2012-08-14T15:17:47-07:00 2011-09-30 KPMG LLP 2 Financial Center 60 South St Boston MA 02111 990 2010-10-01 050258806 Emma Pendleton Bradley Hospital EMMA 4014321000 1011 Veterans Memorial Parkway East Providence RI 02915 Mary A Wakefield 2012-08-14 2010 2016-02-24 21:20:13Z Daniel J Wall 1011 Veterans Memorial Parkway East Providence RI 02915 72744546 false false X www.lifespan.org X 1957 RI Emma Pendleton Bradley Hospital's mission is to provide a range of family-focused, high quality mental health care to infants, children, adolescents and young adults with emotional disorders and/or developmental disabilities. 19 16 1015 50 0 1388675 949799 63313626 68232489 2216425 2060084 1463508 1484514 68382234 72726886 0 0 48246566 53381577 0 192931 16768759 21633720 65015325 75015297 3366909 -2288411 119861417 113965188 39460498 39052635 80400919 74912553 X Emma Pendleton Bradley Hospital's mission is to provide a range of family-focused, high quality mental health care to infants, children, adolescents and young adults with emotional disorders and/or developmental disabilities. false false 36583740 44103388 Inpatient 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 and traditional outpatient services to children from infancy to adolescence with serious emotional, behavioral, eating, sleeping or relationship problems. 19237759 18079918 The Bradley Schools are private, school-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. 4370766 3505661 The Bradley Hasbro Children's Research Center is devoted to the study and treatment of children at risk for serious mental disorders and behavior processes resulting from the intergenerational transmission of illness. The research areas are broad and include: Sleep and Chronobiology Laboratory, Adolescent Psychopathology, Developmental Psychopathology, Firesafe Families Program, Child Protection, HIV Prevention, Anxiety Disorders, Sibling Adaptation, and Autism and Developmental Disabilities. 3479617 2543522 63671882 true true false false false false false false false true true false true true true false true true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false false true 50 0 true 1015 true false false false false false false false false false false false 0 false false false false false false false false false false false X 19 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 Thomas H Quill Jr 1.00 X 0 0 0 Susan V Eagleson 40.00 X 165549 0 20666 Stephen O Meredith 1.00 X X 0 0 0 Ruth I Kauffman 0.00 X 0 0 0 Rowland P Barrett MD 40.00 X 205985 0 37805 Patrick J Kennedy 2.00 X 0 0 0 Patricia J FlanaganMD 1.50 X 0 237993 35563 Michael J Benes 2.50 X 0 0 0 Mary A Wakefield 4.00 X 0 726687 103289 Margaret G Klitzke MD 40.00 X 196441 0 32987 Lynne Barry Dolan 1.00 X 0 0 0 Kenneth W Washburn 2.00 X 0 0 0 Karyn J Horowitz MD 40.00 X 188421 0 39647 Jozy A Mainelli 2.00 X 0 0 0 Jonathan A Barnes 2.00 X X 0 0 0 Jeffrey Hunt MD 40.00 X 226185 0 35260 Jeffrey Hirsh 2.00 X 0 0 0 Jarle Z Meservy MD 40.00 X 197423 0 22060 Henry Sachs MD 40.00 X 250979 0 35040 Gregory K Fritz MD 3.00 X 0 277871 32149 Geanina O Costea MD 40.00 X 182085 0 20777 Gary Serby 3.00 X 0 0 0 Donald P Galamaga 3.00 X 0 0 0 David Kohlhammer 0.50 X 0 0 0 David A Brown 6.00 X X 0 0 0 Daniel J Wall 40.00 X X 0 422824 77302 Dale F Radka MD 40.00 X 276347 0 37581 Charles H Boisseau 2.00 X X 0 0 0 Carol A Peterson 2.00 X X 0 0 0 Bruce N Leonard 1.00 X 0 0 0 Brian Hurley 1.00 X 0 0 0 Barbara Goldner 0.00 X 0 0 0 1889415 1665375 530126 36 false true false Butler Hospital 345 Blackstone Boulevard Providence RI 02906 Residency Rotations 587881 Brown University PO Box 1911 Providence RI 02912 Shared Chair 348730 2 943738 6061 949799 School 611110 18079918 18079918 Residential 623220 9022158 9022158 Research 541700 3505661 3505661 Partial Hospitalization 622210 4449940 4449940 Inpatient Routine 