2012-08-15T06:57:13-07:00 2011-09-30 KPMG LLP 2 Financial Center 60 South St Boston MA 02111 990 2010-10-01 050258954 Rhode Island Hospital RHOD 4014444000 593 Eddy Street Providence RI 02903 Mary A Wakefield 2012-08-15 2010 2016-02-24 21:20:13Z Timothy J Babineau MD 593 Eddy Street Providence RI 02903 1267107306 false false X www.rhodeislandhospital.org X 1863 RI The mission of Rhode Island Hospital (RIH) is to be at the forefront of patient care by creating, applying and sharing the most advanced knowledge in health care. 23 19 8210 990 7318491 337443 6921503 9233076 979830857 1029306980 22312627 14793122 33572256 26332667 1042637243 1079665845 354194 217124 0 495518115 537816239 0 0 512245590 539568353 1008117899 1077601716 34519344 2064129 1267363292 1237237170 577242770 556839476 690120522 680397694 The mission of Rhode Island Hospital (RIH) is to be at the forefront of patient care by creating, applying and sharing the most advanced knowledge in health care. false false 800691333 217124 982892415 Patient Care:RIH, the principal teaching hospital of The Warren Alpert Medical School of Brown University, provides a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients. RIH has particular expertise in cardiology, hematology/oncology, neurosurgery and orthopedics, as well as pediatric care at RIH's pediatric division, Hasbro Children's Hospital (HCH), and emergency medicine, with RIH being the designated Level I Trauma Center for Rhode Island. Licensed to operate 719 acute care beds, RIH is the largest of the state's general acute care teaching hospitals, employing 6,378 full-time equivalents and providing comprehensive health services to most of Rhode Island as well as southeastern Massachusetts. (Continued on Schedule O) 92169225 13131074 Medical Education:RIH provides the setting for and substantially supports medical education in various clinical training and nursing programs. The total cost of direct medical education provided by the Hospital exceeded the reimbursement received from third-party payors by $79 million in fiscal year 2011.(Continued on Schedule O) 57096354 46771259 Research:RIH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in National Institutes of Health programs. In addition, the Hospital sponsors many clinical trials, which provide valuable research information as well as cutting edge treatment for patients in the region. Federal support accounts for approximately 75% of all externally funded research at the Hospital. Researchers focus on clinical trials which investigate prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac disease, neurological problems, orthopedic advancements, and mental health concerns. RIH provided $10.3 million in support of research activities in fiscal year 2011.(Continued on Schedule O) 949956912 true true false true false false false false false true true true false true true false false true false false true false false false false false true true true true true true false false false false false false false false false true false false false false false true true true false false true 534 0 true 8210 true true true false false false false false false false false false 0 false false false false false false false false false false false X 23 19 true false true false true true true true true false false false true true true true true true true true true true X Mary A Wakefield 4014447093 167 Point Street Providence RI 02903 X Timothy J Babineau MD 23.00 X X 0 876509 144417 Ronald A DeLellis MD 40.00 X 400299 0 37619 Robert B Klein MD 40.00 X 412836 0 34458 Phillip Kydd 1.00 X 0 0 0 Penelope H Dennehy MD 2.00 X 210412 0 22890 Murray B Resnick MD 40.00 X 367580 0 36744 Michael L Hanna 2.00 X X 0 0 0 Michael J Perik 1.00 X 0 0 0 Mary Jo Kaplan 0.50 X 0 0 0 Mary A Wakefield 16.00 X 0 726687 103289 Lawrence A Aubin Sr 10.00 X X 0 0 0 Latha R Pisharodi MD 40.00 X 401506 0 39376 Joseph J MarcAurele 4.00 X 0 0 0 Jonathan J Elion MD 2.00 X 0 0 0 John B Murphy MD 40.00 X 393730 0 63828 Jeffrey G Brier 0.50 X 0 0 0 Jane Williams RN PhD 5.00 X X 0 0 0 James A Procaccianti 4.00 X 0 0 0 George A Vecchione 0.00 X 0 1481978 1797607 Garth Cosgrove MD 40.00 X 671120 0 25106 Frederick J Macri 40.00 X 0 552901 86780 Fred J Schiffman MD 2.00 X 0 0 0 Emanuel Barrows 1.00 X 0 0 0 Ellen A Collis 2.50 X 0 0 0 Edward D Feldstein 1.00 X 0 0 0 Edmund C Bennett 3.00 X X 0 0 0 Dayle H Joseph MSEdD 4.00 X 0 0 0 David A Marcoux MD 2.50 X 0 0 0 Brian J Zink MD 3.00 X 0 0 0 Brian Goldner 2.00 X 0 0 0 Bertram M Lederer 2.00 X 0 0 0 Barbara Riley RN 40.00 X 330505 0 66302 Alan H Litwin 5.00 X 0 0 0 3187988 3638075 2458416 528 true true false University Surgical Associates 72 Newman Avenue Rumford RI 02916 Medical Services 7009346 University Medicine