BROWN UROLOGY INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BROWN UROLOGY INC (EIN 82-1512459)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-15
- IRS object ID
- 202302279349303520
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-15T14:26:31-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 050409384 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAHN LITWIN RENZA & CO LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 951 NORTH MAIN STREET | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 821512459 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN UROLOGY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BROW | BusinessNameControlTxt |
| Phone | 4014539623 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 195 COLLYER STREET SUITE 201 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GYAN PAREEK MD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4014539623 | PhoneNum |
| Signature | 2023-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GYAN | PersonFirstNm |
| Person Last | PAREEK MD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SANDY ROSS | PreparerPersonNm |
| PTIN | P01399337 | PTIN |
| Phone | 4012742001 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GYAN PAREEK MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 195 COLLYER STREET SUITE 201 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,173,950 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UROLOGYRI.COM/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2017 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION WILL PROVIDE HEALTH CARE SERVICES TO THE GENERAL PUBLIC; SUPPORT THE RESIDENCY PROGRAMS, MEDICAL SCHOOL AND CONTINUING MEDICAL EDUCATION PROGRAMS FOR STUDENTS OF THE WARREN ALPERT MEDICAL SCHOOL AND AT HOSPITALS THAT ARE AFFILIATED WITH THE WARREN ALPERT MEDICAL SCHOOL; CONDUCT MEDICAL RESEARCH IN THE AREA OF ADULT AND PEDIATRIC UROLOGY; AND PROVIDE ADMINISTRATIVE SERVICES THE DEPARTMENT OF UROLOGY AT THE WARREN ALPERT MEDICAL SCHOOL AND TO UROLOGY DEPARTMENTS AT HOSPITALS WITHIN THE STATE OF RHODE ISLAND THAT ARE AFFILIATED WITH THE WARREN ALPERT MEDICAL SCHOOL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 161 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,730,614 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,390,913 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,205,542 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,455,792 | CYProgramServiceRevenueAmt |
| PY Investment Income | $75,180 | PYInvestmentIncomeAmt |
| CY Investment Income | $76,934 | CYInvestmentIncomeAmt |
| PY Other Revenue | $254,815 | PYOtherRevenueAmt |
| CY Other Revenue | $181,652 | CYOtherRevenueAmt |
| PY Total Revenue | $22,266,151 | PYTotalRevenueAmt |
| CY Total Revenue | $21,105,291 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,339,263 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,698,804 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,922,120 | PYOtherExpensesAmt |
| CY Other Expenses | $7,619,945 | CYOtherExpensesAmt |
| PY Total Expenses | $23,261,383 | PYTotalExpensesAmt |
| CY Total Expenses | $21,318,749 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$995,232 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$213,458 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,762,326 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,042,976 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,799,551 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,293,659 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$3,037,225 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$3,250,683 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION WILL PROVIDE HEALTH CARE SERVICES TO THE GENERAL PUBLIC; SUPPORT THE RESIDENCY PROGRAMS, MEDICAL SCHOOL AND CONTINUING MEDICAL EDUCATION PROGRAMS FOR STUDENTS OF THE WARREN ALPERT MEDICAL SCHOOL AND AT HOSPITALS THAT ARE AFFILIATED WITH THE WARREN ALPERT MEDICAL SCHOOL; CONDUCT MEDICAL RESEARCH IN THE AREA OF ADULT AND PEDIATRIC UROLOGY; AND PROVIDE ADMINISTRATIVE SERVICES THE DEPARTMENT OF UROLOGY AT THE WARREN ALPERT MEDICAL SCHOOL AND TO UROLOGY DEPARTMENTS AT HOSPITALS WITHIN THE STATE OF RHODE ISLAND THAT ARE AFFILIATED WITH THE WARREN ALPERT MEDICAL SCHOOL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,086,113 | ExpenseAmt |
