2013-08-14T13:38:16-07:00 2012-09-30 KPMG LLP 2 Financial Center 60 South Street Boston MA 02110 990 2011-10-01 050500688 Bradley Hospital Foundation BRAD 4014446500 167 Point Street Providence RI 02903 Mary A Wakefield 2013-08-14 true 6179881000 2011 2016-02-24 21:20:13Z Daniel J Wall 167 Point Street Providence RI 02903 1012624 false false X www.lifespan.org X 1998 RI To engage in philanthropic activities to support the mission & purposes of EPBH, which are to provide a range of family-focused high quality health care to infants, children & young adults with emotional disorders & developmental disabilities. 18 16 0 45 0 919820 921073 0 5469 19447 -69325 -61785 855964 878735 943738 1155642 0 0 0 206345 241110 212647 1184848 1368289 -328884 -489554 954205 487469 9630 34303 944575 453166 X To engage in philanthropic activities to support the mission & purposes of EPBH, which are to provide a range of family-focused high quality health care to infants, children & young adults with emotional disorders & developmental disabilities. false false 436559 436559 Through the development and administration of philanthropic activities, the Bradley Hospital Foundation is able to transfer various funds raised to Bradley Hospital to support its operating activities, which in turn benefit the Rhode Island community. For example, $79,172 was used for general support of the Developmental Disability Genetic Research Program. Another $67,263 was transferred for technology purchases that include:computers, cameras, scanners and printers for the Intensive Behavioral Treatment Program. Also, $55,871 was provided in support of the Pediatric Mood Imaging Neuro Development program (PediMIND), which uses brain imaging techniques, including magnetic resonance imaging (MRI), behavioral measures, and genetic analyses to identify biological and behavioral markers (scans and tests) of psychiatric illness, including bipolar disorder, in children and adolescents. 414083 414083 The Foundation's Capital Campaign helps defray Bradley Hospital's cost of expansion, construction, renovation, equipping and furnishing of a major two-story addition to its patient care/residential school facilities, as well as the renovation of existing space to expand Bradley Hospital's partial, residential, school and outpatient programs and its research studies. The new Bradley Hospital building, which opened 4/1/09, is helping to meet the rising demand for child and adolescent mental health services and enhance the overall quality of care for children and their families. It has been designed to be a modern, state-of-the-art facility consisting of 60 private rooms that also provides a comfortable child-focused atmosphere that is essential to the care and therapy of patients. The redesign allows Bradley Hospital staff to better monitor and respond more quickly to patients and their needs. 155000 155000 Major philanthropic activity in support of Bradley Hospital's Communication, Occupational and Sensory Treatment (COAST) Clinic, totaling $150,000 in fiscal year 2012. This program is for children and adolescents with a co-occurring sensory processing disorder which impairs speech and language. This program focuses on the disorder's impact on home and community functioning, and targets those who require further exploration of how their sensory processing systems impact their speech, language and practical life skills in the home and community settings.Additionally, Bradley Hospital Foundation transferred $5,000 to The Miriam Hospital in support of its Parenting Matters program, a program that provides parents and caregivers the tools to help them raise happy, healthy children. 150000 150000 1155642 true true false false false false false false false true false true false true true true false true false false false false false false true false false true false true false false false false false false false false false false false false false false false false true false false false false true 10 0 true 0 false false false false false false false false false true true false 0 false false false false false false false false false false false X 18 16 true false false false true true true true true false false false true true true true true true true true false false X Mary A Wakefield 4014447093 167 Point Street Providence RI 02903 X Kenneth W Washburn 3.00 X 0 0 0 Gary Serby 0.00 X 0 0 0 Thomas H Quill Jr 2.50 X 0 0 0 Carol A Peterson 2.00 X X 0 0 0 Stephen O Meredith 2.00 X X 0 0 0 Jozy Mainelli 3.00 X 0 0 0 Bruce Leonard 1.40 X 0 0 0 David Kohlhammer 1.00 X 0 0 0 Patrick J Kennedy 0.50 X 0 0 0 Jeffrey Hirsh 4.00 X 0 0 0 Donald P Galamaga 1.00 X 0 0 0 Gregory K Fritz MD 2.50 X 0 293734 33279 Patricia J FlanaganMD 1.50 X 0 224853 34779 Lynne Barry Dolan 1.50 X 0 0 0 David A Brown 4.00 X X 0 0 0 Charles H Boisseau 8.00 X X 0 0 0 Michael J Benes 2.50 X 0 0 0 Jonathan A Barnes 2.50 X X 0 0 0 Daniel J Wall 10.00 X 0 508720 31131 Mary A Wakefield 1.00 X 0 677833 101701 Mark T Cummings 2.00 X 0 378632 69678 2083772 270568 0 false true false 0 117670 803403 79 921073 0 3821 3821 0 0 0 53950 38324 15626 15626 15626 33780 117670 95565 -61785 -61785 0 0 0 878735 -42338 1155642 1155642 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Uncollectible pledges 45 45 Gifts in kind 1225 1225 Other expenses 6302 6302 Svcs purchased from Lifespan 205075 205075 0 1368289 1155642 6302 206345 5013 11012 0 670421 199202 0 0 0 0 0 2344 0 0 101465 99361 51956 47333 0 0 123006 130561 954205 487469 7387 14082 2243 20221 9630 34303 X 195182 197233 749393 255933 944575 453166 954205 487469 X -489554 -1855 X false true true X false false X 2145676 1923617 498504 919820 921073 6408690 0 0 2145676 1923617 498504 919820 921073 6408690 2070119 4338571 25001 11187 2467 2768 3821 45244 0 0 6453934 0.67220 0.65250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 157779 1465560 20124 1150642 326784 5483 160554 95436 1266318 4920 943738 262845 2312 157779 178029 1442459 18782 1379512 162849 1473 95436 0.40130 0.59870 false false false 47333 Everson Annuity 116701 130561 Unearned Interest-Char. Gift Ann. 10556 Due to Affiliates 9665 20221 Part X Part X : FIN48 Footnote Bradley Hospital Foundation (the Foundation), as a not-for-profit corporation, is recognized under Section 501(c)(3) of the Internal Revenue Code and is exempt from Federal income taxes. The Foundation recognizes the effect of income tax positions only if those positions are more likely than not 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 Foundation did not recognize the effect of any income tax positions during the fiscal year ended September 30, 2012. Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Transfer from Lifespan Foundation $2000 Agency 'Ee Fund - Net Disbursements $ -4532 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. Bradley Hospital Foundation's (BHF's) endowment funds were established for a variety of purposes, including both donor-restricted endowment funds and funds designated by BHF to function as endowments. The largest temporarily restricted endowment held by BHF is for the Capital Campaign program which is used to help defray Bradley Hospital's cost of expansion, construction, renovation, equipping and furnishing of its patient care/ residential school facilities, as well as its research studies. Another large fund is used to support the operations of the Center for Autism and Development Disabilities school program, as well as equipment purchases and other capital expenditures. false Bravo Bradley Gala 151450 117670 33780 1755 36522 3850 53438 151450 117670 33780 1755 36522 3850 53438 95565 -61785 true Bradley Hospital 1011 Veterans Memorial Parkway East Providence RI 02915 050258806 501(c)(3) 1150642 0 Pedi-Psych Programs/ Cap Campaign 1 0 Grantmaker's Description of How Grants are Used The Organization engages in philanthropic activities to support the mission and purposes of Bradley Hospital, a related 501(c)(3) organization. During the year ended September 30, 2012, the Organization made temporarily restricted net asset transfers to Bradley Hospital amounting to $1,150,642 to be spent by Bradley Hospital in support of certain building and equipment additions and specified clinical programs. A master database of Bradley Hospital Foundation's temporarily restricted funds is maintained as the primary source for identifying each fund's restriction, the availability of the current balance and the authorized personnel for the respective fund. The database contains the fund's name, primary reporting department, most recent month end balance, fund purpose/restriction, and the management responsible for the fund. Expenditures (purchase requisitions, work order requisitions, check requests and employee reimbursements) from Bradley Hospital's temporarily restricted funds must be presented to the Lifespan Finance Department for approval prior to processing. Each request is reviewed to ensure the availability of funds and that the expense/purchase is both in conformity with the fund's restriction and approved by the required levels of authorized personnel referenced in the database. X X true true X X X X X false true false false false false false false false false Patricia J FlanaganMD 220802 2814 1237 14794 19985 259632 Mary A Wakefield 499573 84291 93969 85853 15848 779534 67780 Mark T Cummings 271555 46103 60974 50240 19438 448310 40213 Gregory K Fritz MD 287371 6363 17097 16182 327013 Daniel J Wall 282756 48094 177870 14700 16431 539851 121074 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Tax Indemnification and Gross-up Payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii).Social Club Dues:The job responsibilities of certain executives include development of relationships with business leaders and donors. Those relationships are facilitated by the ability to meet in private sessions during which focused business discussions take place. The Hope and University Clubs, which require individual memberships, are places in Providence where businessmen and women, civic, community and social leaders can gather in a business-like atmosphere. The cost of membership is considered by Lifespan to be reasonable and necessary and thus a qualified business expense not taxable to the employee. IRS regulations regarding documentation requirements are followed for any payments made for meetings held at the respective club, including the business purpose and nature of the business benefit derived; the nature of the business discussion or activity; and the identity and business relationship of attendees. FORM 990, PART XII, LINE 2 While Bradley Hospital Foundation ("the Foundation") did not produce an audited financial statement as of and for the year ended September 30, 2012, it was included in Lifespan Corporation's audited consolidated financial statements, in which one column is used for the Foundation combined with certain related organizations. Additionally, the Foundation is included in the Lifespan Combined Foundations audited financial statements. There are no regulatory or creditor stipulations which require the preparation of a separate audited financial statement for the Foundation.The Lifespan Audit and Compliance Committee assumes responsibility for oversight of the audit of Lifespan Corporation's consolidated financial statements and the selection of Lifespan Corporation's independent accountant. FORM 990, PART VI, LINE 15a&b cont. * Selecting and engaging qualified, independent, third party compensation valuation consultants that the Committee charges with rendering opinions with respect to the reasonableness and comparability of compensation as well as the comparative organizations against which compensation is assessed, in accordance with relevant sections of the IRC and Lifespan's executive compensation philosophy. The independent consultants are not engaged by management to perform any services for Lifespan without prior approval by the Committee.Lifespan's Chief Executive Officer works closely with the Committee to make recommendations on the above topics and keep the Committee informed about contemplated compensation changes for executives and other key employees, as well as candidates for these roles. The CEO also provides periodic updates to the Committee regarding Lifespan's performance relative to compensation-related performance objectives. The Committee's deliberations and actions are documented in minutes