Foundation 17 Virginia Ave Providence RI 02905 Medical Services 19143550 Univ Emergency Medicine Fnd 55 Claverick Street Providence RI 02903 Medical Services 2925579 Neurology Foundation 1 Hoppin Street Providence RI 02903 Medical Services 3805467 APG Security Services 95 Sockanosset Cross Road Cranston RI 02920 Security Services 4136537 78 8574262 59370 599444 9233076 Temp Restricted (SPF's) 900099 8860922 8860922 Rental 531120 3007007 3007007 Patient Service Revenue 900099 959021541 959021541 Laboratory 621500 5259325 5259325 Direct Rev from Research 900099 53158185 53158185 1029306980 7036913 7036913 4348 4348 0 3492984 1818081 1674903 1674903 1674903 193375241 185623380 7751861 7751861 7751861 0 0 0 Linen Services 812300 1997584 1651758 345826 Indirect Rev from Grants 900099 12127240 12127240 Cafeteria Revenue 722210 3829218 3829218 6703722 4968095 1713340 22287 24657764 1079665845 1042794748 7318491 20319530 185624 185624 31500 31500 0 0 1132511 215797 916714 0 407440697 404291272 3149425 23022229 22801425 220804 76067262 75444572 622690 30153540 29864340 289200 0 0 0 9179 9179 0 1402044 1402044 57605705 57535564 70141 249181 194181 55000 162313138 162925152 -612014 0 0 17040663 15080017 1960646 1489210 1476749 12461 0 1532153 1497091 35062 14192878 5302 14187576 0 32623650 32623650 10032566 10032566 Unrelated Business Income Tax 126481 126481 Purch Svs & Equip Cont 103801588 29649645 74151943 Provision for bad debts 62030411 62030411 License Fee 44925653 44925653 All Other Expenses 30193853 31634391 -1440538 0 1077601716 949956912 127644804 0 771929 20326272 44957996 145 3133457 4598112 129187138 127316769 0 0 0 12020237 12282409 1770156 1962588 1035114788 546782207 480618796 488332581 298446667 294393085 138009568 151291701 0 0 158447348 136733508 1267363292 1237237170 67895216 64386872 270579058 262912704 238768496 229539900 577242770 556839476 X 401448900 390119508 221243460 218428494 67428162 71849692 690120522 680397694 1267363292 1237237170 X 2064129 -11786957 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 9179 9179 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Rhode Island Hospital pays membership fees to the Hospital Association of Rhode Island, the National Association of Children's Hospitals, and the Trauma Center Association of America. A portion of the membership dues paid to these organizations is allocated to their lobbying efforts. 475612207 72081127 11034904 79888527 478839711 402076328 106066104 42054008 74584234 475612206 417775875 62712592 -5317535 73094604 402076328 0.49520 0.07920 0.42560 true false false 20130363 20130363 651577620 300639414 350938206 335586700 246142793 89443907 27820105 27820105 488332581 151291701 Other Receivables 15579624 Other Non-Current Assets 4864745 Interest in Net Assets of RIH Foundation 51843521 Intercompany Receivables 1323442 Deferred Financing Costs 6363181 136733508 Third-party payor settlements 42668795 Post-retirement benefit liability 23320800 Other Liabilities 35797981 Health Care Benefit Self-insurance 3128624 Accrued Pension Liability 124623700 229539900 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Increase in Net Assets of RIHF $1086424 Change in funded status of pension and other postretirement $ -10236844 Transfer to Hospital Properties, Inc. $ -393362 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. Rhode Island Hospital's (RIH's) endowment funds were established for a variety of purposes, including both donor-restricted endowment funds and funds designated by RIH to function as endowments. RIH's largest endowments support patient care, particularly cardiology, hematology/oncology, and neurology, as well as pediatric care at RIH's pediatric division, Hasbro Children's Hospital (HCH), research, and charity care.Significant term endowment funds held by RIH are used for the purposes of: (1) pediatric orthopedic research; (2) the care and treatment of crippled children; (3) neurosurgery equipment; (4) pediatric and adult oncology; and (5) HCH's Palliative Care and Pain Program and other pediatric needs. Sub-Saharan Africa 0 0 Program Services Research 21701 East Asia & the Pacific 0 0 Program Services Research 182322 204023 204023 X false false false false false true true true true X true X true true true false true true 60291982 15960107 44331875 0.04110 174060258 179936434 -5876176 234352240 195896541 38455699 0.04110 350869 54069 296800 0.00030 92169225 13131074 79038151 0.07330 26091550 18134742 7956808 0.00740 57096354 46771259 10325095 0.00960 438173 438173 0.00040 176146171 78091144 98055027 0.09100 410498411 273987685 136510726 0.13210 true 17529794 8698287 170875355 162677977 8197378 X true true Orthopedic MRI of RI LLC Imaging Services 0.33333 0.13333 1 0 Rhode Island Hospital