| Revenue | $19,637,444 | RevenueAmt |
| Desc | PROVIDE PATIENT MEDICAL CARE, CONTINUE PROMOTING MEDICAL RESEARCH, EDUCATING THE NEXT GENERATION OF UROLOGIST. | Desc |
| Total Program Service Expenses | $19,086,113 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 161 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JUDITH LANCELLOTTA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4017844908 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 ELM STREET 2ND FLOOR | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| GYAN PAREEK MD | |||||||
| PRESIDENT | 40.00 | Yes (X) | Yes (X) | $574,904 | $0 | $27,583 | |
| MARK SIGMAN MD | |||||||
| TREASURER (TO 3/22) | 40.00 | Yes (X) | Yes (X) | $331,230 | $0 | $7,242 | |
| SIMONE THAVASEELAN MD | |||||||
| SECRETARY | 40.00 | Yes (X) | Yes (X) | $246,915 | $0 | $12,063 | |
| DRAGAN GOLIJANIN MD | |||||||
| TREASURER (AS OF 4/22) | 40.00 | Yes (X) | Yes (X) | $623,178 | $0 | $16,131 | |
| ANGELO CAMBIO MD | |||||||
| BOARD MEMBER (TO 3/22) | 40.00 | Yes (X) | $273,570 | $0 | $30,209 | ||
| ALEX LUBIN MD | |||||||
| BOARD MEMBER (TO 3/22) | 40.00 | Yes (X) | $203,987 | $0 | $15,497 | ||
| GABRIELLA AVELLINO MD | |||||||
| BOARD MEMBER (AS OF 4/22) | 40.00 | Yes (X) | $306,299 | $0 | $37,145 | ||
| DICKEN KO MD | |||||||
| BOARD MEMBER (AS OF 4/22) | 40.00 | Yes (X) | $71,260 | $0 | $21,906 | ||
| ELIAS HYAMS MD | |||||||
| PHYSICIAN | 40.00 | $431,376 | $0 | $28,483 | Yes (X) | ||
| SAMUEL EATON MD | |||||||
| PHYSICIAN | 40.00 | $428,349 | $0 | $27,985 | Yes (X) | ||
| VINCENT HARISARAN MD | |||||||
| PHYSICIAN | 40.00 | $363,994 | $0 | $16,007 | Yes (X) | ||
| DAVID SOBEL MD | |||||||
| PHYSICIAN | 40.00 | $359,571 | $0 | $29,671 | Yes (X) | ||
| ANDREW TOMPKINS MD | |||||||
| PHYSICIAN | 40.00 | $353,881 | $0 | $30,714 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,568,514 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $300,636 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NEW ENGLAND MEDCIAL BILLING | |||||
| 75 NEWMAN AVE | RUMFORD | RI | 02916 | MEDICAL BILLING SERVICE | $499,515 |
| KAHN LITWIN RENZA & CO | |||||
| 951 N MAIN STREET | PROVIDENCE | RI | 02904 | AUDIT/TAX SERVICES | $127,833 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,390,913 | RelatedOrganizationsAmt |
| Total Contributions | $1,390,913 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT FEES | 621110 | $13,130,257 | $13,130,257 |
| ANCILLIARIES | 621110 | $3,964,694 | $3,964,694 |
| RESEARCH GRANT | 621110 | $1,274,289 | $1,274,289 |
| TEACHING | 621110 | $1,086,552 | $1,086,552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,455,792 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,177 | TotalRevenueColumnAmt |
| Exclusion | $66,177 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $79,416 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $68,659 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,757 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,757 | TotalRevenueColumnAmt |
| Exclusion | $10,757 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $181,652 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $181,652 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $181,652 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,105,291 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,637,444 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $76,934 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,792,672 | TotalAmt |
