STRATEGY STUDIO / PUBLIC DATA EXPLORER

EMMA PENDLETON BRADLEY HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
EMMA PENDLETON BRADLEY HOSPITAL (EIN 05-0258806)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201332269349303558
Schema version
2011v1.5
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)
Timestamp2013-08-14T13:42:35-07:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Line1Two Financial Center 60 South StAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050258806EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Emma Pendleton Bradley HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEMMANameControl
Phone4014321000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 Veterans Memorial ParkwayAddressLine1
CityEast ProvidenceCity
StateRIState
ZIP Code02915ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMary A WakefieldName
TitleEVP & CFOTitle
Date Signed2013-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6179881000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDaniel J WallNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11011 Veterans Memorial ParkwayAddressLine1
CityEast ProvidenceCity
StateRIState
ZIP Code02915ZIPCode
FieldValueIRS element (for citing)
Gross Receipts80864747GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.lifespan.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionEmma 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees1061TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year949799ContributionsGrantsPriorYear
Contributions Grants Current Year1157676ContributionsGrantsCurrentYear
Program Service Revenue Prior Year68232489ProgramServiceRevenuePriorYear
Program Service Revenue CY70248004ProgramServiceRevenueCY
Investment Income Prior Year2060084InvestmentIncomePriorYear
Investment Income Current Year2577581InvestmentIncomeCurrentYear
Other Revenue Prior Year1484514OtherRevenuePriorYear
Other Revenue Current Year1647222OtherRevenueCurrentYear
Total Revenue Prior Year72726886TotalRevenuePriorYear
Total Revenue Current Year75630483TotalRevenueCurrentYear
Grants And Similar Amnts CY12805GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year53381577SalariesEtcPriorYear
Salaries Etc Current Year54967520SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year185410TotalFundrsngExpCurrentYear
Other Expense Prior Year21633720OtherExpensePriorYear
Other Expenses Current Year17796440OtherExpensesCurrentYear
Total Expenses Prior Year75015297TotalExpensesPriorYear
Total Expenses Current Year72776765TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2288411RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2853718RevenuesLessExpensesCY
Total Assets BOY113965188TotalAssetsBOY
Total Assets EOY123687845TotalAssetsEOY
Total Liabilities BOY39052635TotalLiabilitiesBOY
Total Liabilities EOY41955481TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY74912553NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY81732364NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionEmma 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense38165210Expense
Grants12805Grants
Revenue43317667Revenue
DescriptionInpatient treatment for children ages 2 to 18 years who suffer from serious behavioral disorders in addition to developmental conditions such as mental retardation or autism and who are in need of stabilization, assessment, and treatment for suicidal, destructive, self-injurious, or other dangerous or aggressive behaviors.Residential treatment which provides intensive, family-centered services to children who have emotional and behavioral problems that prevent them from living safely at home.Partial programs provide treatment alternatives to inpatient hospitalization or traditional outpatient services, to children from infancy to adolescence with serious emotional, behavioral, eating, sleeping, or relationship problems.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense15629735Expense
Revenue20127926Revenue
DescriptionThe 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4724376Expense
Revenue3786578Revenue
DescriptionThe 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3707107TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev4663055TotalOfOtherProgramServiceRev
Total Program Service Expense62226428TotalProgramServiceExpense
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 SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
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 ContributionsfalseDeductibleNonCashContributions
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 With109650NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1061NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
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 Line1167 Point StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Kenneth W Washburn
Trustee3.00X000
Daniel J Wall
President & CEO40.00X050872031131X
Gary Serby
Trustee0.00X000
Thomas H Quill Jr
Trustee2.50X000
Carol A Peterson
CoVice Chairman2.00X000X
Stephen O Meredith
CoVice Chairman2.00X000X
Jozy A Mainelli
Trustee3.00X000
Bruce N Leonard
Trustee1.40X000
David Kohlhammer
Trustee1.00X000
Patrick J Kennedy
Trustee0.50X000
Jeffrey Hirsh
Trustee4.00X000
Donald P Galamaga
Trustee1.00X000
Gregory K Fritz MD
Trustee2.50X029373433279
Patricia J FlanaganMD
Trustee1.50X022485334779
Lynne Barry Dolan
Trustee1.50X000
David A Brown
Chairman4.00X000X
Charles H Boisseau
Secretary8.00X000X
Michael J Benes
Trustee2.50X000
Jonathan A Barnes
Treasurer2.50X000X
Mary A Wakefield
EVP & CFO4.000677833101701X
Henry Sachs MD
Physician40.00251608059414X
Dale F Radka MD
Physician40.00272501037182X
Rowland P Barrett MD
Physician40.00209776036226X
Jeffrey Hunt MD
Physician40.00233622035129X
Margaret G Klitzke MD
Physician40.00204011033313X
Jarle Z Meservey MD
Physician40.00201948020411X
Kevin P Myers MD
Physician40.00253884033414X
Laura A Ruoff MD
Physician40.00195303021295X
Susan V Eagleson
Chief Nursing Officer0.00129200014838X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1951853TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1705140TotalReportableCompFrmRltdOrgs
Total Other Compensation492112TotalOtherCompensation
Number Individuals GT100 K49NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
T & I Solutions
PO Box 7976CumberlandRI02864Interpreters128546
Partners Interpreting
500 E Washington St34North AttleboroMA02760Interpreters165839
Jackson & Coker
PO Box 277638AtlantaGA30384Contract Physician224139
Butler Hospital
345 Blackstone BoulevardProvidenceRI02906Residency Rotations304548
Brown University
PO Box 1911ProvidenceRI02912Shared Chair234904
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Related Organizations1150642RelatedOrganizations
All Other Contributions7034AllOtherContributions
Total Contributions1157676TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
School6111102012792620127926
Residential62322081322808132280
Research54170041873534187353
Partial Hospitalization62221053711945371194
Inpatient Routine6222102941341829413418

