BROWN MEDICINE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BROWN MEDICINE (EIN 05-0450410)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-08
IRS object ID
201922209349301147
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-08T16:24:18-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN050409384PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KAHN LITWIN RENZA & CO LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1951 NORTH MAIN STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02904ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050450410EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BROWN MEDICINEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBROWBusinessNameControlTxt
Phone4014445135PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 ELM STREET 2ND FLOORAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANN KASHMANIANPersonNm
Person TitleCEOPersonTitleTxt
Phone4014445135PhoneNum
Signature2019-08-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEBORAH A HOPKINSPreparerPersonNm
PTINP00167843PTIN
Phone4012742001PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address70.164.241.209IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-08IPDt
IP Tm10:44:22IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id6C9B1A35775087DBDB8A6D25ECA509C7F6C27838AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLOUIS RICE MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 ELM STREET 2ND FLOORAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$85,950,201GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.BROWNMED.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee510TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$82,104,484PYProgramServiceRevenueAmt
CY Program Service Revenue$85,274,605CYProgramServiceRevenueAmt
PY Investment Income$401,892PYInvestmentIncomeAmt
CY Investment Income$447,250CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$143,683CYOtherRevenueAmt
PY Total Revenue$82,506,376PYTotalRevenueAmt
CY Total Revenue$85,865,538CYTotalRevenueAmt
PY Grants And Similar Paid$20,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$22,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$66,671,788PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$68,837,280CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,578,364PYOtherExpensesAmt
CY Other Expenses$14,787,596CYOtherExpensesAmt
PY Total Expenses$79,270,152PYTotalExpensesAmt
CY Total Expenses$83,647,376CYTotalExpensesAmt
PY Revenues Less Expenses$3,236,224PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,218,162CYRevenuesLessExpensesAmt
Total Assets BOY$65,358,743TotalAssetsBOYAmt
Total Assets EOY$71,273,542TotalAssetsEOYAmt
Total Liabilities BOY$30,185,018TotalLiabilitiesBOYAmt
Total Liabilities EOY$32,994,101TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$35,173,725NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$38,279,441NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBROWN 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$74,068,352ExpenseAmt
Grant$22,500GrantAmt
Revenue$85,274,605RevenueAmt
DescBROWN 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 AT MIRIAM HOSPITAL.Desc
Total Program Service Expenses$74,068,352TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document73IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee510EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HERMINEH OHARONIANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4017844909PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 ELM STREET 2ND FLOORAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
LOUIS RICE MD
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
ANGELA CALIENDO MD
VICE PRESIDENT40.00Yes (X)Yes (X)$503,736$0$43,662
PETER HOLLMANN MD
CMO/TREASURER/SECRETARY40.00Yes (X)Yes (X)$224,139$0$36,541
CURT BECKWITH MD
DIRECTOR (UP TO 1/18)40.00Yes (X)$159,208$0$36,561
THOMAS BLEDSOE MD
DIRECTOR (AS OF 1/18)40.00Yes (X)$240,467$0$47,586
MICHAEL BLUNDIN MD
DIRECTOR40.00Yes (X)$227,552$0$46,002
SYBIL CINEAS MD
DIRECTOR (UP TO 1/18)40.00Yes (X)$139,962$0$26,115
REBEKAH GARDNER MD
DIRECTOR (UP TO 1/18)40.00Yes (X)$140,444$0$20,638
FADLALLAH HABR
DIRECTOR (UP TO 11/17)40.00Yes (X)$250,677$0$45,805
SUSIE HU MD
DIRECTOR (AS OF 1/18)40.00Yes (X)$193,198$0$30,109
KELLY MCGARRY MD
DIRECTOR (AS OF 1/18)40.00Yes (X)$203,501$0$40,703