622210 30631290 30631290 2543522 2543522 68232489 1973514 1973514 396 396 0 0 85834 18000 17660 85834 340 86174 340 85834 0 0 0 School Lunch Program 611110 222020 222020 Grant Indirect Revenue 622210 731473 731473 All Other 622210 410164 410164 120857 120857 1484514 72726886 69717343 2059744 0 0 0 0 893154 893154 0 39846446 38693693 1152753 1716400 1666624 49776 8035992 7820298 215694 2889585 2805787 83798 0 0 0 0 0 25333 25333 988122 988122 14323 14323 2780053 2678709 101344 0 0 1162381 1038280 124101 141551 136785 4766 0 96948 76661 20287 1581904 1581904 0 1948723 1948723 153215 153215 Purchased services 6470440 1243821 5226619 Provision for bad debts 4133776 4133776 Other expenses 2136951 1328634 615386 192931 0 75015297 63671882 11150484 192931 167497 3625408 6050931 0 545667 527689 11723628 9406639 0 0 0 125650 154681 400826 162016 59063546 20043083 39697217 39020463 5138509 6568168 2366292 3363628 18500000 18500000 0 35145200 32636496 119861417 113965188 4156774 4780381 23035866 23034282 12267858 11237972 39460498 39052635 X 28257568 24662622 4128825 4226819 48014526 46023112 80400919 74912553 119861417 113965188 X -2288411 -3199955 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 55928526 7257140 -1905627 4898014 56382024 52929583 6659882 1495682 5156621 55928526 52034628 8232926 -2585816 4752155 52929583 0.13200 0.81600 0.05200 true false false 379599 379599 48449776 12250506 36199270 10143302 7792577 2350725 90869 90869 39020463 Limited Partnerships held inside Pool 1382831 F Commodities-Various 175959 F 18500000 Participation in HBCS Net Assets 78180 Interest in NA of Bradley Foundation 944575 Deferred Financing Costs 683362 32636496 Third Party Liabilities 1673393 Other Long-term Liabilities 116100 Intercompany Liabilities 531488 Health Care Benefit Self-insurance 482691 Accrued Pension Liability 8434300 11237972 72726886 75015297 -2288411 -2080105 -1119850 -3199955 -5488366 68764159 -2080105 -1857289 -3937394 72701553 25333 25333 72726886 74252525 74252525 25333 737439 762772 75015297 Part XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S Fundraising Expenses $192931 Other Non-Operating Losses $544508 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Funded Status of Pension Plan $ -790522 Interest in Foundation Net Assets $ -329328 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. Bradley Hospital's (BH's) endowment funds were established for a variety of purposes including both donor-restricted endowment funds and funds designated by BH to function as endowments. BH receives support from various irrevocable trusts within its endowment funds, including The Helen Bradley Trust and The George L. Bradley Trust (the Trusts), which were established under the wills of the late Helen and George L. Bradley. At September 30, 2011, the market value of the Trusts held by unrelated entities was approximately $27.5 million (not including the land and the original Laufer Building in East Providence, Rhode Island where BH is located). The Trusts have distributed accumulated appreciation to BH from time to time for such purposes as the funding of renovations. 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 term endowment held by BH is used to support BH's support of the PediMIND program including equipment for pediatric neuro development and mood imaging. 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 Art Sensory Fund supports patients' speech and occupational therapy needs. true true true X true X true true true false true true 1326221 80093 1246128 0.01660 1326221 80093 1246128 0.01660 131576 20276 111300 0.00150 1895077 1895077 0.02530 15724453 12074796 3649657 0.04870 4370766 3505661 865105 0.01150 19200 19200 0.00030 22141072 15600733 6540339 0.08730 23467293 15680826 7786467 0.10390 true 2765496 16731 16731 true true 1 0 Emma Pendleton BradleyHospital