593 Eddy Street Providence RI 02903

X X X X X X Rhode Island Hospital 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 true X false false 21 Ophthalmology Clinic

1 Hoppin Street Suite 200 Providence RI 02903

General and Specialty Ophthalmic Examinations, Testing and Procedures Rhode Island Hospital Child Research Center

1 Hoppin Street Providence RI 02903

Outpatient Psychiatric Services Pediatric and Adult Medicine

900 Warren Avenue 2nd Floor East Providence RI 02914

Pediatric and Adult Medicine Orthopedic MRI of Rhode Island LLC

100 Butler Drive Providence RI 02906

Medical Imaging Services Southern New England Rehabilitation Ptr

200 High Service Avenue North Providence RI 02904

Rehabilitation Services RIH Lab at the Office of Louis J Moran MD

1035 Post Road Warwick RI 02886

Outpatient Phlebotomy RIH Pediatric and Adolescent Health Care Center

1 Hoppin Street Suite 3055 Providence RI 02903

Outpatient Adolescent Services RI Hospital Molecular Laboratory

167 Point Street Coro East 3rd Floo Providence RI 02903

Molecular Diagnostic Testing Hallett Center for Diabetes and Endocrinology

900 Warren Avenue 3rd Floor East Providence RI 02914

Multidisciplinary Care Treating Diabetes and Other Endocrine Disorders Rhode Island Hospital Surgery Center at Wayland Square

17 Seekonk Street Providence RI 02906

Outpatient Surgery MRICT of Providence LLC

695 Eddy Street Providence RI 02903

Diagnostic Imaging Facility General Internal Medicine Research Group

111 Plain Street Providence RI 02903

Research Studies Radiosurgery Center of RI LLC

593 Eddy Street Providence RI 02903

Radiosurgery Services RIH Outpatient Psychiatry

235 Plain Street Providence RI 02905

Outpatient Psychiatric Services Audiology and Speech Pathology Department

115 Georgia Avenue Providence RI 02905

Speech Language Pathology and Audiology Services RIH Lab at the Office of Hugo Yamada MD

6 Blackstone Valley Place Lincoln RI 02865

Outpatient Phlebotomy RI Hospital Hasbro Childrens Outpatient Rehab Services

765 Allens Avenue Providence RI 02903

Physical and Occupational Therapy RIH Sleep Disorders Center

70 Catamore Boulevard East Providence RI 02914

Outpatient Professional & Technical Evaluation of Sleep Disorders RI Hospital Outpatient Rehabilitation Services

1 Hoppin Street Coro West 1 Providence RI 02903

Physical Therapy and Occupational Therapy RIH Pediatric Heart Center

1 Hoppin Street Suite 304 Providence RI 02903

Outpatient Pediatric Cardiology Services Dialysis Center of Rhode Island Hospital