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column3015833TotalRevenueColumn
Related Or Exempt Function Income3015833RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue70248004TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1737140TotalRevenueColumn
Exclusion$1,737,140ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column289TotalRevenueColumn
Exclusion$289ExclusionAmount

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)
Securities6074416Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5234264Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities840152Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column840152TotalRevenueColumn
Exclusion$840,152ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
School Lunch Program611110224170224170
Grant Indirect Revenue622210701754701754
All Other622210599099599099

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column122199TotalRevenueColumn
Related Or Exempt Function Income122199RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1647222TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column75630483TotalRevenueColumn
Related Or Exempt Function Income71895226RelatedOrExemptFunctionIncome
Exclusion$2,577,581ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total12805Total
Program Services12805ProgramServices

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)
Total912284Total
Program Services912284ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total41761962Total
Program Services40875743ProgramServices
Management And General886219ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1590589Total
Program Services1555226ProgramServices
Management And General35363ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7704842Total
Program Services7551121ProgramServices
Management And General153721ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2997843Total
Program Services2931193ProgramServices
Management And General66650ManagementAndGeneral

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)
Total43174Total
Management And General43174ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1491214Total
Program Services1491214ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total693Total
Program Services393ProgramServices
Management And General300ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3009853Total
Program Services2916892ProgramServices
Management And General92961ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1085842Total
Program Services959696ProgramServices
Management And General126146ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total153130Total
Program Services149761ProgramServices
Management And General3369ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total104776Total
Program Services83977ProgramServices
Management And General20799ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1587847Total
Management And General1587847ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2099650Total
Management And General2099650ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total85049Total
Program Services85049ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Fundraising185410185410
Bad Debt Expense278079278079
Equipment contracts & all othr1511972143682275150
Purchased services61597519861735173578

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total72776765Total
Program Services62226428ProgramServices
Management And General10364927ManagementAndGeneral
Fundraising185410Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3625408BOY
EOY4762662EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY527689BOY
EOY502753EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9406639BOY
EOY9598270EOY

