2024-08-14T10:51:58-07:00 2023-09-30 990 2022-10-01 050472268 NHCC Medical Associates Inc NHCC 4018466400 11 Friendship Street Newport RI 02840 Peter K Markell EVP & CFO 2024-08-14 true 2022 2024-08-08 14:25:15Z Jeffrey T Gaines MD 593 Eddy Street Providence RI 02903 0 false X none X 1993 RI NHCC Medical Associates, Inc. (NHCCMA) supports comprehensive, integrated health care services through the engagement of physicians and other health care practitioners. (See Schedule O) 6 1 0 0 5810200 0 0 0 0 5810200 0 0 0 0 0 0 8130207 0 8130207 0 -2320007 0 3144712 2582754 3769518 3544901 -624806 -962147 X To support & encourage development of comprehensive, integrated health care services for the advancement and well-being of communities in Rhode Island and elsewhere, including those served by the hospitals affiliated with Lifespan Corporation. false false The fiscal year 2023 activity within NHCCMA is comprised of the transfer of net assets to Lifespan Physician Group, Inc. (LPG) in support of physicians and health care practitioners employed by LPG in developing more integrated and comprehensive healthcare services. (see Schedule O) true false false false false false false false false false false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 false 0 false false false false false false false 0 false false false false false false false X 6 1 false false false false false true false true true false false true true true true true true true true false RI X Peter K Markell 4014447914 167 Point Street Providence RI 02903 X Timothy J Babineau Fmr. Officer 0.00 0.00 0 6453503 383339 Kenneth E Wood DO Sec/Treas- 4/23 0.00 50.00 X X 0 804648 41187 G Dean Roye MD Secretary 0.25 55.00 X X 0 582160 129525 Jeffrey T Gaines MD Pres. & Treas. 1.00 42.00 X X 0 364201 85172 Arthur J Sampson Designee- 1/23 0.00 0.00 X 0 417696 18300 Christine Greenia MD Trustee 1.00 39.00 X 0 271640 54319 Sami Assad MD Chair 0.25 0.00 X X 0 0 0 John Fernandez Trustee 0.10 49.90 X 0 0 0 Peter K Markell Trustee 0.10 49.90 X 0 0 0 8893848 711842 0 true true false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3144712 2581537 0 0 0 0 0 0 0 0 0 0 0 0 0 1217 3144712 2582754 3769518 3544901 3769518 3544901 X -624806 -962147 -624806 -962147 3144712 2582754 X 0 -337341 X X false true X true false X 10075000 11478300 8101899 5810200 35465399 362790 362790 0 0 0 10437790 11478300 8101899 5810200 35828189 0 0 35828189 0 0 0 18905 18905 10437790 11478300 8120804 5810200 35847094 X 0.00000 0.00000 Due to Affiliates 3544901 3544901 X Part X : FIN48 Footnote NHCC Medical Associates (NHCCMA) is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from Federal income taxes pursuant to Section 501(a) of the Code. NHCCMA recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. NHCCMA did not recognize the effect of any income tax positions in either 2023 or 2022. true true false false false false false false false Arthur J Sampson Designee- 1/23 412504 5192 18300 435996 Christine Greenia MD Trustee 224653 46527 460 18300 36019 325959 G Dean Roye MD Secretary 479223 102937 96035 33490 711685 72370 Jeffrey T Gaines MD Pres. & Treas. 330956 33245 56719 28453 449373 19684 Kenneth E Wood DO Sec/Treas- 4/23 666872 137776 18300 22887 845835 Timothy J Babineau Fmr. Officer 1010777 3000000 2442726 358564 24775 6836842 4007802 Form 990, Part VI, Section A, Line 1a Included among the NHCCMA Board of Trustees are two Lifespan Designees (Designees), physicians designated by Lifespan Corporation (Lifespan) who are licensed to practice medicine in the State of Rhode Island and who serve at the pleasure of Lifespan. The Designees have the right, acting alone by concurrent approval of both Designees, to initiate action on and approve any of the following matters:(a) To approve and/or initiate the enumerated joint powers of the Trustees listed within NHCCMA's bylaws, except to the extent that under Rhode Island law a greater number of Trustees of NHCCMA is required to affirmatively approve a joint power action. To the extent that Rhode Island law requires a greater number of Trustees to make a recommendation or resolution on a joint power matter before undertaking such joint power action, all Trustees shall take such prior vote on such matter in accordance with the bylaws in the manner specified by concurrent approval of the Designees.