2023-08-15T12:23:44-05:00 2022-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2021-10-01 050450410 BROWN MEDICINE BROW 4014445135 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 ANN KASHMANIAN CHIEF EXECUTIVE OFFICER 4014445135 2023-08-15 1 ANN KASHMANIAN 999009999 SANDY ROSS P01399337 4012742001 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z LOUIS RICE MD 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 95693164 0 X HTTP://WWW.BROWNMED.ORG/ X 2000 RI TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. 15 3 568 0 0 0 3429500 2695305 91955327 92158577 1871064 509840 259585 290594 97515476 95654316 41617 53900 0 0 78206860 82028919 0 0 0 15066332 16869963 93314809 98952782 4200667 -3298466 89415313 77600109 37361655 33143143 52053658 44456966 X BROWN MEDICINE IS A NON-PROFIT, ACADEMIC, MULTI-SPECIALTY MEDICAL GROUP WITH PRACTICE LOCATIONS IN PROVIDENCE, RI AND SURROUNDING COMMUNITIES. OUR THREE-PART MISSION COMBINES PATIENT CARE, TEACHING, AND RESEARCH, ENABLING US TO PROVIDE EXCEPTIONAL CARE LOCALLY, NATIONALLY, AND GLOBALLY. 0 0 86235700 53900 92158577 BROWN MEDICINE PROVIDED PRIMARY CARE AND SPECIALTY CARE AT NUMEROUS SITES THROUGHOUT RHODE ISLAND AS WELL AS OUTPATIENT AND INPATIENT CARE THROUGH NINE SUBSPECIALTY DIVISIONS AT RHODE ISLAND HOSPITAL, MIRIAM HOSPITAL AND THE PROVIDENCE VETERAN'S ADMINISTRATION HOSPITAL. BROWN MEDICINE PHYSICIANS RAN THE HOSPITALISTS PROGRAMS AT BOTH THE RHODE ISLAND AND MIRIAM HOSPITALS. IN ADDITION, BROWN MEDICINE OFFERED MEDICAL CARE AT ALL SEVEN OF RHODE ISLAND'S INPATIENT KIDNEY DIALYSIS CENTERS AND TWO STAND ALONE OUTPATIENT DIALYSIS CENTERS, AND BROWN MEDICINE OFFERED A TRAVEL CLINIC. 86235700 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 81 0 1 568 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 3 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 RI X JUDITH LANCELLOTTA 4017844908 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 LOUIS RICE MD PRESIDENT 1.00 X X 0 0 0 DEEPAN DALAL MD DIRECTOR (TO 1/22) 40.00 X 154466 0 31953 MICHAEL BLUNDIN MD DIRECTOR 40.00 X 283543 0 57966 KELLY MCGARRY MD DIRECTOR 40.00 X 365902 0 56815 THOMAS BLEDSOE MD DIRECTOR 40.00 X 236769 0 49689 HARLAN RICH MD DIRECTOR 40.00 X 361064 0 52557 COREY VENTETUOLO MD DIRECTOR 40.00 X 286445 0 36507 SUSIE HU MD DIRECTOR 40.00 X 216869 0 27060 CHRISTINE DUFFY MD DIRECTOR 40.00 X 200660 0 37575 JOHN REAGAN MD DIRECTOR 40.00 X 342807 0 50931 CAROLYNN NASSAR MD DIRECTOR (AS OF 1/22) 40.00 X 180164 0 35560 SHARON ROUNDS MD DIRECTOR 1.00 X 0 0 0 KENNETH WOOD MD DIRECTOR 1.00 X 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 40.00 X X 645959 0 42591 PETER HOLLMANN MD CMO/TREASURER/SECRETARY 40.00 X X 230840 0 37895 TAMMY LEDERER CHIEF HUMAN RES. OFFICER 40.00 X 238672 0 33475 ANN KASHMANIAN CHIEF EXECUTIVE OFFICER 40.00 X 397550 0 51017 DAVID HEMENDINGER CHIEF INFORMATION OFFICER 40.00 X 237216 0 35561 HOWARD P SAFRAN PHYSICIAN 40.00 X 501014 0 51678 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 40.00 X 461108 0 54552 MITCHELL LEVY MD PHYSICIAN 40.00 X 513019 0 40442 ANTHONY MEGA MD PHYSICIAN 40.00 X 425277 0 35002 SANDEEP AREPALLY MD PHYSICIAN 40.00 X 448792 0 50217 6728136 0 869043 225 0 1 0 ECLINICALWORKS PO BOX 847950 BOSTON MA 02284 ELECTRONIC MEDICAL RECORDS 1050672 LIFESPAN PO BOX 414546 BOSTON MA 02241 SAFE HARBOR 602124 BROWN UNIVERSITY PO BOX 1997 69 BROWN STREET PROVIDENCE RI 02912 PHYSICIAN SERVICES 247166 VA HOSPITAL 830 CHALKSTONE AVE PROVIDENCE RI 02908 PHYSICIAN SERVICES 203995 CASE CONSTRUCTION COMPANY 225 WAMPANOAG TRAIL