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)
BOY154681BOY
EOY129290EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY162016BOY
EOY395598EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis60987097LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22113696LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY39020463BOY
EOY38873401EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6568168BOY
EOY11227773EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3363628BOY
EOY5348264EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY18500000BOY
EOY18500000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY32636496BOY
EOY34349834EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY113965188BOY
EOY123687845EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4780381BOY
EOY5399188EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY23034282BOY
EOY23032697EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11237972BOY
EOY13523596EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39052635BOY
EOY41955481EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY24662622BOY
EOY27735577EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4226819BOY
EOY4947794EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY46023112BOY
EOY49048993EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY74912553BOY
EOY81732364EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY113965188BOY
EOY123687845EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2853718ReconcilationRevenueExpenses
Reconcilation Other Changes3966093ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 Balance56382024BeginningOfYearBalance
Contributions10362656Contributions
Investment Earnings Or Losses4285722InvestmentEarningsOrLosses
Other Expenditures5090984OtherExpenditures
End Of Year Balance65939418EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance55928526BeginningOfYearBalance
Contributions7257140Contributions
Investment Earnings Or Losses-1905627InvestmentEarningsOrLosses
Other Expenditures4898014OtherExpenditures
End Of Year Balance56382024EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance52929583BeginningOfYearBalance
Contributions6659882Contributions
Investment Earnings Or Losses1495682InvestmentEarningsOrLosses
Other Expenditures5156621OtherExpenditures
End Of Year Balance55928526EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.19430BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.74340PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.06230TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis379599OtherCostOrOtherBasis
Book Value379599BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis48658353OtherCostOrOtherBasis
Depreciation13728413Depreciation
Book Value34929940BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10918217OtherCostOrOtherBasis
Depreciation8385283Depreciation
Book Value2532934BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1030928OtherCostOrOtherBasis
Book Value1030928BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings38873401TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Limited Partnerships held inside Pool2186102F
Commodities-Various301947F
FieldValueIRS element (for citing)
Total Of Book Value Program Related18500000TotalOfBookValueProgramRelated

