2023-08-15T14:26:31-05:00 2022-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2021-10-01 821512459 BROWN UROLOGY INC BROW 4014539623 195 COLLYER STREET SUITE 201 PROVIDENCE RI 02904 GYAN PAREEK MD PRESIDENT 4014539623 2023-08-15 1 GYAN PAREEK MD 999009999 SANDY ROSS P01399337 4012742001 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z GYAN PAREEK MD 195 COLLYER STREET SUITE 201 PROVIDENCE RI 02904 21173950 0 X WWW.UROLOGYRI.COM/ X 2017 RI 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. 5 0 161 0 0 0 1730614 1390913 20205542 19455792 75180 76934 254815 181652 22266151 21105291 0 0 0 0 15339263 13698804 0 0 0 7922120 7619945 23261383 21318749 -995232 -213458 7762326 6042976 10799551 9293659 -3037225 -3250683 X 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. 0 0 19086113 19637444 PROVIDE PATIENT MEDICAL CARE, CONTINUE PROMOTING MEDICAL RESEARCH, EDUCATING THE NEXT GENERATION OF UROLOGIST. 19086113 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 28 0 1 161 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JUDITH LANCELLOTTA 4017844908 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 GYAN PAREEK MD PRESIDENT 40.00 X X 574904 0 27583 MARK SIGMAN MD TREASURER (TO 3/22) 40.00 X X 331230 0 7242 SIMONE THAVASEELAN MD SECRETARY 40.00 X X 246915 0 12063 DRAGAN GOLIJANIN MD TREASURER (AS OF 4/22) 40.00 X X 623178 0 16131 ANGELO CAMBIO MD BOARD MEMBER (TO 3/22) 40.00 X 273570 0 30209 ALEX LUBIN MD BOARD MEMBER (TO 3/22) 40.00 X 203987 0 15497 GABRIELLA AVELLINO MD BOARD MEMBER (AS OF 4/22) 40.00 X 306299 0 37145 DICKEN KO MD BOARD MEMBER (AS OF 4/22) 40.00 X 71260 0 21906 ELIAS HYAMS MD PHYSICIAN 40.00 X 431376 0 28483 SAMUEL EATON MD PHYSICIAN 40.00 X 428349 0 27985 VINCENT HARISARAN MD PHYSICIAN 40.00 X 363994 0 16007 DAVID SOBEL MD PHYSICIAN 40.00 X 359571 0 29671 ANDREW TOMPKINS MD PHYSICIAN 40.00 X 353881 0 30714 4568514 0 300636 31 0 1 0 NEW ENGLAND MEDCIAL BILLING 75 NEWMAN AVE RUMFORD RI 02916 MEDICAL BILLING SERVICE 499515 KAHN LITWIN RENZA & CO 951 N MAIN STREET PROVIDENCE RI 02904 AUDIT/TAX SERVICES 127833 2 1390913 1390913 PATIENT FEES 621110 13130257 13130257 ANCILLIARIES 621110 3964694 3964694 RESEARCH GRANT 621110 1274289 1274289 TEACHING 621110 1086552 1086552 19455792 66177 66177 79416 68659 10757 10757 10757 MISCELLANEOUS 621110 181652 181652 181652 21105291 19637444 0 76934 2792672 2579228 213444 8785536 8433650 351886 526693 510875 15818 1056699 1026182 30517 537204 510344 26860 71490 71490 108662 108662 2080432 1205085 875347 12910 12910 345516 271002 74514 178594 170344 8250 1717927 1603487 114440 30535 30535 9840 9840 127217 127217 283341 274378 8963 619984 588296 31688 MEDICAL SUPPLIES 1522174 1522174 ACADEMIC ASSESSMENT 391068 391068 LICENSES, DUES AND FEES 97586 97586 MISCELLANEOUS 22669 22669 21318749 19086113 2232636 0 146037 971248 2381779 1460948 90071 50227 324705 203262 193157 121443 530015 566238 4421267 2872872 7762326 6042976 4020605 3982319 184159 300000 2294625 2060930 4300162 2950410 10799551 9293659 X -3037225 -3250683 -3037225 -3250683 7762326 6042976 -213458 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 324705 203262 121443 121443 RADIATION ONCOLOGY 566238 C 566238 SECURITY DEPOSITS 18149 RIGHT OF USE ASSETS OPERATING 2221880 RIGHT OF USE ASSETS FINANCING 632843 2872872 RIGHT OF USE ASSETS OPERATING 2241033 RIGHT OF USE ASSETS FINANCING 661259 REFUNDABLE ADVANCES 48118 2950410 X 21105291 0 21105291 0 21105291 21318749 0 21318749 0 21318749 PART X, LINE 2: 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. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 DRAGAN GOLIJANIN MD TREASURER (AS OF 4/22) 623178 0 0 0 0 0 342 0 15789 0 639309 0 0 0 GYAN PAREEK MD PRESIDENT 574904 0 0 0 0 0 1523 0 26060 0 602487 0 0 0 ELIAS HYAMS MD PHYSICIAN 431376 0 0 0 0 0 4523 0 23960 0 459859 0 0 0 SAMUEL EATON MD PHYSICIAN 428349 0 0 0 0 0 4330 0 23655 0 456334 0 0 0 DAVID SOBEL MD PHYSICIAN 359571 0 0 0 0 0 6440 0 23231 0 389242 0 0 0 ANDREW TOMPKINS MD PHYSICIAN 353881 0 0 0 0 0 6125 0 24589 0 384595 0 0 0 VINCENT HARISARAN MD PHYSICIAN 363994 0 0 0 0 0 6118 0 9889 0 380001 0 0 0 GABRIELLA AVELLINO MD BOARD MEMBER (AS OF 4/22) 306299 0 0 0 0 0 12886 0 24259 0 343444 0 0 0 MARK SIGMAN MD TREASURER (TO 3/22) 331230 0 0 0 0 0 7142 0 100 0 338472 0 0 0 ANGELO CAMBIO MD BOARD MEMBER (TO 3/22) 273570 0 0 0 0 0 7824 0 22385 0 303779 0 0 0 SIMONE THAVASEELAN MD SECRETARY 246915 0 0 0 0 0 6556 0 5507 0 258978 0 0 0 ALEX LUBIN MD BOARD MEMBER (TO 3/22) 203987 0 0 0 0 0 5941 0 9556 0 219484 0 0 0 GAYAN PAREEK VICE PRESIDENT 126000 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 24000 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 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. 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