8888499 7733811 622894 531794 0 82135 229149 426175 253193 0 0 0 0 0 0 31764 31764 0 95177329 95584571 49904494 50050564 0 0 4281532 4844920 149871665 150962397 70009 20114 34706 28882 104715 48996 X 149366589 150578893 400361 334508 149766950 150913401 149871665 150962397 796003 350448 X false true X true false X 929018 3372803 4725643 1569281 1075323 11672068 0 0 929018 3372803 4725643 1569281 1075323 11672068 274716 11397352 1348955 2186519 1607025 1783306 1714659 8640464 734 734 75600 80500 68225 51220 275545 20588811 0.55360 0.54890 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 148363355 1162306 8407259 7933811 519054 149480055 137876263 2291174 14581093 5782358 602817 148363355 138622220 4315355 3576725 7885769 752268 137876263 126821717 3448403 12786767 3555886 878781 138622220 128945445 1220035 -1295587 1132749 915427 126821717 1.00000 false true true 31764 31764 50050564 Due to Affiliates 28882 28882 X Part X Part X : FIN48 Footnote The 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 4 Part 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. false Gala 294205 242985 51220 5000 28347 850 88533 294205 242985 51220 5000 28347 850 88533 122730 -71510 true Newport Hospital 11 Friendship Street Newport RI 02840 050258914 501(c)(3) 7437252 0 Debt Service & Capital Expenditures Newport Health Property Mgmt 11 Friendship Street Newport RI 02840 222535539 501(c)(3) 204809 0 Capital Expenditures re: Property Newport Health Care Co 11 Friendship Street Newport RI 02840 222535537 501(c)(3) 91750 0 Community Healthcare Services 3 0 Grantmaker's Description of How Grants are Used The 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. X X true true X X X X X false true false false false false false true false false Mary A Wakefield 531513 175000 91565 281479 16448 1096005 68467 Mark T Cummings 284717 90000 58206 51023 20042 503988 39145 August B Cordeiro 278745 100000 46968 58985 19744 504442 27360 Arthur J Sampson 372859 104000 69927 73481 16560 636827 45784 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above The 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 1a 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).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. X 5 23290 FMV X 2 20780 FMV X Electronics 1 382 FMV X Entertainment 1 800 FMV X Valet Svcs 1 550 FMV false true false 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 2 While 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 b The 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 12c Lifespan 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 Mission Newport 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 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lifespan, 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 11b 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 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 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders 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. 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 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The 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 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Through 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 4 Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Effective 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 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Sandra 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 III, Line 4d Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: In fiscal year 2013, the Foundation transferred $91,750 to Newport Health Care Corporation to fund community grants to local agencies. 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Abuse & Psych. Health Care Svcs RI 501(c)(3) 9 Lifespan Corporation false Gateway Foundation 249 Roosevelt Avenue Pawtucket RI 02860 464002163 Philanthropic Activities RI Applied For Lifespan Corporation 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 Emma Pendleton Bradley Hospital 1011 Veterans Memorial Parkway East Providence RI 02915 050258806 Pediatric Psych. 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RI Lifespan Corp C corp false Lifespan MSO Inc 167 Point Street Providence RI 02903 050508717 Mgmnt. Svcs. RI Lifespan Corp C corp false false true false true false false false false false false true true false false true true false false false