(b) To initiate a joint power action listed in part (a) above, this ability can only be exercised by the Designees in the event of a Board deadlock on a matter first presented for action at a regular or special meeting of the Board of Trustees of NHCCMA. (c) NHCCMA shall cause the Designees authority to approve and initiate actions to be reserved to NHCCMA in the bylaws (or applicable organizational documents) of any subsidiary of which NHCCMA is the sole or controlling member, partner, trustee, or stockholder, or that NHCCMA otherwise owns or controls. Form 990, Part VI, Section B, Line 11b The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Lifespan Executive Vice President & Chief Financial Officer (EVP/CFO) and Lifespan's Finance Department. The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit and is reviewed by the Corporate Services Tax Compliance Manager, the Vice President of Finance- Newport Hospital, and the Vice President of Finance - Corporate Services. The draft Form 990 is then provided to the EVP/CFO for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form, along with a video presentation detailing form highlights, are posted to NHCCMA's Board of Trustees website portal in advance of its next Board meeting, at which all questions and concerns of the members of the Board are addressed by the EVP/CFO and incorporated into the Form 990 when appropriate. Once the Form 990 is complete and ready to be filed, the members of the Board are notified via email that a copy of the final version of the Form 990 is accessible through the same password-protected website portal. The EVP/CFO is authorized to file the Form 990. Form 990, Part VI, Section C, Line 19 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. NHCCMA's financial statements are included in the audited consolidated financial statements of Lifespan Corporation and Affiliates. In addition, copies of NHCCMA's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Lifespan EVP/CFO, either in person or by mail. Form 990, Part XI, Line 9 Joint Venture Equity Transfer = -$4914828 Form 990, Part XI, Line 9 Net asset transfer from Newport Hospital = $4600000 Form 990, Part XI, Line 9 Net Asset Transfer to Newport Hospital = -$22513 Form 990, Part I, Line 1: NHCC Medical Associates, Inc. (NHCCMA) supports comprehensive, integrated health care services through the engagement of physicians and other health care practitioners employed by Lifespan Physician Group, Inc. (LPG), who provide accountable patient-centered, high quality, efficient, value-based, and innovative care to serve the health care needs of the Rhode Island community. Form 990, Part III, Line 4a: NHCCMA's $4,914,828 trasnfer of net assets during the fiscal year ended September 30, 2022 reflect transfers to LPG representing NHCCMA's share of LPG support, along with other related organizations within the Lifespan health system. Because of the nature of LPG's operations as an organization which employs various physician practices, the revenue that LPG is able to bill is directly related solely to its employed physicians and does not include billing for ancillary services provided by the Lifespan hospitals within which these services are provided. The revenue deficit at LPG caused by this relationship is supported by NHCCMA and the other related joint program organizations included within the Lifespan health system so that LPG's operations may attain a break-even point. Form 990, Part VI, Section B, Line 12c: Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including NHCCMA, 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. 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, Section B, Line 15 a/b: The following applies to Lifespan and all of its affiliates, including NHCCMA: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 Board members, is responsible for diligent oversight of executive compensation to ensure compliance with IRC requirements. Its duties include:* Approving eligibility for participation in the executive compensation program * Approving changes in compensation for existing executive participants * Approving guidelines, such as salary ranges and contract terms, on appropriate levels of compensation for other key employees* Approving new, and modifying or terminating existing, executive compensation plans including, but not limited to, annual incentive and executive benefit plans* Approving performance objectives associated with Lifespan's annual incentive plan, including measuring points, and using verified actual performance relative to these objectives as a precondition to approving the payment of any awards under the plan* Authorizing periodic performance benchmark studies to be conducted for purposes of assessing Lifespan's performance within the healthcare industry and the degree to which total remuneration levels at Lifespan are generally commensurate with Lifespan performance relative to healthcare industry performance* Conducting an annual performance review of Lifespan's Chief Executive Officer. The Chair of the Committee conducts and documents this review, based on his/her observations and interpretation of feedback from members of the Board of Directors.* 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. 