LYNN MCNICOLL MD
DIRECTOR40.00Yes (X)$160,801$0$40,616
JOHN O'BELL
DIRECTOR40.00Yes (X)$178,817$0$41,229
BHARAT RAMRATNAM MD
DIRECTOR (UP TO 1/18)40.00Yes (X)$236,211$0$36,749
HARLAN RICH MD
DIRECTOR (AS OF 1/18)40.00Yes (X)$271,262$0$47,388
SHARON ROUNDS MD
DIRECTOR1.00Yes (X)$0$0$0
EDWARD STULIK MD
DIRECTOR (UP TO 1/18)40.00Yes (X)$250,018$0$34,975
ANGELA TABER MD
DIRECTOR (AS OF 1/18)40.00Yes (X)$285,616$0$34,174
GLENN A TUNG MD
DIRECTOR1.00Yes (X)$0$0$0
MARGARET VAN BREE
DIRECTOR1.00Yes (X)$0$0$0
COREY VENTETUOLO MD
DIRECTOR (AS OF 1/18)40.00Yes (X)$204,114$0$40,134
MARY JANE ANDERSON
CHIEF OPERATIONS OFFICER40.00Yes (X)$247,502$0$26,796
TAMMY LEDERER
CHIEF HUMAN RESOURCES OFFI40.00Yes (X)$169,803$0$25,975
ANN KASHMANIAN
CHIEF EXECUTIVE OFFICER40.00Yes (X)$249,603$0$19,257
KWAME DAPAAH-AFRIYIE MD
PHYSICIAN40.00$577,456$0$49,163Yes (X)
HOWARD P SAFRAN
PHYSICIAN40.00$507,681$0$52,440Yes (X)
MITCHELL LEVY MD
PHYSICIAN40.00$402,754$0$29,844Yes (X)
ANTHONY MEGA MD
PHYSICIAN40.00$368,662$0$35,291Yes (X)
JACK WANDS MD
PHYSICIAN40.00$372,639$0$34,665Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,765,823TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$922,418TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K215IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CASE CONSTRUCTION COMPANY
225 WAMPANOAG TRAILEAST PROVIDENCERI02915BUILDING DEVELOPMENT$1,218,860
OPTUM 360 LLC
3436 MOMENTUM PLACECHICAGOIL60689MEDICAL BILLING$1,218,754
ECLINICALWORKS
PO BOX 847950BOSTONMA02284ELECTRONIC MEDICAL RECORDS$875,400
RHODE ISLAND HOSPITAL
593 EDDY STREETPROVIDENCERI02903PHYSICIAN SERVICES, STAFFING$572,815
LIFESPAN
PO BOX 414546BOSTONMA02241PHYSICIAN SERVICES, STAFFING$368,076
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL SERVICE FEES900099$64,549,585$64,549,585
CONTRACT SERVICE REV.900099$10,774,539$10,774,539
SUPPORT FROM RIH, TMH900099$8,571,569$8,571,569
MISCELLANEOUS900099$1,378,912$1,378,912
FieldValueIRS element (for citing)
Total Program Service Revenue$85,274,605TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$393,656TotalRevenueColumnAmt
Exclusion$393,656ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$138,257SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$84,663SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$53,594SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,594TotalRevenueColumnAmt
Exclusion$53,594ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$143,683TotalRevenueColumnAmt
Exclusion$143,683ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$143,683OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$85,865,538TotalRevenueColumnAmt
Related Or Exempt Func Income$85,274,605RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$590,933ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$22,500TotalAmt
Program Services$22,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,245,129TotalAmt
Program Services$3,108,798ProgramServicesAmt
Management And General$1,136,331ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$52,571,084TotalAmt
Program Services$49,004,566ProgramServicesAmt
Management And General$3,566,518ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,263,275TotalAmt
Program Services$4,010,137ProgramServicesAmt
Management And General$253,138ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,924,870TotalAmt
Program Services$1,977,987ProgramServicesAmt
Management And General$946,883ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,832,922TotalAmt
Program Services$4,439,797ProgramServicesAmt
Management And General$393,125ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$131,597TotalAmt
Program Services$75,750ProgramServicesAmt
Management And General$55,847ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$123,923TotalAmt
Management And General$123,923ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$27,410TotalAmt
Management And General$27,410ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,309,834TotalAmt
Program Services$1,483,387ProgramServicesAmt
Management And General$1,826,447ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$824,821TotalAmt
Program Services$526,546ProgramServicesAmt
Management And General$298,275ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$359,731TotalAmt
Management And General$359,731ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,876,967TotalAmt
