2019-08-08T16:24:18-05:00 2018-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2017-10-01 050450410 BROWN MEDICINE BROW 4014445135 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 ANN KASHMANIAN CEO 4014445135 2019-08-08 1 DEBORAH A HOPKINS P00167843 4012742001 70.164.241.209 2019-08-08 10:44:22 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2017 2019-02-21 02:37:17Z LOUIS RICE MD 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 85950201 0 X HTTP://WWW.BROWNMED.ORG/ X 2000 RI TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. 14 4 510 0 0 0 0 0 82104484 85274605 401892 447250 0 143683 82506376 85865538 20000 22500 0 0 66671788 68837280 0 0 0 12578364 14787596 79270152 83647376 3236224 2218162 65358743 71273542 30185018 32994101 35173725 38279441 X BROWN 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. 0 0 74068352 22500 85274605 BROWN 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. 74068352 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 73 0 510 1 0 0 0 0 0 0 0 0 0 0 X 14 4 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 RI X HERMINEH OHARONIAN 4017844909 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 LOUIS RICE MD PRESIDENT 1.00 X X 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 40.00 X X 503736 0 43662 PETER HOLLMANN MD CMO/TREASURER/SECRETARY 40.00 X X 224139 0 36541 CURT BECKWITH MD DIRECTOR (UP TO 1/18) 40.00 X 159208 0 36561 THOMAS BLEDSOE MD DIRECTOR (AS OF 1/18) 40.00 X 240467 0 47586 MICHAEL BLUNDIN MD DIRECTOR 40.00 X 227552 0 46002 SYBIL CINEAS MD DIRECTOR (UP TO 1/18) 40.00 X 139962 0 26115 REBEKAH GARDNER MD DIRECTOR (UP TO 1/18) 40.00 X 140444 0 20638 FADLALLAH HABR DIRECTOR (UP TO 11/17) 40.00 X 250677 0 45805 SUSIE HU MD DIRECTOR (AS OF 1/18) 40.00 X 193198 0 30109 KELLY MCGARRY MD DIRECTOR (AS OF 1/18) 40.00 X 203501 0 40703 LYNN MCNICOLL MD DIRECTOR 40.00 X 160801 0 40616 JOHN O'BELL DIRECTOR 40.00 X 178817 0 41229 BHARAT RAMRATNAM MD DIRECTOR (UP TO 1/18) 40.00 X 236211 0 36749 HARLAN RICH MD DIRECTOR (AS OF 1/18) 40.00 X 271262 0 47388 SHARON ROUNDS MD DIRECTOR 1.00 X 0 0 0 EDWARD STULIK MD DIRECTOR (UP TO 1/18) 40.00 X 250018 0 34975 ANGELA TABER MD DIRECTOR (AS OF 1/18) 40.00 X 285616 0 34174 GLENN A TUNG MD DIRECTOR 1.00 X 0 0 0 MARGARET VAN BREE DIRECTOR 1.00 X 0 0 0 COREY VENTETUOLO MD DIRECTOR (AS OF 1/18) 40.00 X 204114 0 40134 MARY JANE ANDERSON CHIEF OPERATIONS OFFICER 40.00 X 247502 0 26796 TAMMY LEDERER CHIEF HUMAN RESOURCES OFFI 40.00 X 169803 0 25975 ANN KASHMANIAN CHIEF EXECUTIVE OFFICER 40.00 X 249603 0 19257 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 40.00 X 577456 0 49163 HOWARD P SAFRAN PHYSICIAN 40.00 X 507681 0 52440 MITCHELL LEVY MD PHYSICIAN 40.00 X 402754 0 29844 ANTHONY MEGA MD PHYSICIAN 40.00 X 368662 0 35291 JACK WANDS MD PHYSICIAN 40.00 X 372639 0 34665 6765823 0 922418 215 