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Participation in HBCS Net Assets78180
Interest in NA of Bradley Foundation453166
Deferred Financing Costs654326
FieldValueIRS element (for citing)
Total Book Value Other Assets34349834TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Third Party Liabilities$1,283,918
Other Long-term Liabilities$126,400
Intercompany Liabilities$275,038
Health Care Benefit Self-insurance$695,040
Accrued Pension Liability$11,143,200
FieldValueIRS element (for citing)
Total Of Amounts13523596TotalOfAmounts
Total Revenue75630483TotalRevenue
Total Expenses72776765TotalExpenses
Excess Or Deficit For Year2853718ExcessOrDeficitForYear
Net Unrealized GL On Investments3328323NetUnrealizedGLOnInvestments
Other$637,770OtherAmount
Total Adjustments3966093TotalAdjustments
Excess Or Deficit Per FS6819811ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt79089913TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3328323NetUnrealizedGainsInvestments
Other Revenues174281OtherRevenues
Revenue Not Rptd F9903502604RevenueNotRptdF990
Revenue Subtotal75587309RevenueSubtotal
Investment Expenses Not Included43174InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt43174RevenueNotRptdOnFinStmt
Total Revenue Per Form99075630483TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt76270102TotExpensesEtcAuditedFinclStmt
Expenses Subtotal76270102ExpensesSubtotal
Investment Expenses Not Included243174InvestmentExpensesNotIncluded2
Other Expenses Not Included-3536511OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-3493337ExpensesNotRptdOnFinStmt
Total Expenses Per Form99072776765TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteEmma Pendleton Bradley Hospital (the Hospital), 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 Hospital recognizes the effect of income tax positions only if those positions are more likely than not of being 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 Hospital did not recognize the effect of any income tax positions during the fiscal year ended September 30, 2012.
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990Interest in Foundation Net Assets $-491409 Funded Status of Pension Plan $-2870821 Fundraising Expenses $-185410 Other Non-Operating Losses $0 Bad Debt Recovery $3721921
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesBad Debt Recovery $4000000 Funded Status of Pension Plan $ -2870821 Interest in Foundation Net Assets $ -491409
Part V, Line 4Part 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, 2012, the market value of the Trusts held by unrelated entities was approximately $30.5 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 endowment held by BH 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. Another large fund is used for renovation and upkeep of the Samuel Swan House, which is the location of the Children's Residential and Family Therapy Program. The van Beuren Newport Child Psychiatry Fund supports the establishment of an outpatient pediatric psychiatry clinic at Newport Hospital, collaboratively overseen by BH's Outpatient Services Department. Finally, BH's Sensory, Speech, and Occupational Therapy Clinic (the Clinic), is supported by a term endowment. The Clinic is for children with sensory, speech, and other disorders that impact their ability to function and communicate; therapists work directly with patients, families, clinicians, and teachers to develop a plan of care and therapy, setting goals and priorities, and measuring outcomes.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense627612TotalCommunityBenefitExpense
Direct Offsetting Revenue80053DirectOffsettingRevenue
Net Community Benefit Expense547559NetCommunityBenefitExpense
Percent Of Total Expense0.00760PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense627612TotalCommunityBenefitExpense
Direct Offsetting Revenue80053DirectOffsettingRevenue
Net Community Benefit Expense547559NetCommunityBenefitExpense
Percent Of Total Expense0.00760PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense93363TotalCommunityBenefitExpense
Direct Offsetting Revenue14170DirectOffsettingRevenue
Net Community Benefit Expense79193NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1862415TotalCommunityBenefitExpense
Net Community Benefit Expense1862415NetCommunityBenefitExpense
Percent Of Total Expense0.02570PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense17177583TotalCommunityBenefitExpense
Direct Offsetting Revenue13243929DirectOffsettingRevenue
Net Community Benefit Expense3933654NetCommunityBenefitExpense
Percent Of Total Expense0.05430PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense4724376TotalCommunityBenefitExpense
Direct Offsetting Revenue3786578DirectOffsettingRevenue
Net Community Benefit Expense937798NetCommunityBenefitExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense29200TotalCommunityBenefitExpense
Net Community Benefit Expense29200NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense23886937TotalCommunityBenefitExpense
Direct Offsetting Revenue17044677DirectOffsettingRevenue
Net Community Benefit Expense6842260NetCommunityBenefitExpense
Percent Of Total Expense0.09440PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense24514549TotalCommunityBenefitExpense
Direct Offsetting Revenue17124730DirectOffsettingRevenue
Net Community Benefit Expense7389819NetCommunityBenefitExpense
Percent Of Total Expense0.10200PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$176,024BadDebtExpenseAmount
Amount Reimbursed By Medicare6160AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare23666CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-17506MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Emma Pendleton BradleyHospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11011 Veterans Memorial ParkwayAddressLine1
CityEast ProvidenceCity
StateRIState
ZIP Code02915ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Childrens HospitalXChildrensHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Emma Pendleton BradleyHospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Permit Other ActionsXPermitOtherActions
Collection ActivitiestrueCollectionActivities
LawsuitXLawsuit
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicyfalseNondiscrimEmergencyCarePolicy
No Emergency CareXNoEmergencyCare
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities14NumberOfOtherFacilities

Other Facilities OtherFacilities (14 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Whiteknact Elementary School- E Providence Pship
261 Grosvenor AvenueEast ProvidenceRI02914Special Education Facility
East Providence High School- E Providence Pship
2000 Pawtucket AvenueEast ProvidenceRI02914Special Education Facility
Rumford House
PROPRIETARYEast ProvidenceRI02916Residential Program
Heritage House
PROPRIETARYWarwickRI02888Residential Program
Silver Spring Elementary School - E Prov Pship
120 Silver Spring AvenueEast ProvidenceRI02914Special Education Facility
Exeter House
PROPRIETARYExeterRI02822Residential Program
Hill House
PROPRIETARYNorth ProvidenceRI02911Residential Program
The Bradley School - Westerly
93 Tower StreetWesterlyRI02891Special Education Facility
Martin Middle School - E Providence Partnership
111 Brown StreetEast ProvidenceRI02914Special Education Facility
Bradley Research Center
1 Hoppin StreetProvidenceRI02903Research Facility
The Center for Autism&Developmental Disabilities School
1011 Veterans Memorial ParkwayEast ProvidenceRI02915Special Education Facility
The Bradley School - South County
4781 Tower Hill RoadWakefieldRI02879Special Education Facility
The Bradley School - Portsmouth
2820 East Main RoadPortsmouthRI02871Special Education Facility
The Bradley School - Campus
1011 Veterans Memorial ParkwayEast ProvidenceRI02915Special Education Facility