Program Services$2,543,740ProgramServicesAmt
Management And General$333,227ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,948TotalAmt
Program Services$23,825ProgramServicesAmt
Management And General$5,123ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$300,011TotalAmt
Program Services$262,409ProgramServicesAmt
Management And General$37,602ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$173,060TotalAmt
Program Services$173,060ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$862,908TotalAmt
Program Services$669,710ProgramServicesAmt
Management And General$193,198ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,694,640TotalAmt
Program Services$1,588,736ProgramServicesAmt
Management And General$105,904ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CARDIOLOGY EXPENSES-AEF$1,818,360$1,773,980$44,380
MEDICAL SUPPLIES$990,115$990,115
SUBSCRIPTIONS/LICENSES$572,293$567,961$4,332
RESERVE FUND EXPENSES$385,904$572,648-$186,744

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$307,074TotalAmt
Program Services$252,700ProgramServicesAmt
Management And General$54,374ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$83,647,376TotalAmt
Program Services$74,068,352ProgramServicesAmt
Management And General$9,579,024ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,336,418BOYAmt
EOY$9,453,895EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,771,691BOYAmt
EOY$6,602,495EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,124,645BOYAmt
EOY$4,356,966EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,273,242BOYAmt
EOY$1,609,012EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,795,774LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,248,677LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,460,587BOYAmt
EOY$8,547,097EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,499,783BOYAmt
EOY$15,759,972EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,892,377BOYAmt
EOY$24,944,105EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$65,358,743BOYAmt
EOY$71,273,542EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,362,191BOYAmt
EOY$6,113,974EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,805,556BOYAmt
EOY$4,472,222EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,017,271BOYAmt
EOY$22,407,905EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,185,018BOYAmt
EOY$32,994,101EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,142,671BOYAmt
EOY$38,243,129EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,054BOYAmt
EOY$36,312EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,173,725BOYAmt
EOY$38,279,441EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,358,743BOYAmt
EOY$71,273,542EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,218,162ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$887,554NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research OrganizationYes (X)MedicalResearchOrganizationInd

Hospital Name And Address HospitalNameAndAddressGrp (5 entries)

CityCityNmState AbbreviationStateAbbreviationCd
RHODE ISLAND HOSPITAL
PROVIDENCERI
MIRIAM HOSPITAL
PROVIDENCERI
NEWPORT HOSPITAL
NEWPORTRI
WOMEN AND INFANTS HOSPITAL
PROVIDENCERI
PROVIDENCE VETERANS ADMINISTRATION HOSPITAL
PROVIDENCERI

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,981,686OtherCostOrOtherBasisAmt
Depreciation$714,466DepreciationAmt
Book Value$6,267,220BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,814,088OtherCostOrOtherBasisAmt
Depreciation$3,534,211DepreciationAmt
Book Value$2,279,877BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,547,097TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$5,176,788
DUE FROM HOSPITAL$200,000
CONSTRUCTION IN PROGRESS$27,588
RIGHT-OF-USE ASSETS - OPERATING LEASES$18,745,811
RIGHT-OF-USE ASSETS - FINANCING LEASES$654,280
INTEREST RATE CAP$69,394
DEFERRED FINANCING COSTS$70,244
FieldValueIRS element (for citing)
Total Book Value Other Assets$24,944,105TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEFERRED COMPENSATION PLAN$2,175,980
OPERATING LEASES PAYABLE$19,573,041
FINANCING LEASES PAYABLE$658,884
FieldValueIRS element (for citing)
Total Liability$22,407,905TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$86,725,682TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$887,554NetUnrealizedGainsInvstAmt
Revenue Not Reported$887,554RevenueNotReportedAmt