1011 Veterans Memorial Parkway East Providence RI 02915

X X Emma Pendleton BradleyHospital 1 false true true 200.0000 true 400.0000 true X X X X X X true true X X X X X X true X X true X X X X X X false X X false false 15 East Providence High School - E Providence Pship

2000 Pawtucket Avenue East Providence RI 02914

Special Education Facility Whiteknact Elementary School - E Providence Pship

261 Grosvenor Avenue East Providence RI 02914

Special Education Facility Riverside Middle School - E Providence Pship

179 Forbes Street East Providence RI 02915

Special Education Facility The Bradley School - Westerly

93 Tower Street Westerly RI 02891

Special Education Facility Martin Middle School - E Providence Partnership

111 Brown Street East Providence RI 02914

Special Education Facility Silver Spring Elementary School - E Prov Pship

120 Silver Spring Avenue East Providence RI 02915

Special Education Facility Rumford House

PROPRIETARY East Providence RI 02915

Residential Program Heritage House

PROPRIETARY Warwick RI 02888

Residential Program Exeter House

PROPRIETARY Exeter RI 02822

Residential Program Hill House

PROPRIETARY North Providence RI 02911

Residential Program Bradley Research Center

1 Hoppin Street Providence RI 02903

Research Facility The Center for Autism&Developmental Disabilities School

1011 Veterans Memorial Parkway East Providence RI 02915

Special Education Facility The Bradley School - South County

4781 Tower Hill Road Wakefield RI 02879

Special Education Facility The Bradley School - Portsmouth

2820 East Main Road Portsmouth RI 02871

Special Education Facility The Bradley School - Campus

1011 Veterans Memorial Parkway East Providence RI 02915

Special Education Facility Part VI - Affilated Health Care System Roles and Promotion Lifespan'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 12,400 people. The Lifespan system has over 2,200 physicians on the medical staffs of its affiliated hospitals, operates 1,155 licensed beds in four hospital complexes, and in 2011 generated approximately $1.7 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 79 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, 2011, Lifespan Corporation employed approximately 700 full-time and part-time personnel, most of whom are located at Lifespan's headquarters in Providence, RI. Lifespan Corporation provides support services to its affiliates, such as information services, telecommunications, risk management, legal, communications and public affairs, fundraising, payor contracting, 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 Purpose Bradley 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 Information The Hospital, whose primary location is East Providence, Rhode Island, is a 60-bed, nonprofit teaching hospital with university affiliation providing for the psychiatric treatment of adolescents and children including some with severe developmental disabilities. The Hospital operates several major programs including acute, partial hospitalization, residential and outpatient, as well as The Bradley School, which provides special education services to children from preschool through high school. The Hospital also operates eight 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 as well as 19 towns in southeastern Massachusetts. Part VI - Patient Education of Eligibility for Assistance Bradley Hospital provides to each patient 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 Assessment Bradley Hospital is the nation's first children's psychiatric hospital, providing services for children and adolescents not only from Rhode Island, but 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 unit entrances. Number of Hospital Faciltiy - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Uninsured patients receive an automatic 25% Community Benefit discount on Hospital charges. Number of Hospital Faciltiy - 0 Part V, Line 16e - Other Collection Actions by Facility or Third Party Engaged The Hospital engages third-parties to perform certain collection actions on its behalf. A pre-collect company is used for all self-pay accounts. Additionally, a collection agency is used if there is no payment activity on such accounts after 120 days. The collection process is explained in further detail in the response to Question 15e above. Number of Hospital Faciltiy - 0 Part V, Line 15e - Other Collection Actions Against a Patient Once an account balance or a portion thereof is classified as self-pay, it is placed with the Hospital's pre-collect company. The account remains with them until balance is paid in full, a monthly payment plan is in place, or insurance information is provided for billing.After 120 days, if there is no payment activity, the account qualifies for bad debt and the pre-collect company returns the account to Patient Financial Services, which in turn forwards to a collection agency.The collection agency sends 3 to 5 notices to the patient requesting payment. If there are no responses after letters are sent, collection calls are made. If there is no response after 120 days, the account is reviewed for legal action in the appropriate court.If there are no assets to pursue, the collection agency deems the account uncollectible and then returns it to Patient Financial Services for 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 Policy An abbreviated version of the Hospital's financial assistance policy is posted in various admitting and outpatient areas of the Hospital. Additionally, registration personnel refer uninsured and/or low income patients to Patient Financial Counselors to discuss the policy and/or answer any questions they might have. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Bradley Hospital does not bill for the excess of charges over agreed upon reimbursement amounts from third party payors. Rather, such differences are recorded as a reduction of revenue through contractual adjustments. Collection efforts are focused on co-payments, deductibles and amounts denied by insurers. After all collection attempts are exhausted, any remaining balances, including any co-payments and deductibles, are written off as 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 4 - Bad Debt Expense The Hospital grants credit without collateral to its patients, most of whom are local residents and are insured under third party payor arrangements. Additions to the allowance for doubtful accounts are made by means of the provision for bad debts. Accounts deemed uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in federal and state governmental health care coverage, and other collection indicators.The Hospital provided $4,133,776 for uncollectible patient accounts during the year ended September 30, 2011. The associated cost reported on Line 2 of Part III was determined by applying an operating cost to charge ratio exclusive of community benefit costs and charges to the provision amount per the Hospital's audited financial statements. 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 income tax return- most recently received payroll check stub- copy of rent receipts for the last six months- copy of utility bills for the last month4. 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.)5. Uninsured patients receive an automatic 25% deduction at the Hospital.6. 