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - Affilated Health Care System Roles and PromotionLifespan's mission is to improve the health status of the people it serves in RI and in southern New England through the provision of customer friendly, geographically accessible, high value services in the environment of an integrated academic health system. Lifespan affiliates provide comprehensive inpatient and outpatient medical, surgical and psychiatric services for adults and children. Lifespan and its affiliates employ more than 12,500 people. The Lifespan system has over 2,300 physicians on the medical staffs of its affiliated hospitals, operates 1,155 licensed beds in four hospital complexes, and in 2012 generated approximately $1.6 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 78 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, 2012, Lifespan Corporation employed approximately 700 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, 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 - Explanation Of How Organization Furthers Its Exempt PurposeBradley Hospital is governed by a Board of Trustees, which is composed of up to 23 voting members who are elected by Lifespan Corporation as sole member of the Hospital and three who serve ex officio. The ex officio member of the Board with a vote is the President and Chief Executive Officer of the Hospital. The Chairman and the President of Lifespan Corporation are ex officio members of the Board without a vote. The Hospital's Board, which meets six times a year, prescribes the duties and powers of committees appointed by the Chair and appoints members of the Medical Staff. Elected Board members serve one-year terms.The physicians and psychologists on the Hospital's medical staff are either hospital-based or community based.
Part VI - Community InformationThe 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 - Patient Education of Eligibility for AssistanceBradley 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 - Needs AssessmentBradley 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 the principal child and adolescent psychiatric teaching hospital for The Warren Alpert Medical School of Brown University.Based on an increase in the demand for adolescent services, in 2009 the Hospital transferred 6 additional beds into its adolescent unit, moving them from its developmental disabilities unit, which has achieved an offsetting reduction in its average length of stay. In recent years the Hospital has also 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 role 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 V, Line 19d - Other Billing Determination of Individuals Without InsuranceUninsured patients receive an automatic 25% Community Benefit discount on Hospital charges. In no case was there a situation where an uninsured patient paid more than amounts charged through Medicare or negotiated commercial insurance rates.Number of Hospital Faciltiy - 0
Part V, Line 16e - Other Collection Actions by Facility or Third Party EngagedThe 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 15e above.Number of Hospital Faciltiy - 0
Part V, Line 15e - Other Collection Actions Against a PatientOnce 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 writeoff.Note: In accordance with Center for Medicare and Medicaid Services mandates, Medicare patient accounts are held 130 days from last payment, after which if no activity, the account is then referred to collection.Number of Hospital Faciltiy - 0
Part V, Line 13g - Other Means Hospital Facility Publicized the PolicyAn 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.Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsBradley 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 a bad debt. 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 III, Line 8 - Explanation Of Shortfall As Community BenefitMedicare shortfall has not been treated as a community benefit.The source of the Medicare allowable costs reported on Part III, Section B, Line 6 is the Medicare cost report, Form 2552-10.
Part III, Line 4 - Bad Debt ExpenseAccounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of 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 decreased from $5,150,000 at September 30, 2011 to $850,000 at September 30, 2012. In 2011 the allowance for doubtful accounts was increased by $4,000,000 as a result of past due receivables from the eighty-seven municipal school departments served by the Hospital. In 2012, as a result of subsequent collections, the allowance for doubtful accounts was decreased by $4,000,000. The Hospital's self-pay writeoffs for the years ended September 30, 2012 and 2011 amounted to $405,000 and $293,000, respectively. The Hospital did not change its charity care or uninsured discount policies during the years ended September 30, 2012 and 2011, respectively. The Hospital did not have significant writeoffs from third-party payors in either 2012 or 2011.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.Schedule H, Part III, Section B, Line 6The amount reported as allowable Medicare costs is determined by applying a RCC to total charges incurred by Medicare patients treated. 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.
Part I, Line 7, Column F - Explanation of Bad Debt ExpenseThe 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 bad debt expense of $278,079.
Part I, Line 7 - Explanation of Costing MethodologyThe 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 expense.Patient costs 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. 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 applicable sections of Line 7. Net patient service revenue is recorded as amounts received from various payer types related to these services. Revenue associated with Medicare GME is excluded from the amount disclosed for subsidized health 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 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 four times the poverty level in effect at the time of application. Full charity care applicants with assets worth more than $8,855 for an individual (or $13,281 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 50% 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 exceeds $5,000.Patients who do not qualify for the 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 $50.004. 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 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.

