2022-08-15T12:27:39-05:00 2021-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2020-10-01 821858635 BROWN PHYSICIANS INC C/O FINANCIAL MGMT OFFICE FOR BROWN MED BROW 4014445135 110 ELM ST 2ND FLOOR PROVIDENCE RI 02903 DR ANGELA CALIENDO MD PHD PRESIDENT 4014445135 2022-08-15 1 DR ANGELA CALIENDO MD P 999009999 SANDY ROSS P01399337 4012742001 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DR ANGELA CALIENDO MD 110 ELM ST 2ND FLOOR PROVIDENCE RI 02903 10008475 0 X WWW.BROWNPHYSICIANS.ORG X 2017 RI TO SUPPORT THE PURPOSES OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, AS WELL AS OTHER TAX-EXEMPT NONPROFIT HOSPITALS IN RHODE ISLAND. 10 10 0 0 0 0 0 0 3430160 9336349 29759 39483 699728 632643 4159647 10008475 77800 64160 0 0 0 0 0 0 0 2521890 4158771 2599690 4222931 1559957 5785544 12482895 21867616 3631178 7230355 8851717 14637261 TO SUPPORT THE PURPOSES OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, AS WELL AS OTHER TAX-EXEMPT NONPROFIT HOSPITALS IN RHODE ISLAND. 0 0 3562321 64160 9336349 DEVELOPMENT OF MULTI-DISCIPLINARY CLINICAL PROGRAMS, PARTICIPATING IN RESEARCH, PROVIDING TEACHING SERVICES, PLANNING JOINT CLINICAL INTEGRATION WITH THE UNIVERSITY AND NONPROFIT HOSPITALS IN RHODE ISLAND, AND PROVIDING MANAGEMENT SERVICES. 3562321 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 1 1 1 1 1 0 0 0 1 1 1 0 0 0 0 0 RI X ANN KASHMANIAN 4014434995 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 ABRAR QURESHI MD DIRECTOR 1.00 X 0 622218 33333 DICKENN KO DIRECTOR (AS OF 4/21) 1.00 X 0 0 0 FRANK OVERLY DIRECTOR (TO 4/21) 1.00 X 0 0 0 JACK A ELIAS MD DIRECTOR 1.00 X 0 0 0 JEREMIAH SCHUUR DIRECTOR 1.00 X 0 0 0 KAREN FURIE MD DIRECTOR 1.00 X 0 545234 65932 KIMBERLY A GALLIGAN MBA DIRECTOR 1.00 X 0 0 0 LOUIS B RICE MD TREASURER 1.00 X X 0 0 0 MARK SIGMAN MD SECRETARY 1.00 X X 0 0 0 MICHELLE ANVAR DIRECTOR (AS OF 4/21) 1.00 X 0 0 0 NICOLE GRENIER DIRECTOR (TO 4/21) 1.00 X 0 355004 26346 WILLIAM G CIOFFI MD BOARD PRESIDENT 1.00 X X 0 0 0 ANGELA CALIENDO MD PHD PRESIDENT/EXECUTIVE DIRECT 20.00 X 0 632605 42139 0 2155061 167750 0 0 1 0 CASE CONSTRUCTION COMPANY 225 WAMPANOAG TRAIL EAST GREENWICH RI 02915 BUILDING DEVELOPMENT 2352227 BROWN MEDICINE INC 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 HR AND FINANCIAL SERVICES 1727646 BROWN EMERGENCY MEDICINE 125 WHIPPLE STREET PROVIDENCE RI 02908 PROFESSIONAL SERVICES 793338 CAROUSEL INDUSTRIES 659 SOUTH COUNTY TRAIL EXETER RI 02822 PROFESSIONAL SERVICES 251092 10 PROGRAM FEES 813219 9336349 9336349 9336349 39483 39483 GAIN ON MEDICAL INSURANCE 813219 632643 632643 632643 10008475 9336349 0 672126 X 64160 64160 102002 102002 36000 36000 485570 332895 152675 122439 122439 133426 96624 36802 75859 75859 263855 189729 74126 11982 11982 90051 70893 19158 29567 29567 FOUNDING MEMBER SUPPORT 2808020 2808020 4222931 3562321 660610 0 1686687 4108163 5557500 5883948 730160 2016496 1021435 708005 126784 275009 3580922 128589 196840 3452333 3163489 5423662 12482895 21867616 1593802 1815919 2037376 5414436 3631178 7230355 X 7720701 8598731 1131016 6038530 8851717 14637261 12482895 21867616 5785544 0 X 0 1 X 1 0 X X X 4 BROWN DERMATOLOGY 812847155 4 1 0 0 BROWN EMERGENCY MEDICINE 050486254 3 1 0 0 BROWN MEDICINE 050450410 4 1 0 0 BROWN UROLOGY INC 821512459 3 1 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 PART IV, SECTION A, LINE 1 BROWN UNIVERSITY, SPECIFICALLY THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, IS THE PRIMARY SUPPORTED ORGANIZATION OF THE CORPORATION, AND HAS THE AUTHORITY TO APPOINT ALL OF THE MEMBERS OF THE CORPORATION, WHICH IN TURN APPOINT ALL OF THE DIRECTORS OF THE CORPORATION. THE CORPORATION'S OTHER SUPPORTED ORGANIZATIONS ARE NONPROFIT HOSPITALS IN RHODE ISLAND, EACH OF WHICH IS ALSO AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER CODE SECTION 501(C)(3) AND A "PUBLIC CHARITY" DESCRIBED IN CODE SECTION 509(A)(1). PART IV, SECTION B, LINE 2 BROWN PHYSICIANS' ARTICLES OF INCORPORATION STATE THE SPECIFIC PURPOSE OF THE CORPORATION IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, OR TO CARRY OUT THE PURPOSES OF BROWN UNIVERSITY AND TAX-EXEMPT NONPROFIT HOSPITALS IN RHODE ISLAND. IN PARTICULAR, THE CORPORATION WILL SUPPORT THE TEACHING AND RESEARCH ACTIVITIES OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. BY DEVELOPING MULTI-DISCIPLINARY CLINICAL PROGRAMS, PARTICIPATING IN RESEARCH, PROVIDING TEACHING SERVICES, PLANNING JOINT CLINICAL INTEGRATION WITH THE UNIVERSITY AND NONPROFIT HOSPITALS IN RHODE ISLAND, AND PROVIDING MANAGEMENT SERVICES TO THE CONSTITUENT FOUNDATIONS IN SUPPORT OF SUCH CLINICAL INTEGRATION AND THE TEACHING AND RESEARCH FUNCTIONS OF THE MEDICAL SCHOOL, THE CORPORATION, DIRECTLY AND THROUGH THE CONSTITUENT FOUNDATIONS OF WHICH IT IS A MEMBER, WILL BE RESPONSIVE TO THE NEEDS OF THE UNIVERSITY AND THE MEDICAL SCHOOL, AS WELL AS THE OTHER SUPPORTED ORGANIZATIONS, AND WILL CONSTITUE AN INTEGRAL PART OF THE MEDICAL SCHOOL, AND THE OTHER SUPPORTED ORGANIZATIONS. IN ADDITION TO THE SUPPORTED ORGANIZATIONS SPECIFICALLY IDENTIFIED IN PART I, LINE G, THE CORPORATION MAY SUPPORT OTHER NONPROFIT TAX EXEMPT HOSPITALS IN RHODE ISLAND FROM TIME TO TIME, AS ARE WARRANTED BY ITS ACTIVITIES IN FURTHERANCE OF THE PURPOSES OF BROWN UNIVERSITY. 2937401 31755 2905646 643521 96834 546687 3452333 RIGHT OF USE OPERATING LEASES 4363989 DUE FROM RELATED PARTY, NET 719673 DEPOSITS 340000 5423662 OPERATING LEASE LIABILITY 5414436 5414436 X 10008475 0 10008475 0 10008475 4222931 0 4222931 0 4222931 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. 0 THE MIRIAM HOSPITAL 164 SUMMIT AVENUE PROVIDENCE RI 02906 050258905 501(C)(3) 23160 SPONSOR FOR ANNUAL GALA RHODE ISLAND HOSPITAL FOUNDATION PO BOX H PROVIDENCE RI 02901 050468736 501(C)(3) 29200 SPONSOR HEROES BALL BOYS AND GIRLS PROVIDENCE 550 WICKENDEN ST PROVIDENCE RI 02903 050258929 501(C)(3) 6000 GENERAL SUPPORT RI COMMUNITY FOOD BANK 200 NIANTIC AVENUE PROVIDENCE RI 02907 050395601 501(C)(3) 5000 GENERAL SUPPORT 4 0 0 0 0 0 0 0 0 0 0 ANGELA CALIENDO MD PHD PRESIDENT/EXECUTIVE DIRECT 0 618127 0 0 0 14478 0 38500 0 3639 0 674744 0 0 ABRAR QURESHI MD DIRECTOR 0 621528 0 0 0 690 0 11770 0 21563 0 655551 0 0 KAREN FURIE MD DIRECTOR 0 545234 0 0 0 0 0 37500 0 28432 0 611166 0 0 NICOLE GRENIER DIRECTOR (TO 4/21) 0 354681 0 0 0 323 0 8550 0 17796 0 381350 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE CONSTITUENT FOUNDATIONS OF BROWN PHYSICIANS BELOW PROVIDE THE FOLLOWING MANAGEMENT FUNCTIONS: BROWN MEDICINE, INC. - FINANCE AND HR SERVICES UNIVERSITY SURGICAL ASSOCIATES, INC. - IT SERVICES BROWN EMERGENCY MEDICINE, INC. - IT SERVICES FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO CLASSES OF MEMBERSHIP, CLASS A AND CLASS B. THE CLASS A MEMBERS CONSIST OF SIX DEPARTMENT CHAIRS FROM DEPARTMENTS OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. THE SOLE CLASS B MEMBER IS THE DEAN OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION HAVE THE POWER TO APPOINT DIRECTORS TO THE ORGANIZATION'S BOARD OF DIRECTORS. EACH OF THE CLASS A MEMBERS APPOINTS ONE DIRECTOR, AND THE CLASS B MEMBER APPOINTS TWO DIRECTORS TO THE BOARD, ONE OF WHICH IS THE DEAN OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNANCE DECISIONS OF THE BOARD OF DIRECTOR REQUIRE A VOTE OF TWO-THIRDS OF THE ELIGIBLE CLASS A MEMBERS AND THE VOTE OF THE CLASS B MEMBER TO BE APPROVED. THERE ARE ADDITIONAL SPECIFIC ACTIONS PROPOSED BY THE BOARD OF DIRECTORS THAT REQUIRE THE APPROVAL OF THE CLASS B MEMBER BEFORE ADOPTION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS NOT PROVIDED TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS BEFORE IT IS FILED. THE FORM 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 COMPLETED ANNUALLY. THE RESPONSES ARE COMPILED AND FOLLOW UP UPON IF THE FORMS INDICATE POTENTIAL CONFLICTS. 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 IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,093. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,093. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 332,895. MANAGEMENT AND GENERAL EXPENSES 143,582. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 476,477. 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