0 1 0 CASE CONSTRUCTION COMPANY 225 WAMPANOAG TRAIL EAST PROVIDENCE RI 02915 BUILDING DEVELOPMENT 1218860 OPTUM 360 LLC 3436 MOMENTUM PLACE CHICAGO IL 60689 MEDICAL BILLING 1218754 ECLINICALWORKS PO BOX 847950 BOSTON MA 02284 ELECTRONIC MEDICAL RECORDS 875400 RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 PHYSICIAN SERVICES, STAFFING 572815 LIFESPAN PO BOX 414546 BOSTON MA 02241 PHYSICIAN SERVICES, STAFFING 368076 10 MEDICAL SERVICE FEES 900099 64549585 64549585 CONTRACT SERVICE REV. 900099 10774539 10774539 SUPPORT FROM RIH, TMH 900099 8571569 8571569 MISCELLANEOUS 900099 1378912 1378912 85274605 393656 393656 138257 84663 53594 53594 53594 OTHER REVENUE 900099 143683 143683 143683 85865538 85274605 0 590933 22500 22500 4245129 3108798 1136331 52571084 49004566 3566518 4263275 4010137 253138 2924870 1977987 946883 4832922 4439797 393125 131597 75750 55847 123923 123923 27410 27410 3309834 1483387 1826447 824821 526546 298275 359731 359731 2876967 2543740 333227 28948 23825 5123 300011 262409 37602 173060 173060 862908 669710 193198 1694640 1588736 105904 CARDIOLOGY EXPENSES-AEF 1818360 1773980 44380 MEDICAL SUPPLIES 990115 990115 SUBSCRIPTIONS/LICENSES 572293 567961 4332 RESERVE FUND EXPENSES 385904 572648 -186744 307074 252700 54374 83647376 74068352 9579024 0 9336418 9453895 5771691 6602495 4124645 4356966 2273242 1609012 12795774 4248677 6460587 8547097 14499783 15759972 22892377 24944105 65358743 71273542 5362191 6113974 4805556 4472222 20017271 22407905 30185018 32994101 X 35142671 38243129 31054 36312 35173725 38279441 65358743 71273542 2218162 887554 0 X 0 1 X 1 0 X RHODE ISLAND HOSPITAL PROVIDENCE RI MIRIAM HOSPITAL PROVIDENCE RI NEWPORT HOSPITAL NEWPORT RI WOMEN AND INFANTS HOSPITAL PROVIDENCE RI PROVIDENCE VETERANS ADMINISTRATION HOSPITAL PROVIDENCE RI 6981686 714466 6267220 5814088 3534211 2279877 8547097 OTHER RECEIVABLES 5176788 DUE FROM HOSPITAL 200000 CONSTRUCTION IN PROGRESS 27588 RIGHT-OF-USE ASSETS - OPERATING LEASES 18745811 RIGHT-OF-USE ASSETS - FINANCING LEASES 654280 INTEREST RATE CAP 69394 DEFERRED FINANCING COSTS 70244 24944105 DEFERRED COMPENSATION PLAN 2175980 OPERATING LEASES PAYABLE 19573041 FINANCING LEASES PAYABLE 658884 22407905 X 86725682 887554 887554 85838128 27410 27410 85865538 83619966 0 83619966 27410 27410 83647376 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. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 DOCTORS TRAVEL TO DOMINICAN REPUBLIC FOR A FEW WEEKS TO TRAIN RESIDENT MDS INTERNATIONAL HEALTH PROGRAM 18295 0 0 0 0 0 0 18295 0 18295 0 0 0 0 0 0 0 THE MIRIAM HOSPITAL 164 SUMMIT AVENUE PROVIDENCE RI 02906 050258905 501(C)(3) 5000 TO SPONSOR THE ANNUAL BALL HASBRO CHILDREN'S HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)(3) 5000 TO SPONSOR ANNUAL BALL RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)(3) 5000 TO