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. Partial charity care applicants are subject to the same asset test and may not qualify for the highest discount on care, but may be eligible for a lesser discount. 7. 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. 8. 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.For elective or non-urgent cases, the policy will require financial clearance prior to services or an exception from the Medical Director based on the clinical circumstances if the patient cannot meet the above payment agreement.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. X true true X X X X X true true false false false false false true false false Susan V Eagleson 45568 119981 4907 15759 186215 13023 Rowland P Barrett MD 201109 4876 14865 22940 243790 Patricia J FlanaganMD 235392 2601 16520 19043 273556 Mary A Wakefield 495892 132000 98795 88238 15051 829976 66367 Margaret G Klitzke MD 192850 3591 13845 19142 229428 Karyn J Horowitz MD 186517 1904 14352 25295 228068 Jeffrey Hunt MD 217400 8785 16115 19145 261445 Jarle Z Meservy MD 195786 1637 14027 8033 219483 Henry Sachs MD 232961 15000 3018 15512 19528 286019 Gregory K Fritz MD 270835 7036 16749 15400 310020 Geanina O Costea MD 181241 844 12747 8030 202862 Daniel J Wall 279767 75000 68057 60660 16642 500126 40756 Dale F Radka MD 253975 10000 12372 18431 19150 313928 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above The Lifespan Annual Incentive Compensation Plan provides a financial award opportunity for designated members of management, based on quantified objectives that are approved in advance by the Compensation Committee of the Lifespan Corporation Board of Directors. A specified level of financial performance must be met before any award is earned. The objectives vary from year to year and generally include various aspects of financial measures in addition to non-financial performance measures. For certain participants in the Annual Incentive Compensation Plan, the award opportunity is divided into two pools. The first pool represents 80% of any earned incentive award, based on the achievement of the team performance objectives. The remaining 20% pool is distributed on an individual basis to participants at the discretion of the CEO, in each case subject to approval by the Compensation Committee of the Lifespan Corporation Board of Directors. Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Tax Indemnification and Gross-up Payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii). RI Health & Education Bldg Corp 521300173 762243K36 2009-03-30 23038242 See Schedule O false false 23038242 2300532 339576 398966 19247727 71824 679617 false false false true false false false false true false false false false false Schedule K, Part I, Line A, Column (f) The proceeds of the bonds are being 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, Part XII, Line 2C The 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 & b The following applies to Lifespan and all of its affiliates, including Emma Pendleton Bradley Hospital:EXECUTIVE COMPENSATIONLifespan's executive compensation philosophy balances appropriate stewardship of resources and the need to be competitive in recruiting and retaining talented individuals. It incorporates market-competitive and performance-related principles, and covers the President and CEO of Lifespan as well as other officers, senior management and key employees. Lifespan's executive compensation program complies 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, Section B, Q12C Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including Emma Pendleton Bradley Hospital, and administered by Lifespan's Corporate Compliance Department as follows: Each designated person subject to Lifespan's conflict of interest policy is required to provide Lifespan with an initial disclosure statement and thereafter an annual statement attesting that (i) the designated person has read and is familiar with this policy, and (ii) the designated person and, to the best of his/her knowledge, family members, have not in the past engaged in, are not presently engaging in, or plan to engage in, any activity which contravenes this policy.If, at any time during the course of employment or association, a designated person has reason to believe that an existing or contemplated activity may contravene this policy, the person shall submit a full written description of the activity to the Lifespan Compliance Officer or the Office of the General Counsel to seek a determination as to whether the contemplated activity does or does not contravene this policy. (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 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 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 for initial review 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. Any recommended changes 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. The Chief Financial Officer is authorized to file the Form 990. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The 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 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lifespan is the sole corporate member of Emma Pendleton Bradley Hospital. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Mary A. Wakefield is an officer of Rhode Island Hospital. The following Hospital trustees are employed by Rhode Island Hospital: Patricia J. Flanagan and Gregory K. Fritz.Mary A. Wakefield is an officer of Lifespan Corporation. The following Hospital officer is employed by Lifespan Corporation: Daniel J. Wall. Form 990, Part III, Line 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER PROGRAM SERVICES 4: HOME-BASED TREATMENT SERVICES AND OUTPATIENT CLINICSHome-based intensive behavioral treatment is for children who have been diagnosed with autism spectrum disorder and have varying degrees of chronic behavior disorders that, if left untreated, would worsen and require more intensive treatment, including psychiatric hospitalization or out-of-home residential placement. Staff members visit a family's home and deliver clinical services to the child on a one-on-one basis. The treatment plan is family-oriented, as it includes all family members in the treatment process.Bradley also offers a hospital diversion program to children and adolescents with mental retardation. Those admitted to this home-based program present with chronic mild to moderate behavior disorders that, if left untreated, would worsen and require more intensive treatment, including hospitalization or residential placement. This service, which is also a resource for children recently discharged from the Hospital, is used as a preventive measure against the future need for an out-of-home placement.Bradley's outpatient treatment programs are administered by a multidisciplinary staff of psychiatrists, psychologists, nurses and qualified trainees who provide comprehensive mental health evaluation and treatment for children, adolescents and families for a wide range of clinical conditions. Patients may be treated with a variety of modalities including individual, group and family therapy, and psychopharmacologic management. Treatment is often coordinated with other agencies such as mental health centers, schools or community-based organizations. 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