| Program Services | $2,579,228 | ProgramServicesAmt |
| Management And General | $213,444 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,785,536 | TotalAmt |
| Program Services | $8,433,650 | ProgramServicesAmt |
| Management And General | $351,886 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $526,693 | TotalAmt |
| Program Services | $510,875 | ProgramServicesAmt |
| Management And General | $15,818 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,056,699 | TotalAmt |
| Program Services | $1,026,182 | ProgramServicesAmt |
| Management And General | $30,517 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $537,204 | TotalAmt |
| Program Services | $510,344 | ProgramServicesAmt |
| Management And General | $26,860 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,490 | TotalAmt |
| Management And General | $71,490 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,662 | TotalAmt |
| Management And General | $108,662 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,080,432 | TotalAmt |
| Program Services | $1,205,085 | ProgramServicesAmt |
| Management And General | $875,347 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,910 | TotalAmt |
| Management And General | $12,910 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,516 | TotalAmt |
| Program Services | $271,002 | ProgramServicesAmt |
| Management And General | $74,514 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,594 | TotalAmt |
| Program Services | $170,344 | ProgramServicesAmt |
| Management And General | $8,250 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,717,927 | TotalAmt |
| Program Services | $1,603,487 | ProgramServicesAmt |
| Management And General | $114,440 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,535 | TotalAmt |
| Management And General | $30,535 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,840 | TotalAmt |
| Management And General | $9,840 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,217 | TotalAmt |
| Management And General | $127,217 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,341 | TotalAmt |
| Program Services | $274,378 | ProgramServicesAmt |
| Management And General | $8,963 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,984 | TotalAmt |
| Program Services | $588,296 | ProgramServicesAmt |
| Management And General | $31,688 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,522,174 | $1,522,174 | |
| ACADEMIC ASSESSMENT | $391,068 | $391,068 | |
| LICENSES, DUES AND FEES | $97,586 | $97,586 | |
| MISCELLANEOUS | $22,669 | $22,669 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,318,749 | TotalAmt |
| Program Services | $19,086,113 | ProgramServicesAmt |
| Management And General | $2,232,636 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,037 | BOYAmt |
| EOY | $971,248 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,381,779 | BOYAmt |
| EOY | $1,460,948 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,071 | BOYAmt |
| EOY | $50,227 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $324,705 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $203,262 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,157 | BOYAmt |
| EOY | $121,443 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $530,015 | BOYAmt |
| EOY | $566,238 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,421,267 | BOYAmt |
| EOY | $2,872,872 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,762,326 | BOYAmt |
| EOY | $6,042,976 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,020,605 | BOYAmt |
| EOY | $3,982,319 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,159 | BOYAmt |
| EOY | $300,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,294,625 | BOYAmt |
| EOY | $2,060,930 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,300,162 | BOYAmt |