Revenue Subtotal$85,838,128RevenueSubtotalAmt
Investment Expenses Not Incld$27,410InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$27,410RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$85,865,538TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$83,619,966TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$83,619,966ExpensesSubtotalAmt
Investment Expenses Not Incld2$27,410InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$27,410ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$83,647,376TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN -RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedDOCTORS TRAVEL TO DOMINICAN REPUBLIC FOR A FEW WEEKS TO TRAIN RESIDENT MDSTypeOfActivitiesConductedTxt
Specific Services ProvidedINTERNATIONAL HEALTH PROGRAMSpecificServicesProvidedTxt
Region Total Expenditures$18,295RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$18,295SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$18,295TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
THE MIRIAM HOSPITAL
164 SUMMIT AVENUEPROVIDENCERI02906050258905501(C)(3)$5,000TO SPONSOR THE ANNUAL BALL
HASBRO CHILDREN'S HOSPITAL
593 EDDY STREETPROVIDENCERI02903050258954501(C)(3)$5,000TO SPONSOR ANNUAL BALL
RHODE ISLAND HOSPITAL
593 EDDY STREETPROVIDENCERI02903050258954501(C)(3)$5,000TO SPONSOR PRESIDENT'S PURSUIT OF EXCELLENCE DINNER
RI MS FOUNDATION
405 PROMENADE STREET SUITE APROVIDENCERI02908050401176501(C)(3)$5,000PHYSICIANS HEALTH FUND
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANGELA CALIENDO MD
VICE PRESIDENT$499,380$0$0$0$4,356$0$27,000$0$16,662$0$547,398$0$0$0
PETER HOLLMANN MD
CMO/TREASURER/SECRETARY$220,863$0$0$0$3,276$0$23,000$0$13,541$0$260,680$0$0$0
CURT BECKWITH MD
DIRECTOR (UP TO 1/18)$158,720$0$0$0$488$0$16,433$0$20,128$0$195,769$0$0$0
THOMAS BLEDSOE MD
DIRECTOR (AS OF 1/18)$238,797$0$0$0$1,670$0$24,385$0$23,201$0$288,053$0$0$0
MICHAEL BLUNDIN MD
DIRECTOR$227,115$0$0$0$437$0$23,375$0$22,627$0$273,554$0$0$0
SYBIL CINEAS MD
DIRECTOR (UP TO 1/18)$139,547$0$0$0$415$0$14,157$0$11,958$0$166,077$0$0$0
REBEKAH GARDNER MD
DIRECTOR (UP TO 1/18)$140,176$0$0$0$268$0$13,861$0$6,777$0$161,082$0$0$0
FADLALLAH HABR
DIRECTOR (UP TO 11/17)$249,432$0$0$0$1,245$0$24,783$0$21,022$0$296,482$0$0$0
SUSIE HU MD
DIRECTOR (AS OF 1/18)$192,629$0$0$0$569$0$19,075$0$11,034$0$223,307$0$0$0
KELLY MCGARRY MD
DIRECTOR (AS OF 1/18)$202,620$0$0$0$881$0$20,845$0$19,858$0$244,204$0$0$0
LYNN MCNICOLL MD
DIRECTOR$160,171$0$0$0$630$0$16,596$0$24,020$0$201,417$0$0$0
JOHN O'BELL
DIRECTOR$178,339$0$0$0$478$0$18,613$0$22,616$0$220,046$0$0$0
BHARAT RAMRATNAM MD
DIRECTOR (UP TO 1/18)$235,049$0$0$0$1,162$0$23,739$0$13,010$0$272,960$0$0$0
HARLAN RICH MD
DIRECTOR (AS OF 1/18)$268,633$0$0$0$2,629$0$27,000$0$20,388$0$318,650$0$0$0
EDWARD STULIK MD
DIRECTOR (UP TO 1/18)$248,463$0$0$0$1,555$0$24,950$0$10,025$0$284,993$0$0$0
ANGELA TABER MD
DIRECTOR (AS OF 1/18)$285,050$0$0$0$566$0$27,000$0$7,174$0$319,790$0$0$0
COREY VENTETUOLO MD
DIRECTOR (AS OF 1/18)$203,644$0$0$0$470$0$20,735$0$19,399$0$244,248$0$0$0
MARY JANE ANDERSON
CHIEF OPERATIONS OFFICER$244,031$0$0$0$3,471$0$24,254$0$2,542$0$274,298$0$0$0
TAMMY LEDERER
CHIEF HUMAN RESOURCES OFFI$168,332$0$0$0$1,471$0$17,290$0$8,685$0$195,778$0$0$0
ANN KASHMANIAN
CHIEF EXECUTIVE OFFICER$247,281$0$0$0$2,322$0$4,167$0$15,090$0$268,860$0$0$0
KWAME DAPAAH-AFRIYIE MD
PHYSICIAN$575,956$0$0$0$1,500$0$27,000$0$22,163$0$626,619$0$0$0
HOWARD P SAFRAN
PHYSICIAN$504,843$0$0$0$2,838$0$27,000$0$25,440$0$560,121$0$0$0
MITCHELL LEVY MD
PHYSICIAN$397,572$0$0$0$5,182$0$27,000$0$2,844$0$432,598$0$0$0
ANTHONY MEGA MD
PHYSICIAN$365,848$0$0$0$2,814$0$27,000$0$8,291$0$403,953$0$0$0
JACK WANDS MD
PHYSICIAN$366,459$0$0$0$6,180$0$27,000$0$7,665$0$407,304$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6ALL PHYSICIANS ARE MEMBERS UPON JOINING THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AALL BOARD MEMBERS ARE ELECTED BY THE MEMBERS, EXCEPT THE FOUR WHO SERVE AS EX OFFICIO.
FORM 990, PART VI, SECTION A, LINE 7BTHE PRESIDENT'S VETO OF ANY ACTION CAN BE OVERRIDDEN BY A MEMBERSHIP VOTE OF 75%.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE 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 15THE 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 19THE 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.

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