2020-08-10T11:02:15-05:00 2019-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2018-10-01 821858635 BROWN PHYSICIANS INC BROW 4014445135 110 ELM ST 2ND FLOOR PROVIDENCE RI 02903 DR ANGELA CALIENDO EXECUTIVE DIRECTOR 4014445135 2020-08-10 1 SANDY ROSS P01399337 4012742001 38.111.239.2 2020-08-10 10:58:01 ED P 0DE9224A7ECA9E89698B996EC4621D764FA0EBF9 F28E2B4EAD4C8CD2ABB1BD5859C0E522F0D5B131 2018 2020-09-23 17:36:50Z WILLIAM G CIOFFI MD 110 ELM ST 2ND FLOOR PROVIDENCE RI 02903 4661365 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. 9 9 0 0 0 0 0 0 7851289 5115244 32157 14489 0 -468368 7883446 4661365 30000 121300 0 0 0 0 0 0 0 1568435 3449114 1598435 3570414 6285011 1090951 6300619 11138344 15608 3846584 6285011 7291760 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 2871612 121300 5115244 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. 2871612 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 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 X WILLIAM G CIOFFI MD BOARD PRESIDENT 1.00 X 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 JACK A ELIAS MD DIRECTOR 1.00 X 0 0 0 KAREN FURIE MD DIRECTOR 1.00 X 0 0 0 KIMBERLY A GALLIGAN MBA DIRECTOR 1.00 X 0 0 0 ABRAR QURESHI MD DIRECTOR 1.00 X 0 0 0 JEREMIAH SHUUR DIRECTOR (AS OF 12/18) 1.00 X 0 0 0 BRIAN J ZINK MD DIRECTOR 1.00 X 0 0 0 ANGELA CALIENDO MD PHD PRESIDENT/EXECUTIVE DIRECT 20.00 X 0 0 0 0 0 0 0 0 0 0 BROWN MEDICINE INC 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 HR AND FINANCIAL SERVICES 390769 UNIVERSITY SURGICAL ASSOCIATES INC PO BOX 16149 RUMFORD RI 02916 IT SERVICES 212380 JH COMMUNICATIONS 111 WAYLAND AVENUE PROVIDENCE RI 02906 MARKETING SERVICES 164188 BROWN EMERGENCY MEDICINE 125 WHIPPLE STREET PROVIDENCE RI 02908 IT SERVICES 142334 4 PROGRAM REVENUE 900099 5115244 5115244 5115244 14489 14489 LOSS ON MEDICAL INSURANCE PROGRAM 900099 -468368 -468368 -468368 4661365 5115244 0 -453879 X 121300 121300 55894 55894 24970 24970 732646 439588 293058 193495 6500 186995 24407 6650 17757 34992 20995 13997 165591 99355 66236 12608 12608 6387 6387 20900 20900 FOUNDING MEMBER SUPPORT 1369571 1369571 RESEARCH FUNDING 807653 807653 3570414 2871612 698802 0 99892 2450808 3783127 4745197 2401289 1240160 436147 16311 275093 59442 6387 0 53055 0 1937884 6300619 11138344 15608 1988123 0 1858461 15608 3846584 X 6285011 6333739 958021 6285011 7291760 6300619 11138344 1090951 -84202 0 X 0 1 X 1 0 X X X 4 BROWN UNIVERSITY 050258809 2 1 15000 0 RHODE ISLAND HOSPITAL 050258954 3 0 0 0 THE MIRIAM HOSPITAL 050258905 3 0 31300 0 NEWPORT HOSPITAL 050258914 3 0 0 0 4 46300 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. 59442 6387 53055 53055 RIGHT OF USE OPERATING LEASES 1848782 DUE FROM FOUNDING MEMBERS 89102 1937884 OPERATING LEASE LIABILITY 1858461 1858461 X 4661365 0 4661365 0 4661365 3570414 0 3570414 0 3570414 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 HASBRO CHILDREN'S HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)(3) 50000 SUPPORT FOR EVERY DAY CHILD CAMPAIGN THE MIRIAM HOSPITAL 164 SUMMIT AVENUE PROVIDENCE RI 02906 050258905 501(C)(3) 31300 SUPPORT FOR ANNUAL BALL, ANNUAL GALA AND AUCTION BROWN UNIVERSITY BOX 1843 PROVIDENCE RI 02912 050258809 501(C)(3) 15000 SPONSOR WATERFIRE RHODE ISLAND HOSPITAL FOUNDATION PO BOX H PROVIDENCE RI 02901 050468736 501(C)(3) 25000 SPONSOR HEROES BALL 4 1 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 427,588. MANAGEMENT AND GENERAL EXPENSES 285,058. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 712,646. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 12,000. MANAGEMENT AND GENERAL EXPENSES 8,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,000. BROWN UNIVERSITY CONTROLLERS OFFICE BOX J PROVIDENCE RI 02912 050258809 EDUCATION SERVICE RI 501(C)(3) LINE 2 0 RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 HOSPITAL SERVICES RI 501(C)(3) LINE 3 0 THE MIRIAM HOSPITAL 164 SUMMIT AVENUE PROVIDENCE RI 02906 050258905 HOSPITAL SERVICES RI 501(C)(3) LINE 3 0 NEWPORT HOSPITAL 20 POWEL AVENUE NEWPORT RI 02840 050258914 HOSPITAL SERVICES RI 501(C)(3) LINE 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0