22 Baker Street Providence RI 02905

Hemodialysis, Home Hemodialysis Training and Home Hemodialysis 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 (EPBH), 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 EPBH.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 RIH 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 Rhode Island Hospital is governed by a Board of Trustees, which is composed of 20 voting members who are elected by Lifespan Corporation as sole member of the Hospital and five who serve ex officio. The ex officio members of the Board with a vote are the President and Chief Executive Officer of the Hospital along with the Chair of Rhode Island Hospital Foundation and the Chair of The Miriam Hospital Foundation. The Chairman and the President and CEO of Lifespan Corporation are ex officio members of the Board without a vote. Elected Board members serve one-year terms. The Hospital's Board prescribes the duties and powers of committees appointed by the Chair and appoints members of the Medical Staff. The physicians on the Hospital's medical staff are both hospital-based and community-based. Part VI - Community Building Activities The Hospital substantially subsidizes various health services including the following programs: adult psychiatry, diabetes, dental, adolescent, and Alzheimer's, as well as the Center for Special Children, early intervention, occupational health, and certain other specialty services. The Hospital also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation, immunization, and nutrition programs, diabetes education, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions. Part VI - Community Information Rhode Island Hospital, located in Providence, Rhode Island, is a 719-bed nonprofit general acute care teaching hospital with university affiliation providing a comprehensive range of diagnostic and therapeutic services (excluding obstetrics) for the acute care of patients principally from RI and southeastern Massachusetts. 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) and participates as a provider primarily in Medicare, Blue Cross and Medicaid programs. The Hospital is also a member of Voluntary Hospitals of America, Inc. (VHA).In 1969, the Hospital and certain other Rhode Island hospitals entered into an affiliation agreement to participate jointly in various clinical training programs and research activities with The Warren Alpert Medical School of Brown University (Brown). In 2010, Brown named the Hospital its Principal Teaching Hospital. 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 currently sponsors 46 graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring another 26 hospital-approved residency and fellowship programs.With respect to nursing education, the Hospital has developed formal and informal educational affiliations with a number of accredited New England colleges and universities. The Hospital does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.The Hospital conducts extensive medical research and is in the forefront of biomedical health care delivery research and is among the leaders nationally in National Institutes of Health programs. Part VI - Patient Education of Eligibility for Assistance Rhode Island Hospital has multilingual signage in the Hospital's main lobby and waiting areas which provides information on financial aid contacts. The Registration Department meets with patients at the outset of care to discuss eligibility for assistance. The Registration staff provides interested patients with a "Welcome" booklet which includes information on patient rights and responsibilities. The signage and booklets contain a telephone number which connects patients with Registration staff who can answer any additional questions that may arise after the patient has left the Hospital. Assistance eligibility is also summarized on the Hospital's website. Part VI - Needs Assessment Lifespan's Office of Strategic Planning and Analysis performs population-based studies for the Hospital regarding the need for inpatient medical and surgical services for both adults and children and a wide range of outpatient services including: primary care office visits, specialty care, emergency services, imaging, ambulatory surgery, and specific high technology services such as radiation therapy and bone marrow transplantation. A population-based study examines the growth and changes in the population, the resources in the community, and the changing prevalence of diseases. Added to this population-based approach, Lifespan Strategic Planning also examines experience with wait times, the level of staffing, and the changing standards of care. All of this information is used to assess the demand for additional services to provide access to high quality care.In addition to population approaches to assessing and estimating need, all specialties and services monitor demand at the service specific level by considering changing patterns of care and methods of treatment for the specific medical problem, wait times for visits/queues, and community resources. The service leadership then goes through a review process to add staff, expanded hours, and/or new sub-components to round out core services on an as-needed basis. At times, expansion requires more space, equipment, and staff, but often accommodation of community demand is achieved through expanded hours. Facilities are added as needed to accommodate these expansions, but most often minor renovations of existing locations with better, more modern layouts and equipment allow for greater patient access.