2018-08-08T10:12:33-05:00 2017-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2016-10-01 050450410 BROWN MEDICINE BROW 4014445135 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 ANN KASHMANIAN CFO 4014445135 2018-08-08 1 DEBORAH A HOPKINS P00167843 4012742001 2016 2022-09-23 18:48:47Z X LOUIS RICE MD 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 82770904 0 X WWW.UMF.BROWNMEDICINE.ORG X 2000 RI TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. 14 3 517 0 0 0 0 0 79046264 82104484 466471 401892 0 0 79512735 82506376 30000 20000 0 0 63852010 66671788 0 0 0 13846449 12578364 77728459 79270152 1784276 3236224 63067677 65358743 32327742 30185018 30739935 35173725 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 70265571 20000 82104484 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 ALSO PROVIDED ENDOCRINOLOGY SERVICES THROUGH THE HALLET CENTER FOR DIABETES AND ENDOCRINOLOGY AT RHODE ISLAND 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. 70265571 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 87 0 517 1 0 0 0 0 0 0 0 0 0 0 X 14 3 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 489099 0 40324 RICHARD MILLMAN MD TREASURER/SECRETARY 40.00 X X 321574 0 42402 CURT BECKWITH MD DIRECTOR 40.00 X 159199 0 34578 ALICE BONITATI MD DIRECTOR (10/16-1/17) 40.00 X 187936 0 37043 MICHAEL BLUNDIN MD DIRECTOR (AS OF 1/17) 40.00 X 217696 0 41037 SYBIL CINEAS MD DIRECTOR 40.00 X 142032 0 22504 REBEKAH GARDNER MD DIRECTOR 40.00 X 138184 0 17032 FADLALLAH HABR DIRECTOR 40.00 X 301416 0 45908 JEROME LARKIN MD DIRECTOR (10/16-1/17) 40.00 X 191573 0 37733 LYNN MCNICOLL MD DIRECTOR (AS OF 1/17) 40.00 X 198377 0 39052 JOHN O'BELL DIRECTOR 40.00 X 168730 0 35487 BHARAT RAMRATNAM MD DIRECTOR 40.00 X 179970 0 27949 JENNIFER SALM MD DIRECTOR (10/16-1/17) 40.00 X 248872 0 30972 EDWARD STULIK MD DIRECTOR 40.00 X 141308 0 20817 GLENN A TUNG MD DIRECTOR 1.00 X 0 0 0 MARGARET VAN BREE DIRECTOR 1.00 X 0 0 0 MARY JANE ANDERSON CHIEF OPERATIONS OFFICER 40.00 X 249216 0 27275 ANN KASHMANIAN CHIEF FINANCIAL OFFICER 40.00 X 57449 0 3792 PETER HOLLMANN MD CHIEF MEDICAL OFFICER 40.00 X 229829 0 33130 TAMMY LEDERER CHIEF HUMAN RESOURCES OFFI 40.00 X 157763 0 24149 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 40.00 X 523835 0 46488 MITCHELL LEVY MD PHYSICIAN 40.00 X 388693 0 39809 CHRISTINA DIEROLF MD PHYSICIAN 40.00 X 373431 0 32447 FRED SCHIFFMAN MD PHYSICIAN 40.00 X 371535 0 39372 JACK WANDS MD PHYSICIAN 40.00 X 365477 0 32679 5803194 0 751979 195 0 1 0 OPTUM 360 LLC 3436 MOMENTUM PLACE CHICAGO IL 60689 MEDICAL BILLING 1468921 RHODE ISLAND HOSPITAL PO BOX H PROVIDENCE RI 02901 PHYSICIAN SERVICES, STAFFING 1200356 AZ CORPORATION PO BOX 370 N STONINGTON CT 06359 BUILDING DEVELOPMENT 635529 D&Y PO BOX 635715 CINCINNATI OH 452635715 PHYSICIAN SERVICES, STAFFING 519123 ECLINICALWORKS PO BOX 847950 BOSTON MA 02284 ELECTRONIC MEDICAL RECORDS 400530 10 MEDICAL SERVICE FEES 900099 63691158 63691158 SUPPORT FROM RIH, TMH 900099 8831544 8831544 CONTRACT SERVICE REV. 900099 8590312 8590312 MISCELLANEOUS 900099 991470 991470 82104484 349483 349483 298593 18344 221227 43301 77366 -24957 52409 52409 82506376 82104484 0 401892 20000 20000 4658980 3589605 1069375 50388109 47347728 3040381 4099950 3903787 196163 3041556 2200512 841044 4483193 4152959 330234 206752 111091 95661 91250 91250 24427 24427 3658880 1678840 1980040 77452 