Schedule I IRS990ScheduleI

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Brown UniversityBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1164 Angell StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02912ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient050258809EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant12805AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Purpose Of GrantGeneral SupportPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Other Compensation Filing OrgOtherCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBase Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Susan V Eagleson
12920014838144038
Rowland P Barrett MD
35342257224600220624213654
Patricia J FlanaganMD
220802281412371479419985259632
Mary A Wakefield
4995738429193969858531584877953467780
Margaret G Klitzke MD
32882008723732420072313226
Laura A Ruoff MD
643914621659819466012149
Kevin P Myers MD
1103801626428729814350417150
Jeffrey Hunt MD
91012008926875122452115040
Jarle Z Meservey MD
947843122235920100111980
Henry Sachs MD
111301971631102224047839698
Gregory K Fritz MD
28737163631709716182327013
Daniel J Wall
282756480941778701470016431539851121074
Dale F Radka MD
120402009430968326046117088

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 1aIdentifier
Return ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.ReturnReference
ExplanationTax 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).Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1RI Health & Education Bldg CorpBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521300173IssuerEIN
CUSIP Number762243K36CUSIPNumber
Date Issued2009-03-30DateIssued
Issue Price19582506IssuePrice
Description Of PurposeSee Schedule ODescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingtruePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds23038242TotalProceeds
Amount In Reserve Fund2300779AmountInReserveFund
Issuance Costs From Proceeds339576IssuanceCostsFromProceeds
Credit Enhancement398966CreditEnhancement
Capital Expenditures19927384CapitalExpenditures
Other Spent Proceeds71537OtherSpentProceeds
Year Of Subst Completion2012YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementstrueAnyResearchAgreements
Engage Bond Counsel ResearchtrueEngageBondCounselResearch
Prcntge Prvt Business Use By Others0.00500PrcntgePrvtBusinessUseByOthers
Total Private Business Use0.00500TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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.
Form 990, Schedule K, Part V:The Hospital has in place written post-issuance tax compliance procedures for tax-exempt obligations. To ensure that its bonds continue to qualify for tax-exempt status, the Hospital consults with bond counsel and other legal counsel and advisors, as needed, to ensure that all applicable post-issuance requirements are met. The Hospital has not identified any non-compliance with the requirements of its tax-exempt bonds.
Form 990, Part XII, Line 2CThe Lifespan Audit and Compliance Committee assumes responsibility for the oversight of the audit of Bradley Hospital's financial statements and the selection of Lifespan's independent accountant.
Form 990, Part VI, Section B, Q15, 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 Senior Vice President of Human Resources 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 VI, Section B, Q15 a & bThe 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 and long-term incentive and executive benefit plans* Approving performance objectives associated with Lifespan's annual and long-term incentive plans, 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(s)* 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, Q12CLifespan 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. (For the bulk of Lifespan management staff awareness of 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 III, line 4a:EPBH provides full charity care for individuals at or below twice the federal poverty level, with a sliding scale for individuals up to four times the poverty level. In addition, a substantial discount is offered to all other uninsured patients. The Hospital determines the cost associated with providing charity care by aggregating the applicable direct and indirect costs, including compensation and benefits, supplies, and other operating expenses, based on data from its costing system. The total cost, excluding medical education and research, incurred by the Hospital to provide charity care amounted to $991,000 in fiscal 2012. Charges forgone, based on established rates, amounted to $547,559.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableLifespan 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.Form 990, Part VI, Line 19
Form 990, Part VI, Line 11: 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 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 11
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.Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe bylaws of Emma Pendleton Bradley Hospital (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 include: to elect and remove trustees and to approve the election of and to remove certain officers. At each annual meeting of the Hospital Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of the Hospital 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 ShareholderLifespan is the sole corporate member of Emma Pendleton Bradley Hospital.Form 990, Part VI, Line 6
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtDaniel J. Wall, President, and Mary A. Wakefield, CFO, are both employed by Lifespan Corporation. Ms. Wakefield is also an officer of Rhode Island Hospital.Patricia J. Flanagan and Gregory K. Fritz, Trustees, are employed by Rhode Island Hospital.Form 990, Part VI, Line 2
Form 990, Part III, Line 4d : Other Program Services DescriptionOTHER 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 III, Line 4d