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.Based on a broad understanding of community health needs, the Hospital provides a wide range of services to both its primary and secondary areas. Lifespan and its hospital affiliates monitor health trends in Rhode Island in an effort to identify areas of unmet demands regarding clinical services. For example, over the past decade, the Hospital added a new state-of-the-art emergency department and opened the 110-room Bridge Building expansion, with three new floors dedicated to the care of cardiac, medical and surgical patients. The Hospital's pediatric division, Hasbro Children's Hospital, is the state's only facility dedicated to pediatric care. The Hospital has continued its pioneering work on treatments for inoperable tumors as well as radiofrequency ablation. Number of Hospital Faciltiy - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Uninsured patients receive an automatic 50% 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 the notices 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 Medcaid 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 The Hospital uses an outside pre-collection agency for all self-pay receivables, with the exception of self-pay after Medicare which is handled by the Hospital's Patient Financial Services Department. The pre-collection agency attempts to collect the debt for 120 days. During this time, 3 letters are sent to the patient's address of record and for balances in excess of $50 attempts are made to reach the patient by telephone. If the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered. (Please refer to the Charity Care Eligibility Criteria and Additional Information sections for further detail on those processes.) If the pre-collection agency is unsuccessful in contacting the patient or no response is received within 120 days, the account is forwarded to a collection agency.The collection agency also sends statements and attempts to reach the patient via telephone. Again, if the agency makes contact with the patient and the patient expresses an inability to pay, payment plans and/or Community Free Service are offered. If no response is received, the claim is referred to small claims court and the patient is summoned to appear. If the patient does not appear, the Hospital will receive a judgment in its favor. If the Hospital learns that the claim has a related settlement, i.e., an automobile accident, the Hospital can put a lien on such settlement. Alternatively, if the collection agency deems the account uncollectible, it will be written off. Part III, Line 8 - Explanation Of Shortfall As Community Benefit The source of the Medicare allowable costs reported on Part III, Section B, Line 6 is the Medicare cost report, Form 2552-96. 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 $62,030,411 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) Rhode Island 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 Service ("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 50% deduction at the Hospital.6. Eligibility for CFS above the 50% 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 50% discount) if the balance is under $5,000 and 50% to 100% of estimated charges (net of the automatic 50% 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 enrollment 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 $50.00.4. 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. true UNAPRIH Education Trust Fund 375 Branch Avenue Providence RI 02904 412139381 150000 0 Employee Education Support Brown University 164 Angell Street Providence RI 02912 050258809 5200 0 General Support 2 0 Educational Assistance 9 31500 Grantmaker's Description of How Grants are Used Rhode Island Hospital is committed to community programs and provides support to various charitable organizations in Rhode Island and southeastern Massachusetts. Donations are made to organizations recognized by the IRS as being described in IRC Section 501(c)(3). All contributions are approved by management and are made to organizations whose missions and goals align with those of the Hospital.Individual scholarships are awarded annually to applicants by a joint decision making body comprised of both IBT (International Brotherhood of Teamsters) and RIH representatives. Payments are made directly to qualified educational institutions on behalf of scholarship recipients. X X X true true X X X X X false true false false false false false true false false Timothy J Babineau MD 670588 172500 33421 123367 21050 1020926 Ronald A DeLellis MD 388968 11331 19160 18459 437918 Robert B Klein MD 401025 11811 19160 15298 447294 Penelope H Dennehy MD 207645 2767 14465 8425 233302 Murray B Resnick MD 351886 12500 3194 19160 17584 404324 Mary A Wakefield 495892 132000 98795 88238 15051 829976 66367 Latha R Pisharodi MD 390451 9000 2055 19160 20216 440882 John B Murphy MD 305756 68218 19756 45032 18796 457558 George A Vecchione 918261 378060 185657 1776800 20807 3279585 Garth Cosgrove MD 659568 11552 11177 13929 696226 Frederick J Macri 371807 101000 80094 69859 16921 639681 53639 Barbara Riley RN 225907 59000 45598 46434 19868 396807 20185 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).Housing Allowances or Residences for Personal Use:A temporary housing allowance may be provided on a case-by-case basis as part of the recruitment of key executives. The allowance is documented in the individual employment contract or employment offer. In calendar year 2010 Lifespan provided this benefit to one new executive and the taxable amounts paid for the temporary housing resulting from relocation are 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. Rhode Island Health and Education Building Corporation 521300173 762243K36 2009-03-30 72570461 see Schedule K, Part V false false true Rhode Island Health and Education Building Corporation 521300173 762243SS3 2006-02-14 160884410 see Schedule K, Part V false false true 72570461 7246676 1069664 1256743 47648467 15395934 false false false