77452 789403 550152 239251 397750 397750 2945262 2527531 417731 35860 27152 8708 264537 246163 18374 129084 129084 683811 545371 138440 1661041 1562345 98696 MEDICAL SUPPLIES 869850 869850 SUBSCRIPTIONS/LICENSES 297468 286644 10824 RESERVE FUND EXPENSES 248449 248449 EDUCATION AND TRAINING 78413 78413 118675 40594 78081 79270152 70265571 9004581 0 8189220 9336418 6976800 5771691 3251848 4124645 1336520 2273242 9917737 3457150 6260563 6460587 11058994 14499783 25993732 22892377 63067677 65358743 5834253 5362191 4600000 4805556 21893489 20017271 32327742 30185018 X 30711345 35142671 28590 31054 30739935 35173725 63067677 65358743 3236224 1197566 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 5334559 443673 4890886 4583178 3013477 1569701 6460587 OTHER RECEIVABLES 4742190 CONSTRUCTION IN PROGRESS 39618 RIGHT-OF-USE ASSETS - OPERATING LEASES 17911335 RIGHT-OF-USE ASSETS - FINANCING LEASES 71565 INTEREST RATE CAP 44254 DEFERRED FINANCING COSTS 83415 22892377 DEFERRED COMPENSATION PLAN 1874006 OPERATING LEASES PAYABLE 18069992 FINANCING LEASES PAYABLE 73273 20017271 X 83679515 1197566 1197566 82481949 24427 24427 82506376 79245725 0 79245725 24427 24427 79270152 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 10201 0 0 0 0 0 0 10201 0 10201 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) 10000 TO SPONSOR ANNUAL BALL AND GOLF INVITATIONAL EVENT RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)(3) 5000 TO SPONSOR PRESIDENT'S PURSUIT OF EXCELLENCE DINNER 3 X 0 0 0 0 0 0 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 482749 0 0 0 6350 0 26500 0 13824 0 529423 0 0 0 RICHARD MILLMAN MD TREASURER/SECRETARY 314514 0 0 0 7060 0 26213 0 16189 0 363976 0 0 0 CURT BECKWITH MD DIRECTOR 155793 0 0 0 3406 0 16040 0 18538 0 193777 0 0 0 ALICE BONITATI MD DIRECTOR (10/16-1/17) 185787 0 0 0 2149 0 19200 0 17843 0 224979 0 0 0 MICHAEL BLUNDIN MD DIRECTOR (AS OF 1/17) 214771 0 0 0 2925 0 22100 0 18937 0 258733 0 0 0 SYBIL CINEAS MD DIRECTOR 139143 0 0 0 2889 0 14075 0 8429 0 164536 0 0 0 REBEKAH GARDNER MD DIRECTOR 135384 0 0 0 2800 0 13333 0 3699 0 155216 0 0 0 FADLALLAH HABR DIRECTOR 298947 0 0 0 2469 0 26196 0 19712 0 347324 0 0 0 JEROME LARKIN MD DIRECTOR (10/16-1/17) 188551 0 0 0 3022 0 19408 0 18325 0 229306 0 0 0 LYNN MCNICOLL MD DIRECTOR (AS OF 1/17) 193452 0 0 0 4925 0 19996 0 19056 0 237429 0 0 0 JOHN O'BELL DIRECTOR 165725 0 0 0 3005 0 17288 0 18199 0 204217 0 0 0 BHARAT RAMRATNAM MD DIRECTOR 178611 0 0 0 1359 0 18017 0 9932 0 207919 0 0 0 JENNIFER SALM MD DIRECTOR (10/16-1/17) 246614 0 0 0 2258 0 24368 0 6604 0 279844 0 0 0 EDWARD STULIK MD DIRECTOR 139111 0 0 0 2197 0 13893 0 6924 0 162125 0 0 0 MARY JANE ANDERSON CHIEF OPERATIONS OFFICER 245801 0 0 0 3415 0 24139 0 3136 0 276491 0 0 0 PETER HOLLMANN MD CHIEF MEDICAL OFFICER 226580 0 0 0 3249 0 20588 0 12542 0 262959 0 0 0 TAMMY LEDERER CHIEF HUMAN RESOURCES OFFI 156493 0 0 0 1270 0 15977 0 8172 0 181912 0 0 0 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 521657 0 0 0 2178 0 26500 0 19988 0 570323 0 0 0 MITCHELL LEVY MD PHYSICIAN 381749 0 0 0 6944 0 26500 0 13309 0 428502 0 0 0 CHRISTINA DIEROLF MD PHYSICIAN 371918 0 0 0 1513 0 26500 0 5947 0 405878 0 0 0 FRED SCHIFFMAN MD PHYSICIAN 364055 0 0 0 7480 0 26500 0 12872 0 410907 0 0 0 JACK WANDS MD PHYSICIAN 358045 0 0 0 7432 0 26500 0 6179 0 398156 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.