2022-08-15T11:23:03-05:00 2021-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2020-10-01 821512459 BROWN UROLOGY INC BROW 4014539623 75 NEWMAN AVENUE 2ND FLOOR RUMFORD RI 02916 GYAN PAREEK MD INTERIM PRESIDENT 4014539623 2022-08-15 1 GYAN PAREEK MD 999009999 SANDY ROSS P01399337 4012742001 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GYAN PAREEK MD 75 NEWMAN AVENUE 2ND FLOOR RUMFORD RI 02916 22266151 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. 6 0 160 0 0 0 757366 1730614 15053800 20205542 3289 75180 44403 254815 15858858 22266151 0 0 0 0 12036217 15339263 0 0 0 5584774 7922120 17620991 23261383 -1762133 -995232 8058347 7762326 10100340 10799551 -2041993 -3037225 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 21426374 20460357 PROVIDE PATIENT MEDICAL CARE, CONTINUE PROMOTING MEDICAL RESEARCH, EDUCATING THE NEXT GENERATION OF UROLOGIST. 21426374 1 0 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 30 0 160 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ACCOUNTING DEPT 4014539623 75 NEWMAN AVENUE 2ND FLOOR RUMFORD RI 02916 ALEX LUBIN MD BOARD MEMBER (AS OF 4/21)/PHYSICIAN 40.00 X 259496 0 5047 ANGELO CAMBIO MD BOARD MEMBER (AS OF 4/21)/PHYSICIAN 40.00 X 452115 0 3644 DRAGAN GOLIJANIN MD SECRETARY 40.00 X X 530860 0 35413 GYAN PAREEK MD VICE PRESIDENT(TO 9/21)/INTERIM PRESIDENT 40.00 X X 512195 0 33754 MARK SIGMAN MD PRESIDENT (TO 9/21) 40.00 X X 315637 0 12881 SIMONE THAVASEELAN MD TREASURER 40.00 X X 242515 0 10197 ANDREW TOMPKINS MD PHYSICIAN 40.00 X 298596 0 27777 LIZA AGUIAR MD PHYSICIAN 40.00 X 277299 0 11436 SAMUEL EATON MD PHYSICIAN 40.00 X 141558 0 11465 VINCENT HARISARAN MD PHYSICIAN 40.00 X 344048 0 19145 3374319 0 170759 18 0 1 0 0 1104185 626429 1730614 PATIENT FEES 621110 15454722 15454722 ANCILLIARIES 621110 4243015 4243015 TEACHING 621110 496359 496359 RESEARCH GRANT 621110 11446 11446 20205542 1106 1106 74074 0 74074 74074 74074 MISCELLANEOUS 621110 254815 254815 254815 22266151 20460357 0 75180 2477408 2342601 134807 10815161 10494009 321152 275751 274694 1057 987874 978374 9500 783069 750626 32443 20429 20429 43811 43811 1970527 980963 989564 28829 28829 478948 461615 17333 145363 140217 5146 1528707 1453145 75562 5068 5068 142187 142187 187530 178856 8674 661462 657982 3480 MEDICAL SUPPLIES 2182140 2182140 ACADEMIC ASSESSMENT 418369 418369 LICENSES, DUES AND FEES 70833 69798 1035 MISCELLANEOUS 37917 37917 0 23261383 21426374 1835009 0 933218 146037 3309929 2381779 50026 90071 380922 187765 179632 193157 455941 530015 3129601 4421267 8058347 7762326 3079097 4020605 600633 184159 2759259 2294625 3661351 4300162 10100340 10799551 X -2041993 -3037225 -2041993 -3037225 8058347 7762326 -995232 0 X 0 1 X 1 0 X 380922 187765 193157 193157 RADIATION ONCOLOGY 530015 C 530015 SECURITY DEPOSITS 18149 RIGHT OF USE ASSETS OPERATING 3913912 RIGHT OF USE ASSETS FINANCING 489206 4421267 RIGHT OF USE ASSETS OPERATING 3788713 RIGHT OF USE ASSETS FINANCING 511449 4300162 X 22266151 0 22266151 0 22266151 23261383 0 23261383 0 23261383 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 SECRETARY 530860 0 0 0 0 0 15953 0 19460 0 566273 0 0 0 GYAN PAREEK MD VICE PRESIDENT(TO 9/21)/INTERIM PRES 512195 0 0 0 0 0 15573 0 18181 0 545949 0 0 0 ANGELO CAMBIO MD BOARD MEMBER (AS OF 4/21)/PHYSICIAN 452115 0 0 0 0 0 0 0 3644 0 455759 0 0 0 VINCENT HARISARAN MD PHYSICIAN 344048 0 0 0 0 0 10295 0 8850 0 363193 0 0 0 MARK SIGMAN MD PRESIDENT (TO 9/21) 315637 0 0 0 0 0 9117 0 3764 0 328518 0 0 0 ANDREW TOMPKINS MD PHYSICIAN 298596 0 0 0 0 0 9216 0 18561 0 326373 0 0 0 LIZA AGUIAR MD PHYSICIAN 277299 0 0 0 0 0 8224 0 3212 0 288735 0 0 0 ALEX LUBIN MD BOARD MEMBER (AS OF 4/21)/PHYSICIAN 259496 0 0 0 0 0 0 0 5047 0 264543 0 0 0 SIMONE THAVASEELAN MD TREASURER 242515 0 0 0 0 0 7176 0 3021 0 252712 0 0 0 SAMUEL EATON MD PHYSICIAN 141558 0 0 0 0 0 0 0 11465 0 153023 0 0 0 GAYAN PAREEK VICE PRESIDENT 130550 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 125332 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 0 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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