true 150795375 160884410 1377349 3827355 155679706 2006 false true true true false false false true true true false false false true true true false false false false false false false false false false false false Schedule K, Part I, Lines A & B, Column (f) - see description of purpose on Schedule O. Roberts Carroll Feldstein Peirce Partner 288739 Legal Services false * Edward Feldstein, Trustee, is a partner in Roberts, Carroll, Feldstein and Peirce, a law firm that provides legal services to a sister company, Lifespan Risk Services. The common parent of RIH and Lifespan Risk Services is Lifespan Corporation. During fiscal year 2011, Lifespan Risk Services paid Roberts, Carroll, Feldstein and Peirce $288,739 for services regarding RIH matters. Form 990, Schedule K, Part I, Line B, Column (f) The proceeds of the Series 2009A Bonds are being used for the purposes of financing projects consisting of: (i) the acquisition, construction, renovation, expansion and equipping of certain hospital and related health care facilities owned and operated or to be owned and operated by one or more of Rhode Island, The Miriam or Emma Pendleton Bradley Hospitals, located at and in the vicinity of the Hospital Campuses; (ii) equipping, furnishing and improving facilities and other depreciable assets used in health care operations on the Hospital Campuses; (iii) the funding of a debt service reserve fund for the Bonds; and (iv) the payment of certain expenses of issuance with respect to the Bonds. Form 990, Schedule K, Part I, Line A, Column (f) The proceeds of the Series 2006A Bonds were used: (i) to advance refund a portion of the $214,585,000 Hospital Financing Revenue Bonds, Lifespan Obligated Group Issue, Series 1996; (ii) to advance refund a portion of the $78,000,000 Hospital Financing Revenue Bonds, Lifespan Obligated Group Issue, Series 2002 and (iii) to pay certain expenses incurred in connection with the issuance of the Series 2006A Bonds. Form 990, Part XII, Line 2 While the Hospital did not produce a separate audited financial statement as of and for the year ended September 30, 2011, it was included in Rhode Island Hospital and Affiliates' consolidated audited financial statements, which include Rhode Island Hospital, RIH Ventures, Hospital Properties, Inc. and Radiosurgery Center of Rhode Island, LLC. There are no regulatory or creditor stipulations which require the preparation of a separate audited financial statement for the organization.The Lifespan Audit and Compliance Committee assumes responsibility for oversight of the audit of RIH's consolidated financial statements and the selection of Lifespan's independent accountant. Form 990, Part VI Section B, Lines 15 a&b cont 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 in 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 with acceptance of a reasonable compensation offer. Form 990, Part VI Section B, Lines 15 a&b The following applies to Lifespan and all of its affiliates, including Rhode Island 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.* 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. Form 990, Part VI Section B, Line 12c Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including Rhode Island 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 knowledge 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 4c, continued Major areas of research include:Cancer: RIH participates in clinical trials of new therapeutic agents in both adult and pediatric medicine. These trials are supported by the National Cancer Institute and include the Cancer and Leukemia Group B (CALGB), Pediatric Oncology Group (POG), National Surgical Adjuvant Breast and Bowel Project (NSABP), and the Southwest Oncology Group (SWOG). RIH is a participating hospital in the Brown University-sponsored Cancer Oncology group (BrUCOG).The Liver Research Center: The Liver Research Center emphasizes studies relating to the molecular biology of liver diseases such as Hepatitis B and C and cellular carcinoma.Heart Disease: Clinical research continues in antithrombolytic therapy and anticoagulant therapy. General research continues in areas of invasive therapy, such as angioplasty, artherectomy, coronary stenting, and laser treatment of coronary artery disease. Form 990, Part III, Line 4b, continued Under an affiliation agreement with The Warren Alpert Medical School of Brown University (Brown), RIH participates jointly in various clinical training programs and research activities. In 2010, Brown named RIH its Principal Teaching Hospital. 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 currently sponsors 46 graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring another 26 hospital-approved residency and fellowship programs. The Hospital serves as the principal setting for these clinical training programs comprised of approximately 590 trainees in the following disciplines: internal medicine and medicine subspecialties, including hematology and oncology; clinical neurosciences; general surgery and surgical specialties; pediatrics and pediatric specialties, including hematology and oncology; dermatology; radiology; pathology; child psychiatry; emergency medicine and emergency medicine specialties; dentistry; and medical physics. In 2011, Brown University enrolled 393 students in undergraduate medical education programs. All medical students at Brown receive training at RIH. The Hospital teaching faculty help to ensure that the experience for both undergraduate and graduate medical education trainees remains transformative - transforming novice practitioners into physicians able to think, act, and keep their focus on the ultimate goal of providing the best and most appropriate care for patients no matter what the setting or circumstances. The Hospital is also a participating clinical