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 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 StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
RI Sound Enterprises Insurance Co Ltd
65 Front StreetHamiltonBDHM 12Offshore Insurance CaptiveBDN/AN/ALifespan Corporationfalse
Lifespan Physician Group Inc
Health Care Services501(c)(3)9Lifespan Corporationfalse167 Point StreetProvidenceRI02903050389801RI
Lifespan Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050493219RI
The Miriam Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050377502RI
The Miriam Hospital
Health Care Services501(c)(3)3Lifespan Corporationfalse164 Summit AvenueProvidenceRI02906050258905RI
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
NHCC Medical Associates Inc
Health Care Services501(c)(3)11Newport Health Care Corporationfalse11 Friendship StreetNewportRI02840050472268RI
Newport Hospital Foundation Inc
Philanthropic Activities501(c)(3)7Newport Health Care Corporationfalse11 Friendship StreetNewportRI02840222535533RI
Newport Hospital
Health Care Services501(c)(3)3Newport Health Care 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
Lifespan of Massachusetts
Holding Company501(c)(3)11Lifespan Corporationfalsec/o Archstone Law 245 Winter StWalthamMA02451043408517MA
Lifespan Diversified Services
Holding Company/ Mgmnt Services501(c)(3)11Lifespan Corporationfalse167 Point StreetProvidenceRI02903050258935RI
Lifespan Corporation
Holding Company/ Mgmnt Services501(c)(3)11false167 Point StreetProvidenceRI02903222861978RIN/A
Hospital Properties Inc
Property Management501(c)(4)Lifespan Corporationfalse593 Eddy StreetProvidenceRI02903222869743RI
Bradley Hospital Foundation
Philanthropic Activities501(c)(3)7Lifespan Corporationfalse167 Point StreetProvidenceRI02903050500688RI

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Julia Baldwin Trust FBO Bradley Hospital
c/o Bank of America PO Box 830269DallasTX75283056004629PhilanthropicRIN/ATrust65691983261.00000
Samuel B Swan Trust FBO Bradley Hospita
c/o Bank of America PO Box 830269DallasTX75283056049399PhilanthropicRIN/ATrust5941617327331.00000
Helen Bradley Trust FBO Bradley Hosp
c/o Bank of America PO Box 830269DallasTX75283056003969PhilanthropicCTN/ATrust22811342759461.00000
George L Bradley Trust FBO Bradley Hosp
c/o Bank of America PO Box 830269DallasTX75283056003629PhilanthropicCTN/ATrust1261300427809881.00000
VNA Technicare Inc
622 George Washington HighwayLincolnRI02865050472710DME SalesRIC corpLDS Inc
Lifespan Risk Services
167 Point StreetProvidenceRI02903050459767Risk MgmntRIC corpLifespan Corp
Lifespan MSO Inc
167 Point StreetProvidenceRI02903050508717Mgmnt SvcsRIC corpLifespan Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg