2021-10-26T09:12:52-05:00 2020-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2019-10-01 821512459 BROWN UROLOGY INC BROW 4014539623 75 NEWMAN AVENUE 2ND FLOOR RUMFORD RI 02916 GYAN PAREEK MD VICE PRESIDENT 4014539623 2021-10-25 1 SANDY ROSS P01399337 4012742001 2019 2022-09-23 18:48:47Z X GYAN PAREEK MD 75 NEWMAN AVENUE 2ND FLOOR RUMFORD RI 02916 15858858 0 X N/A 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. 4 0 132 0 0 0 0 757366 14819788 15053800 -73113 3289 85744 44403 14832419 15858858 0 0 0 0 8189688 12036217 0 0 0 6291920 5584774 14481608 17620991 350811 -1762133 2501844 8058347 1688939 10100340 812905 -2041993 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 15854184 15098203 PROVIDE PATIENT MEDICAL CARE, CONTINUTE PROMOTING MEDICAL RESEARCH, EDUCATING THE NEXT GENERATION OF UROLOGIST. 15854184 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 21 0 132 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 1 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 MARK SIGMAN MD PRESIDENT 40.00 X X 327839 0 0 GYAN PAREEK MD VICE PRESIDENT 40.00 X X 496367 0 29954 SIMONE THAVASEELAN MD TREASURER 40.00 X X 252250 0 0 DARGAN GOLIJANIN MD SECRETARY 40.00 X X 551161 0 20515 ANTHONY CALDAMONE MD PHYSICIAN 40.00 X 254505 0 0 VINCENT HARISARAN MD PHYSICIAN 40.00 X 342865 0 7094 ARTHUR WONG MD PHYSICIAN 40.00 X 311470 0 23207 ANDREW TOMPKINS MD PHYSICIAN 40.00 X 344323 0 32899 2880780 0 113669 8 0 1 0 0 757366 757366 PATIENT FEES 621110 10775547 10775547 ANCILLIARIES 621110 3711433 3711433 TEACHING 621110 541359 541359 RESEARCH 621110 25461 25461 15053800 3289 0 3289 3289 3289 MISCELLANEOUS 621110 44403 44403 44403 15858858 15098203 0 3289 X 1631716 1569484 62232 8903062 8593265 309797 153005 147683 5322 680367 658225 22142 668067 644995 23072 50823 50823 1816895 713000 1103895 37796 37796 405143 388564 16579 144849 139721 5128 1174931 1116600 58331 20793 20793 62102 62102 123331 118385 4946 449314 448115 1199 MEDICAL SUPPLIES 1123890 1123890 ACADEMIC ASSESSMENT 77647 77647 LICENSES AND FEES 62338 62338 0 DUES AND SUBSCRIPTIONS 32722 31479 1243 2200 2200 17620991 15854184 1766807 0 382233 933218 1281636 3309929 50026 296461 116829 385882 179632 442957 455941 9136 3129601 2501844 8058347 1148246 3079097 600633 63020 2759259 477673 0 3661351 1688939 10100340 X 812905 -2041993 812905 -2041993 2501844 8058347 -1762133 -1092765 0 X 0 1 X 1 0 X 296461 116829 179632 179632 RADIATION ONCOLOGY 455941 C 455941 SECURITY DEPOSITS 13149 RIGHT OF USE ASSETS OPERATING 2756251 RIGHT OF USE ASSETS FINANCING 360201 3129601 RIGHT OF USE ASSETS OPERATING 2720708 RIGHT OF USE ASSETS FINANCING 372693 REFUNDABLE ADVANCE 538700 DEFERRED COMPENSATION PAYABLE 29250 3661351 X 15858858 0 15858858 0 15858858 17620991 0 17620991 0 17620991 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 MARK SIGMAN MD PRESIDENT 327839 0 0 0 0 0 0 0 0 0 327839 0 0 0 GYAN PAREEK MD VICE PRESIDENT 496367 0 0 0 0 0 0 0 29954 0 526321 0 0 0 SIMONE THAVASEELAN MD TREASURER 252250 0 0 0 0 0 0 0 0 0 252250 0 0 0 DARGAN GOLIJANIN MD SECRETARY 551161 0 0 0 0 0 0 0 20515 0 571676 0 0 0 ANTHONY CALDAMONE MD PHYSICIAN 254505 0 0 0 0 0 0 0 0 0 254505 0 0 0 VINCENT HARISARAN MD PHYSICIAN 342865 0 0 0 0 0 0 0 7094 0 349959 0 0 0 ARTHUR WONG MD PHYSICIAN 311470 0 0 0 0 0 0 0 23207 0 334677 0 0 0 ANDREW TOMPKINS MD PHYSICIAN 344323 0 0 0 0 0 0 0 32899 0 377222 0 0 0 GAYAN PAREEK VICE PRESIDENT 141367 GYAN PAREEK (VICE PRESIDENT) IS A 50% INTEREST IN LPR REALTY INVESTMENTS, LLC, WHICH RENTS MEDICAL OFFICE SPACE TO THE ORGANIZATION 0 AMENDED RETURN THE BROWN UROLOGY, INC. FORM 990 WAS FILED BEFORE THE COMPLETION OF THE AUDIT. AS A RESULT, THE INFORMATION FILED IN THE ORIGINAL FORM 990 WAS ADJUSTED TO INCORPORATE THE AUDITED AMOUNTS. AS A RESULT, THE FOLLOWING INFORMATION WAS AMENDED: PAGE 1, PART I CHANGES: LINE 9 PROGRAM SERVICE FEES AND LINE 12 DECREASED BY $58,069. LINE 15 SALARIES AND COMPENSATION INCREASED BY $14,477, LINE 17 OTHER EXPENSES INCREASED BY $144,956, RESULTING IN AN INCREASE TO LINE 18 TOTAL EXPENSES OF $159,433. LINE 19 REVENUE LESS EXPENSES DECREASED BY $217,502 LINE 20 TOTAL ASSETS DECREASED BY $233,860 LINE 21 TOTAL LIABILITIES INCREASED BY $159,452 LINE 22 NET ASSETS DECREASED BY $393,312 PAGE 2 PART II, LINE 4A PROGRAM EXPENSES DECREASED BY $718,873, AND PROGRAM REVENUE DECREASED BY $58,069. PAGE 9, PART VIII, LINE 2A, 2G, AND 12 DECREASED BY $58,069 PAGE 10, PART IX, LINES 5 THROUGH 26 HAD VARIOUS CHANGES RELATED TO ADDITIONAL EXPENSE ACCRUALS, RECONCILIATIONS AND THE ALLOCATION OF EXPENSES BETWEEN PROGRAM AND MANAGEMENT AND GENERAL. PAGE 11, PART X CHANGES: LINE 4 AND LINE 16 DECREASED BY $233,860 RELATED TO PATIENT FEES AND PRIOR YEAR ADJUSTMENT OF $175,791 LINE 17 INCREASED BY $134,748 ADDITIONAL PAYABLES AND EXPENSES. LINE 23 DECREASED BY $4,546 TO RECONCILE THE OUTSTANDING DEBT LINE 25 INCREASED BY $29,250 RELATED TO DEFERRED COMPENSATION PAYABLE RESULTING IN AN INCREASE TO LINE 26 OF $159,452 LINE 32 DECREASED BY $393,312 PAGE 12, PART XI, LINE 1-10 CHANGED RELATED TO THE CHANGES ABOVE. SCHEDULE D CHANGES: PAGE 3, PART X, LINE 1(5) DEFERRED COMPENSATION PAYABLE OF $29,250 WAS ADDED. PAGE 4 PART XI AND PART XII WERE ADJUSTED TO AGREE TO THE AUDITED FINANCIAL STATEMENTS. SCHEDULE L, PART IV, INFORMATION AND AMOUNT OF TRANSACTION WERE UPDATED. FORM 990, PART VI, SECTION A, LINE 2 GYAN PAREEK IS A 50 PERCENT PARTNER IN LPR REALTY INVESTMENTS, LLC WHICH LEASES MEDICAL OFFICE SPACE TO BROWN UROLOGY, INC. 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. FORM 990, PART IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 713,000. MANAGEMENT AND GENERAL EXPENSES 26,167. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 739,167. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 686,486. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 686,486. BILLING AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 391,242. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 391,242. BROWN PHYSICIANS INC 110 ELM ST 2ND FLOOR PROVIDENCE RI 02903 821858635 SUPPORT AND FURTHER CHARITABLE ACTIVITIES OF ALPERT MEDICAL SCHOOL RI 501(C)(3) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0