prepared for each meeting.PROCESS FOR DETERMINING COMPENSATION Valuation of Total Cash and Total Remuneration: No less frequently than annually, the Committee receives and reviews a total cash compensation valuation of all existing executive compensation program participants prepared by its independent compensation consultant. Annually, the Committee also receives and reviews a total remuneration valuation of all existing executive compensation participants. Base Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her assessment of individual performance or other pertinent information, for the Committee's consideration.New Participants to Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program: the office of the 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, LINE 15, a & b The following applies to Lifespan and all of its affiliates, including Bradley Hospital Foundation:EXECUTIVE COMPENSATIONLifespan's executive compensation philosophy balances appropriate stewardship of resources and the need to be competitive in recruiting and retaining talented individuals. It incorporates market-competitive and performance-related principles, and covers the President and CEO of Lifespan as well as other officers, senior management and key employees. Lifespan's executive compensation program complies both with law and with 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, LINE 12C Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including Bradley Hospital Foundation, and administered by Lifespan's Corporate Compliance Department as follows: Each designated person subject to Lifespan's conflict of interest policy is required to provide Lifespan with an initial disclosure statement and thereafter an annual statement attesting that (i) the designated person has read and is familiar with this policy, and (ii) the designated person and, to the best of his/her knowledge, family members, have not in the past engaged in, are presently not 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 VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lifespan currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification, LLC), a disclosure dissemination agent for issuers of the tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. In addition, copies of the Foundation's articles of incorporation, bylaws, and conflict of interest policy are available upon request from the office of the Lifespan Chief Financial Officer, either in person or by mail. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Chief Financial Officer and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP. The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit and reviewed by the Corporate Services Tax Compliance Manager. Further review is performed by the Director of Finance and the Vice President of Finance - Corporate Services. Once the draft Form 990 is complete, the Director of Finance forwards it with all supporting worksheets to KPMG, which then reviews the completed form in detail. The Director of Finance answers questions as they arise and provides additional information as needed. KPMG provides the Director of Finance with any recommended changes which are reviewed, and if agreed upon, are incorporated into the return. The draft Form 990 is then provided to the Chief Financial Officer for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form is sent to the Foundation's Board of Trustees in advance of its next Board meeting, at which the Chief Financial Officer discusses the highlights of the Form. All questions and concerns of the members of the Board are addressed by the Chief Financial Officer and incorporated into the Form 990 when appropriate. Once the Form 990 is complete and ready to be filed, the members of the Board are notified via email that a copy of the final version of the Form 990 is accessible through a password protected website portal. The Chief Financial Officer is authorized to file the Form 990. Form 990, Part VI, Line 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Lifespan has the responsibility for planning, directing and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Lifespan, in addition to those noted above, include: to approve amendment of the Articles of Incorporation and Bylaws and other Charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The bylaws of Bradley Hospital Foundation (the Foundation) 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 Foundation's Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of the Foundation so that it can be approved and submitted to Lifespan for ratification and election. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lifespan is the sole corporate member of Bradley Hospital Foundation. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Mary A. Wakefield, CFO, is employed by and an officer of Lifespan Corporation, and is also an officer of Rhode Island Hospital. The following officer and key employee, respectively, are employed by Lifespan Corporation: Daniel J. Wall and Mark T. Cummings. The following trustees of the Foundation are employed by Rhode Island Hospital: Patricia J. Flanagan and Gregory K. Fritz. Form 990, Part III, Line 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER PROGRAM SERVICES 4: Through the development and administration of philanthropic activities, the Bradley Hospital Foundation is able to transfer various funds raised to Bradley Hospital to support its operating activities, which in turn benefit the Rhode Island community. For example, $79,172 was used for general support of the Developmental Disability Genetic Research Program. Another $67,263 was transferred for technology purchases that include:computers, cameras, scanners and printers for the Intensive Behavioral Treatment Program. Also, $55,871 was provided in support of the Pediatric Mood Imaging Neuro Development program (PediMIND), which uses brain imaging techniques, including magnetic resonance imaging (MRI), behavioral measures, and genetic analyses to identify biological and behavioral markers (scans and tests) of psychiatric illness, including bipolar disorder, in children and adolescents. 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