training site for another 200 residents and fellows based at other institutions in anesthesiology, general surgery, colorectal surgery, cardiothoracic surgery, family medicine, infectious disease, hematology/oncology, rheumatology, obstetrics/gynecology (OB/Gyn) and OB/Gyn subspecialties, otolaryngology, podiatry, psychiatry, geriatric psychiatry, orthopedics, pulmonary medicine, pediatric dentistry, and radiation oncology programs.With respect to nursing education, the Hospital has developed formal and informal educational affiliations with the University of Rhode Island College of Nursing; Rhode Island College; Community College of Rhode Island; Salve Regina University; Boston College; Yale University; Regis College; Simmons College; St. Joseph's Health Services School of Nursing; the University of Massachusetts campuses at Dartmouth; Boston, Amherst and Worcester; the University of Connecticut; the University of Pennsylvania; Walden University; and New England Technical Institute, pursuant to which their nursing students obtain clinical training and experience at the Hospital. The Hospital does not receive any compensation from the various schools for providing a clinical setting for the student nurse training.RIH sponsors training programs in the following medical fields: medical technology; diagnostic medical sonography; nuclear medicine technology; radiologic technology; mammography; computed tomography; and magnetic resonance imaging. At RIH, clinical affiliations/student clinical training programs are provided through contracts with a number of colleges and universities in the professional areas of speech-language pathology and audiology, physical therapy, and occupational therapy. In addition, RIH serves as the clinical setting for training programs in histology, phlebotomy, child development and social work. RIH also has clinical affiliations/student clinical training programs for pharmacy students provided through contracts with a number of colleges and universities. Form 990, Part III, Line 4a, continued In 2011, RIH discharged 35,140 inpatients with total inpatient days of 190,123, treated 148,831 patients in its emergency department, performed 22,533 inpatient and outpatient surgical procedures, and cared for 163,780 patients in outpatient clinics.Special services, facilities and programs provided by RIH include the Comprehensive Cancer Center for adults; cardiology services, comprised of cardiac catheterization, balloon angioplasty and open heart surgery; critical care services; microvascular surgery; nuclear cardiology; radiology; laboratory; renal dialysis; computerized tomography; orthopedics, including minimally invasive carpal tunnel surgery and cartilage transplants for knee defects; and magnetic resonance imaging (MRI). RIH is the designated Level I Trauma Center for the State of Rhode Island and southeastern Massachusetts, with a state-of-the-art emergency department (ED) and a dedicated pediatric ED. RIH's adult ED includes a dedicated radiology unit, including 4-slice and 16-slice CT scanners, ultrasound and x-ray machines; an all-inclusive chest pain center; a critical care unit for the most seriously injured and ill; and private treatment rooms. In 2007, RIH was the first hospital in New England to place a cardiac catheterization lab in its ED, providing faster care and preserving heart muscle function for acute cardiac patients. RIH provides a full range of services to patients, with particular expertise in diagnostic imaging, cardiology, oncology (both medical and radiation), neurosciences and orthopedics. RIH offers imaging with the PET/CT technology for cancer staging, while cardiac MRI and 64-slice cardiac CT scanners are powerful tools for evaluating heart disease and function. The Anne C. Pappas Center for Breast Imaging is the only facility in the state to be designated a Breast Imaging Center of Excellence by the American College of Radiologists. In the area of cancer services, RIH pioneered image-guided tumor ablation, which shrinks or eliminates tumors by destroying them with heat (microwave ablation and radiofrequency ablation) or by freezing them (cryoablation). In addition, radiation oncology services include a linear accelerator for image-guided radiotherapy and stereotactic radiosurgery, as well as electronic brachytherapy for early-stage breast cancer patients, which reduces average treatment times from eight weeks to five days. In the area of surgical oncology, RIH is the only hospital in the state and one of only a few hospitals in New England to offer hyperthermic intraperitoneal chemoperfusion (HIPEC) for patients with advanced cancer of the abdomen. In the sphere of neurosurgery, RIH features one of the first gamma knife surgical centers in the United States, which offers intracranial stereotactic radiosurgery for the non-invasive treatment of brain lesions previously inaccessible or unsuccessfully treated by conventional therapies.Rhode Island Hospital provides a wide-range of both adult, adolescent and child behavioral health services. Related behavioral health services programs and research provided include: psychiatry emergency services for adults, adolescents and children; psychiatry consultation liaison services; correctional psychiatry program; inpatient and geriatric psychiatry programs; mood disorders program; gambling treatment program; anxiety disorders program; body dysmorphic disorder program; behavioral sleep medicine program; substance abuse treatment program; neuropsychiatric services; adult and pediatric neuropsychology services; adult and pediatric partial hospitalization programs; family research program and Bradley Hasbro Children's Research Center. Form 990, Part I, Line 6 Volunteers support and contribute to the mission of RIH and HCH every day. They are