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 in Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, certain members of the Lifespan CEO's leadership team work with the Committee's independent compensation consultant or rely on information previously provided by the consultant to establish a range of reasonable cash compensation within which recruitment is expected to conclude through acceptance of a reasonable compensation offer. Form 990, Part XII, Line 2: While NHCCMA did not produce an audited financial statement as of and for the fiscal year ended September 30, 2023, it was included in Lifespan Corporation's audited consolidated financial statements, in which one column is used for NHCCMA individually. There are no regulatory or creditor stipulations which require the preparation of a separate audited financial statement for NHCCMA.The Lifespan Audit and Compliance Committee assumes responsibility for oversight of the audit of Lifespan Corporation's consolidated financial statements and the selection of Lifespan Corporation's independent accountant. ALC dba HSR 1 Virginia Avenue Suite 200 Providence RI 02905 050442015 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Bayberry Courts Inc 1 Virginia Avenue Suite 200 Providence RI 02905 204590384 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Bradley Hospital Foundation 167 Point Street Providence RI 02903 050500688 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Capital City Community Centers Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050259090 Daycare Services RI 501(c)(3) 7 Gateway Healthcare Inc false Emma Pendleton Bradley Hospital 1011 Veterans Memorial Parkway East Providence RI 02915 050258806 Pediatric Psych. 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RI 501(c)(3) 10 Lifespan Corporation false Hospital Properties Inc 167 Point Street Providence RI 02903 222869743 Property Management RI 501(c)(4) N/A Lifespan Corporation false JM Apartments Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050435537 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Lifespan Corporation 167 Point Street Providence RI 02903 222861978 Holding Company/ Mgmnt Services RI 501(c)(3) 12(II) NA false Lifespan Foundation 167 Point Street Providence RI 02903 050493219 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Lifespan of Massachusetts Inc 45 Baker Street 2nd Floor Providence RI 02905 043408517 Holding Company MA 501(c)(3) 12(I) Lifespan Corporation false Lifespan Physician Group Inc 167 Point Street Providence RI 02903 050389801 Physician Health Care Services RI 501(c)(3) 10 Lifespan Corporation false Lifespan School Solutions Inc 140 Broadway Providence RI 02903 464910847 Educational Services RI 501(c)(3) 2 Emma Pendleton Bradley Hospital false LJR Corporation 1 Virginia Avenue Suite 200 Providence RI 02905 030508346 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Mill River Community Housing Corporation 1 Virginia Avenue Suite 200 Providence RI 02905 050427152 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Newport Health Care Corporation 11 Friendship Street Newport RI 02840 222535537 Holding Company/ Mgmnt. Services RI 501(c)(3) 7 Lifespan Corporation false Newport Health Property Management Inc 11 Friendship Street Newport RI 02840 222335539 Property Management RI 501(c)(3) 12(I) Newport Health Care Corporation false Newport Hospital 11 Friendship Street Newport RI 02840 050258914 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Newport Hospital Foundation Inc 11 Friendship Street Newport RI 02840 222535533 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Obed Apartments Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050422771 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Pathways Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050393004 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Rhode Island Hospital 593 Eddy Street Providence RI 02903 050258954 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Rhode Island Hospital Foundation 167 Point Street Providence RI 02903 050468736 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false RIH Ventures 593 Eddy Street Providence RI 02903 050448686 Parking Facilities/Phlebotomy Services RI 501(c)(3) 10 Lifespan Corporation false Shore Courts Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050504003 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false The Autism Project 1516 Atwood Avenue Johnston RI 02919 050512037 Services for Children with Autism RI 501(c)(3) 10 Gateway Healthcare Inc false The Miriam Hospital 164 Summit Avenue Providence RI 02906 050258905 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false The Miriam Hospital Foundation 167 Point Street Providence RI 02903 050377502 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false TLR Realty 1 Virginia Avenue Suite 200 Providence RI 02905 043742771 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Wentworth Corporation 1 Virginia Avenue Suite 200 Providence RI 02905 050488520 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Westerly Courts Inc 1 Virginia Avenue Suite 200 Providence RI 02905 611439766 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Coastal Medical Physicians Inc 10 Davol Square Providence RI 02903 844944884 Physician Health Care Services RI 501(c)(3) 10 Lifespan Corporation false RI Sound Enterprises Insurance Co Ltd 65 Front Street Hamilton BD HM 12 Offshore Insurance Captive BD N/A N/A Lifespan Corporation false Lifespan Health Alliance LLC 167 Point Street Providence RI 02903 812732225 Account. 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