EAST PROVIDENCE RI 02915 CONSTRUCTION CONTRACTOR 155372 5 1845305 850000 2695305 CLINICAL AND OTHER CONTRACT REVEN 621491 48851212 48851212 PATIENT SERVICE REVENUE 621491 32434741 32434741 TEACHING AND ADMINISTRATION REVEN 621491 4699255 4699255 RESEARCH GRANT CONTRACTS 621491 3488299 3488299 OTHER PROGRAM REVENUE 621491 2685070 2685070 92158577 510562 510562 290594 0 290594 290594 290594 38126 38848 -722 -722 -722 95654316 92158577 0 800434 53900 53900 7098047 6956088 141959 57986714 50995836 6990878 4623446 4056875 566571 8326062 7434360 891702 3994650 3555238 439412 140556 140556 120000 120000 31750 31750 3185044 1970986 1214058 121277 121277 685329 324044 361285 455001 455001 3702428 3082681 619747 78057 78057 1160211 943868 216343 2005453 1833741 171712 RESERVE FUND EXPENSES 1349232 1349232 MEDICAL SUPPLIES 1303913 1303913 CARDIOLOGY EXPENSES-AEF 1267520 1267520 ASSESSMENT EXPENSE 1099946 1099946 164246 7472 156774 98952782 86235700 12717082 0 10214892 6518575 23713788 7159443 2953410 4771855 1526687 831584 15306717 8647001 7028316 6659716 21607513 27044574 22370707 24614362 89415313 77600109 10483472 8070852 80000 120000 3588750 3262500 23169433 21729791 37361655 33143143 X 52053658 44456966 52053658 44456966 89415313 77600109 -3298466 -4298226 0 X X 0 1 X 1 1 1 X RHODE ISLAND HOSPITAL PROVIDENCE RI MIRIAM HOSPITAL PROVIDENCE RI NEWPORT HOSPITAL NEWPORT RI WOMEN AND INFANTS HOSPITAL PROVIDENCE RI PROVIDENCE VETERANS ADMINISTRATION HOSPITAL PROVIDENCE RI RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8143884 2615498 5528386 7089185 6031503 1057682 73648 73648 6659716 OTHER RECEIVABLES 7173659 RIGHT-OF-USE ASSETS - OPERATING LEASES 17419275 DEFERRED FINANCING COSTS 21428 24614362 DEFERRED COMPENSATION PLAN 3080346 OPERATING LEASES PAYABLE 18567614 PROVIDER RELIEF FUND 81831 21729791 X 91033746 -4298226 -4298226 95331972 31750 290594 322344 95654316 98630438 -290594 -290594 98921032 31750 31750 98952782 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 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME 290,594. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL INCOME -290,594. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 DOCTORS TRAVEL TO DOMINICAN REPUBLIC FOR A FEW WEEKS TO TRAIN RESIDENT MDS INTERNATIONAL HEALTH PROGRAM 18385 0 0 0 0 0 0 18385 0 18385 0 0 0 0 0 0 PART III ACCOUNTING METHOD: 0 HASBRO CHILDREN'S HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)(3) 12000 0 TO SPONSOR GOLF INVITATIONAL RI MEDICAL SOCIETY 405 PROMENADE ST STE A PROVIDENCE RI 02908 050250010 501(C)(3) 10000 0 TO SUPPORT PHYSICIANS HEALTH PROGRAM THE TOMORROW FUND 593 EDDY STREET PROVIDENCE RI 02903 050450569 501(C)(3) 6000 0 ANNUAL BALL SPONSORSHIP 3 0 X 0 0 0 0 0 0 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 631481 0 0 0 14478 0 29500 0 13091 0 688550 0 0 0 MITCHELL LEVY MD PHYSICIAN 498729 0 0 0 14290 0 29000 0 11442 0 553461 0 0 0 HOWARD P SAFRAN PHYSICIAN 493571 0 0 0 7443 0 29000 0 22678 0 552692 0 0 0 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 457909 0 0 0 3199 0 29000 0 25552 0 515660 0 0 0 SANDEEP AREPALLY MD PHYSICIAN 448064 0 0 0 728 0 29000 0 21217 0 499009 0 0 0 ANTHONY MEGA MD PHYSICIAN 421253 0 0 0 4024 0 29000 0 6002 0 460279 0 0 0 ANN KASHMANIAN CHIEF EXECUTIVE OFFICER 397550 0 0 0 0 0 29000 0 22017 0 448567 0 0 0 KELLY MCGARRY MD DIRECTOR 362383 0 0 0 3519 0 29000 0 27815 0 422717 0 0 0 HARLAN RICH MD DIRECTOR 355373 0 0 0 5691 0 29000 0 23557 0 413621 0 0 0 JOHN REAGAN MD DIRECTOR 342064 0 0 0 743 0 29000 0 21931 0 393738 0 0 0 MICHAEL BLUNDIN