| EOY | $2,950,410 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,799,551 | BOYAmt |
| EOY | $9,293,659 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,037,225 | BOYAmt |
| EOY | -$3,250,683 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,037,225 | BOYAmt |
| EOY | -$3,250,683 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,762,326 | BOYAmt |
| EOY | $6,042,976 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$213,458 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $324,705 | OtherCostOrOtherBasisAmt |
| Depreciation | $203,262 | DepreciationAmt |
| Book Value | $121,443 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $121,443 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RADIATION ONCOLOGY | Desc |
| Book Value | $566,238 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $566,238 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SECURITY DEPOSITS | $18,149 |
| RIGHT OF USE ASSETS OPERATING | $2,221,880 |
| RIGHT OF USE ASSETS FINANCING | $632,843 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,872,872 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| RIGHT OF USE ASSETS OPERATING | $2,241,033 |
| RIGHT OF USE ASSETS FINANCING | $661,259 |
| REFUNDABLE ADVANCES | $48,118 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,950,410 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $21,105,291 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,105,291 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $21,105,291 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,318,749 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,318,749 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,318,749 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS TAX-EXEMPT STATUS AT BOTH THE STATE AND FEDERAL LEVEL. THE ORGANIZATION HAS BEEN CLASSIFIED AS AN ORGANIZATON THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(3). THE ORGANIZATION ANNUALLY FILES IRS FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX-EXEMPT ENTITIES. THESE TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES, AND THE FEDERAL INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE ORGANIZATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DRAGAN GOLIJANIN MD | ||||||||||||||
| TREASURER (AS OF 4/22) | $623,178 | $0 | $0 | $0 | $0 | $0 | $342 | $0 | $15,789 | $0 | $639,309 | $0 | $0 | $0 |
| GYAN PAREEK MD | ||||||||||||||
| PRESIDENT | $574,904 | $0 | $0 | $0 | $0 | $0 | $1,523 | $0 | $26,060 | $0 | $602,487 | $0 | $0 | $0 |
| ELIAS HYAMS MD | ||||||||||||||
| PHYSICIAN | $431,376 | $0 | $0 | $0 | $0 | $0 | $4,523 | $0 | $23,960 | $0 | $459,859 | $0 | $0 | $0 |
| SAMUEL EATON MD | ||||||||||||||
| PHYSICIAN | $428,349 | $0 | $0 | $0 | $0 | $0 | $4,330 | $0 | $23,655 | $0 | $456,334 | $0 | $0 | $0 |
| DAVID SOBEL MD | ||||||||||||||
| PHYSICIAN | $359,571 | $0 | $0 | $0 | $0 | $0 | $6,440 | $0 | $23,231 | $0 | $389,242 | $0 | $0 | $0 |
| ANDREW TOMPKINS MD | ||||||||||||||
| PHYSICIAN | $353,881 | $0 | $0 | $0 | $0 | $0 | $6,125 | $0 | $24,589 | $0 | $384,595 | $0 | $0 | $0 |
| VINCENT HARISARAN MD | ||||||||||||||
| PHYSICIAN | $363,994 | $0 | $0 | $0 | $0 | $0 | $6,118 | $0 | $9,889 | $0 | $380,001 | $0 | $0 | $0 |
| GABRIELLA AVELLINO MD | ||||||||||||||
| BOARD MEMBER (AS OF 4/22) | $306,299 | $0 | $0 | $0 | $0 | $0 | $12,886 | $0 | $24,259 | $0 | $343,444 | $0 | $0 | $0 |
| MARK SIGMAN MD | ||||||||||||||
| TREASURER (TO 3/22) | $331,230 | $0 | $0 | $0 | $0 | $0 | $7,142 | $0 | $100 | $0 | $338,472 | $0 | $0 | $0 |
| ANGELO CAMBIO MD | ||||||||||||||
| BOARD MEMBER (TO 3/22) | $273,570 | $0 | $0 | $0 | $0 | $0 | $7,824 | $0 | $22,385 | $0 | $303,779 | $0 | $0 | $0 |
| SIMONE THAVASEELAN MD | ||||||||||||||
| SECRETARY | $246,915 | $0 | $0 | $0 | $0 | $0 | $6,556 | $0 | $5,507 | $0 | $258,978 | $0 | $0 | $0 |
| ALEX LUBIN MD | ||||||||||||||