SPONSOR PRESIDENT'S PURSUIT OF EXCELLENCE DINNER RI MS FOUNDATION 405 PROMENADE STREET SUITE A PROVIDENCE RI 02908 050401176 501(C)(3) 5000 PHYSICIANS HEALTH FUND 4 0 X 0 0 0 0 0 0 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 499380 0 0 0 4356 0 27000 0 16662 0 547398 0 0 0 PETER HOLLMANN MD CMO/TREASURER/SECRETARY 220863 0 0 0 3276 0 23000 0 13541 0 260680 0 0 0 CURT BECKWITH MD DIRECTOR (UP TO 1/18) 158720 0 0 0 488 0 16433 0 20128 0 195769 0 0 0 THOMAS BLEDSOE MD DIRECTOR (AS OF 1/18) 238797 0 0 0 1670 0 24385 0 23201 0 288053 0 0 0 MICHAEL BLUNDIN MD DIRECTOR 227115 0 0 0 437 0 23375 0 22627 0 273554 0 0 0 SYBIL CINEAS MD DIRECTOR (UP TO 1/18) 139547 0 0 0 415 0 14157 0 11958 0 166077 0 0 0 REBEKAH GARDNER MD DIRECTOR (UP TO 1/18) 140176 0 0 0 268 0 13861 0 6777 0 161082 0 0 0 FADLALLAH HABR DIRECTOR (UP TO 11/17) 249432 0 0 0 1245 0 24783 0 21022 0 296482 0 0 0 SUSIE HU MD DIRECTOR (AS OF 1/18) 192629 0 0 0 569 0 19075 0 11034 0 223307 0 0 0 KELLY MCGARRY MD DIRECTOR (AS OF 1/18) 202620 0 0 0 881 0 20845 0 19858 0 244204 0 0 0 LYNN MCNICOLL MD DIRECTOR 160171 0 0 0 630 0 16596 0 24020 0 201417 0 0 0 JOHN O'BELL DIRECTOR 178339 0 0 0 478 0 18613 0 22616 0 220046 0 0 0 BHARAT RAMRATNAM MD DIRECTOR (UP TO 1/18) 235049 0 0 0 1162 0 23739 0 13010 0 272960 0 0 0 HARLAN RICH MD DIRECTOR (AS OF 1/18) 268633 0 0 0 2629 0 27000 0 20388 0 318650 0 0 0 EDWARD STULIK MD DIRECTOR (UP TO 1/18) 248463 0 0 0 1555 0 24950 0 10025 0 284993 0 0 0 ANGELA TABER MD DIRECTOR (AS OF 1/18) 285050 0 0 0 566 0 27000 0 7174 0 319790 0 0 0 COREY VENTETUOLO MD DIRECTOR (AS OF 1/18) 203644 0 0 0 470 0 20735 0 19399 0 244248 0 0 0 MARY JANE ANDERSON CHIEF OPERATIONS OFFICER 244031 0 0 0 3471 0 24254 0 2542 0 274298 0 0 0 TAMMY LEDERER CHIEF HUMAN RESOURCES OFFI 168332 0 0 0 1471 0 17290 0 8685 0 195778 0 0 0 ANN KASHMANIAN CHIEF EXECUTIVE OFFICER 247281 0 0 0 2322 0 4167 0 15090 0 268860 0 0 0 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 575956 0 0 0 1500 0 27000 0 22163 0 626619 0 0 0 HOWARD P SAFRAN PHYSICIAN 504843 0 0 0 2838 0 27000 0 25440 0 560121 0 0 0 MITCHELL LEVY MD PHYSICIAN 397572 0 0 0 5182 0 27000 0 2844 0 432598 0 0 0 ANTHONY MEGA MD PHYSICIAN 365848 0 0 0 2814 0 27000 0 8291 0 403953 0 0 0 JACK WANDS MD PHYSICIAN 366459 0 0 0 6180 0 27000 0 7665 0 407304 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 ALL PHYSICIANS ARE MEMBERS UPON JOINING THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE MEMBERS, EXCEPT THE FOUR WHO SERVE AS EX OFFICIO. FORM 990, PART VI, SECTION A, LINE 7B THE PRESIDENT'S VETO OF ANY ACTION CAN BE OVERRIDDEN BY A MEMBERSHIP VOTE OF 75%. FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C THE 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 15 THE 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 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.