MD DIRECTOR 282865 0 0 0 678 0 28640 0 29326 0 341509 0 0 0 COREY VENTETUOLO MD DIRECTOR 285806 0 0 0 639 0 28290 0 8217 0 322952 0 0 0 THOMAS BLEDSOE MD DIRECTOR 233300 0 0 0 3469 0 23969 0 25720 0 286458 0 0 0 DAVID HEMENDINGER CHIEF INFORMATION OFFICER 237216 0 0 0 0 0 23490 0 12071 0 272777 0 0 0 TAMMY LEDERER CHIEF HUMAN RES. OFFICER 235092 0 0 0 3580 0 23742 0 9733 0 272147 0 0 0 PETER HOLLMANN MD CMO/TREASURER/SECRETARY 224272 0 0 0 6568 0 23100 0 14795 0 268735 0 0 0 SUSIE HU MD DIRECTOR 215875 0 0 0 994 0 21313 0 5747 0 243929 0 0 0 CHRISTINE DUFFY MD DIRECTOR 199733 0 0 0 927 0 20562 0 17013 0 238235 0 0 0 CAROLYNN NASSAR MD DIRECTOR (AS OF 1/22) 179742 0 0 0 422 0 18149 0 17411 0 215724 0 0 0 DEEPAN DALAL MD DIRECTOR (TO 1/22) 154168 0 0 0 298 0 16200 0 15753 0 186419 0 0 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. I 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 A, LINE 6 ALL PHYSICIANS ARE MEMBERS UPON JOINING THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE MEMBERS, EXCEPT THE FOUR WHO SERVE AS EX OFFICIO. FORM 990, PART VI, SECTION A, LINE 7B THE PRESIDENT'S VETO OF ANY ACTION CAN BE OVERRIDDEN BY A MEMBERSHIP VOTE OF 75%. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS NOT PROVIDED TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS BEFORE IT IS FILED. THE 990 IS REVIEWED BY THE FINANCE OFFICE AND THE PRESIDENT. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST FORMS ARE REQUIRED TO BE FILLED OUT ANNUALLY. THE RESPONSES ARE COMPILED BY THE CEO'S OFFICE AND FOLLOWED UP IF THE FORMS INDICATE POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE BOARD MEMBERS THAT ARE EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY THE DIVISION DIRECTOR. THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES IS DETERMINED BY THE PRESIDENT OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE AT THE SECRETARY OF STATE'S OFFICE AND ON THE RELATED WEBSITE. THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, BY-LAWS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC AS IT DOES NOT BELIEVE THAT A PUBLIC PURPOSE WOULD BE SERVED BY DOING SO. FORM 990, PART XII, LINE 2C BROWN MEDICINE HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. NO CHANGES IN THE OVERSIGHT PROCESS. 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 BROWN PHYSICIANS INC 0 BROWN EMERGENCY MEDICINE 125 WHIPPLE ST 3RD FLOOR PROVIDENCE RI 02908 050486254 EDUCATIONAL SERVICES RI 501(C)(3) LINE 3 BROWN PHYSICIANS INC 0 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 BROWN PHYSICIANS INC 0 BROWN UROLOGY INC 75 NEWMAN AVENUE 2ND FLOOR PROVIDENCE RI 02916 821512459 EDUCATIONAL SERVICES RI 501(C)(3) LINE 3 BROWN PHYSICIANS INC 0 BROWN NEUROLOGY 593 EDDY STREET APC-5 PROVIDENCE RI 02903 050448314 EDUCATIONAL SERVICES RI 501(C)(3) LINE 12A, I BROWN PHYSICIANS INC 0 BROWN UNIVERSITY CONTROLLERS OFFICE BOX J PROVIDENCE RI 02912 050258809 EDUCATIONAL SERVICES RI 501(C)(3) LINE 2 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 1 0 0 BROWN UNIVERSITY P 1099946 COST BROWN UNIVERSITY L 460000 COST BROWN UNIVERSITY Q 4477020 COST BROWN UNIVERSITY D 1126403 COST BROWN UNIVERSITY E 275500 COST BROWN PHYSICIANS INC M 922325 COST BROWN PHYSICIANS INC P 6560899 COST BROWN PHYSICIANS INC L 2105400 COST BROWN PHYSICIANS INC Q 549973 COST BROWN PHYSICIANS INC K 213325 COST BROWN PHYSICIANS INC D 370785 COST BROWN PHYSICIANS INC E 59219 COST BROWN DERMATOLOGY L 312886 COST BROWN DERMATOLOGY D 83184 COST BROWN NEUROLOGY L 110899 COST BROWN UROLOGY L 412128 COST BROWN UROLOGY D 412128 COST