| BOARD MEMBER (TO 3/22) | $203,987 | $0 | $0 | $0 | $0 | $0 | $5,941 | $0 | $9,556 | $0 | $219,484 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| GAYAN PAREEK | |||
| VICE PRESIDENT | $126,000 | GYAN PAREEK (VICE PRESIDENT) IS A 50% INTEREST IN LPR REALTY INVESTMENTS, LLC, WHICH RENTS MEDICAL OFFICE SPACE TO THE ORGANIZATION | 0 |
| JOSEPH C CAMBRIO | |||
| BOARD MEMBER/PHYSICIAN | $24,000 | DR. CAMBIO OWNS 725 RESERVOIR AVE., CRANSTON AND 207 QUAKER LANE, WEST WARWICK (WW UNDER QUAKER LANE HOLDINGS) AND RENTS MEDICAL OFFICE SPSCE TO THE ORGANIZATION.LIST 75 _ 3SWHEELER - 01/20/22 02:04PM WORKSHEET BUS TRANS INVOLVING INT PERSOCAMBRIO _ 36546QUAKER LANE _ 88786 | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | EFFECTIVE NOVEMBER 15, 2022, THE ORGANIZATION AMENDED AND RESTATED ITS BY-LAWS TO INCLUDE CHANGES TO THE GOVERNANCE AND OPERATIONS OF THE ORGANIZATION. GOVERNANCE AND OPERATIONS OF THE ORGANIZATION WILL BE GIVEN IN ALL RESPECTS TO BROWN PHYSICIANS, INC. AS ITS SOLE CORPORATE CLASS B MEMBER AND THE CLASS A PHYSICIAN MEMBERS SHALL HAVE NO POWER OR AUTHORITY OVER THE ORGANIZATION WHICH WOULD CONFLICT WITH THE CLASS B MEMBER'S EXCLUSIVE RIGHT TO EXERCISE ITS RESERVE POWERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE EXTERNAL AUDITORS AND REVIEWED BY MANAGEMENT. ONCE ALL ARE SATISFIED WITH THE FORM, IT IS FINALIZED AND A COPY IS SENT TO ALL BOARD EXECUTIVE COMMITTEE MEMBERS. AT THE SUBSEQUENT BOARD EXECUTIVE COMMITTEE MEETING, THE MEMBERS ARE ASKED IF THEY HAVE ANY QUESTIONS OR COMMENTS AND A GENERAL REVIEW OF THE FORM IS CONDUCTED BY MANAGEMENT. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY AND DISCUSSED WITH THE PRESIDENT, MEMBERS OF THE BOARD OF TRUSTEES, AND SENIOR MANAGEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | BOARD REVIEW. ORGANIATION FOLLOWS THE NATIONAL GUIDELINES SET BY AAMC AND USED BY BROWN PHYSICIANS INC. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BY-LAWS), ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ORGANIZATION PROVIDE COPIES TO THOSE WHO COME TO THE ADMINISTRATIVE OFFICES DURING NORMAL BUSINESS HOURS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| BROWN PHYSICIANS INC | ||||||||||
| 110 ELM ST 2ND FLOOR | PROVIDENCE | RI | 02903 | 821858635 | EDUCATIONAL SERVICES | RI | 501(C)(3) | LINE 12A, I | 0 | |
| BROWN DERMATOLOGY | ||||||||||
| 593 EDDY STREET APC-10 | PROVIDENCE | RI | 02903 | 812847155 | EDUCATIONAL SERVICES | RI | 501(C)(3) | LINE 4 | 0 | BROWN PHYSICIANS INC |
| BROWN EMERGENCY MEDICINE | ||||||||||
| 125 WHIPPLE ST 3RD FLOOR | PROVIDENCE | RI | 02908 | 050486254 | EDUCATIONAL SERVICES | RI | 501(C)(3) | LINE 3 | 0 | BROWN PHYSICIANS INC |
| BROWN MEDICINE | ||||||||||
| 110 ELM ST 2ND FLOOR | PROVIDENCE | RI | 02903 | 050450410 | EDUCATIONAL SERVICES | RI | 501(C)(3) | LINE 4 | 0 | BROWN PHYSICIANS INC |
| UNIVERSITY SURGICAL ASSOCIATES INC DBA BROWN SURGICAL ASSOCIATES | ||||||||||
| 75 NEWMAN AVENUE PO BOX 16149 | RUMFORD | RI | 02916 | 050389803 | EDUCATIONAL SERVICES | RI | 501(C)(3) | LINE 12C, III-FI | 0 | BROWN PHYSICIANS INC |
| BROWN NEUROLOGY | ||||||||||
| 593 EDDY STREET APC-5 | PROVIDENCE | RI | 02903 | 050448314 | EDUCATIONAL SERVICES | RI | 501(C)(3) | LINE 12A, I | 0 | BROWN PHYSICIANS INC |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BROWN MEDICINE | ||
| M | $412,128 | COST |
| BROWN MEDICINE | ||
| E | $412,128 | COST |
| BROWN PHYSICIANS INC | ||
| C | $1,390,913 | COST |
| BROWN PHYSICIANS INC | ||
| L | $49,635 | COST |
| BROWN PHYSICIANS INC | ||
| Q | $195,534 | COST |
| BROWN PHYSICIANS INC | ||
| M | $299,938 | COST |
| BROWN PHYSICIANS INC | ||
| P | $1,259,857 | COST |
| BROWN PHYSICIANS INC | ||
| K | $45,428 | COST |
| BROWN PHYSICIANS INC | ||
| E | $2,841,412 | COST |
| UNIVERSITY SURGICAL ASSOCIATES INC | ||
| M | $116,973 | COST |
| UNIVERSITY SURGICAL ASSOCIATES INC | ||
| E | $654,518 | COST |
Comments