able to learn, meet other dedicated volunteers, better understand the healthcare environment, and gain personal satisfaction knowing they are making a difference to patients, families, visitors, and vendors alike. Volunteer positions are available for both teens and adults in a wide variety of positions, including greeters, family liaisons, emergency room support, gift shop support, nurse aides, office support, pet therapy, physical therapy, patient visitors, recovery room support, art therapy and central transporters. Volunteers also transport students and serve as guides, escorts and interpreter aides. RIH also offers pediatric services through its pediatric division, Hasbro Children's Hospital (HCH). HCH's specialties include cardiology, orthopedics and hematology/oncology. HCH also has the area's only center for pediatric imaging, as well as the area's only pediatric intensive care unit, pediatric oncology and outpatient cardiac programs, pediatric emergency department, and pediatric surgical unit. It operates specialty clinics treating children ranging in age from newborn to 18 years. Services and programs include adolescent medicine, the Asthma and Allergy Center, the Children's Neurodevelopment Center, Child Life Program, Child Protection Program, dermatology, gastroenterology, infectious disease, the Injury Prevention Center, the Kidney Transplant Center, nephrology, neurosurgery, nutrition, the Partial Hospitalization program, surgery, plastic surgery, primary care clinic, rehabilitation services, Sickle Cell Clinic, and urology.Additional special services, facilities and programs furnished by RIH include: the endovascular hybrid operating room suite (the only one of its kind in Rhode Island, the suite's design provides vascular surgeons with the flexibility to perform minimally invasive procedures and traditional open surgeries simultaneously with limited anesthesia); adult and pediatric kidney and pancreas transplant center; Alzheimer's disease and memory disorders center; an adult and pediatric hemostasis and thrombosis center; an adult and pediatric diabetes and endocrinology center; colorectal care center; and the transfusion-free medicine and surgery program, one of only two such formalized programs in New England. RIH also holds designation or certification as a bariatric surgery center of excellence; adult and pediatric burn center; breast imaging center of excellence, primary stroke center; and the distinction center for spine surgery, knee and hip replacement, and complex and rare cancers.RIH 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 charity allowance is offered to all other uninsured patients. The Hospital determines the costs 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 $44,331,875 in fiscal 2011. Charges forgone, based on established rates, amounted to $162,888,000.RIH substantially subsidized various health services including the following programs: adult psychiatry, diabetes, dental, adolescent, and Alzheimer's, as well as the Center for Special Children, early intervention, occupational health and certain other specialty services at a cost of $7,956,808 in fiscal year 2011. RIH also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation, immunization, nutrition programs, diabetes education, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions. The cost of these services amounted to $296,800 in fiscal 2011.RIH is accredited by The Joint Commission, the Accreditation Council for Graduate Medical Education for residency and fellowship training, the Accreditation Council for Continuing Medical Education of the Rhode Island Medical Society, the American College of Surgeons' Commission on Cancer, the Joint Review Committees on Educational Programs in Nuclear Medicine Technology and Radiologic Technology, the Commission of Accreditation of Allied Health Education Programs, and the National Accrediting Agency for Clinical Laboratory Sciences. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lifespan and the Lifespan Obligated Group, which consists of RIH and Affiliates, The Miriam Hospital, Emma Pendleton Bradley Hospital, Rhode Island Hospital Foundation, and The Miriam Hospital Foundation, currently make their 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 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 Rhode Island Hospital's annual independent audit for initial review by the Director of Finance and the Vice President of Finance - Corporate Services. Once the draft 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 Rhode Island 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 Rhode Island Hospital (RIH) 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 RIH Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of RIH 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 Corporation is the sole corporate member of Rhode Island Hospital. Form 990, Part VI, Line 4 Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Revised Article III - Board of TrusteesSection 3.02, Number and Qualifications, reflects a revision in the number of elected trustees from 21 to 20.In addition:Section 3.02(b), Ex Officio Voting Trustees, was revised to include the Chair of The Miriam Hospital Foundation or his/her designee as an ex officio voting member of the Board of Trustees.Section 3.02(c), Ex Officio Non-Voting Trustees, was revised to exclude the Chair of The Miriam 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 Lifespan Corporation. The following officers of Rhode Island Hospital are employed by Lifespan: Timothy J. Babineau, MD and Frederick J. Macri.Mary A. Wakefield, Timothy J. Babineau, MD, and Frederick J. Macri are all officers of Rhode Island Hospital. Penelope H. Dennehy is employed by Rhode Island Hospital. 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