2017-08-10T12:10:12-05:00 2016-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2015-10-01 050450410 UNIVERSITY MEDICINE FOUNDATION UNIV 4014445135 593 EDDY STREET PROVIDENCE RI 02903 ANN KASHMANIAN CURRENT CFO 4014445135 2017-08-10 1 DEBORAH A HOPKINS P00167843 4012742001 2015 2021-01-29 14:40:06Z LOUIS RICE MD 593 EDDY STREET PROVIDENCE RI 02903 81704542 0 X WWW.UMF.BROWNMEDICINE.ORG X 2000 RI TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. 17 4 484 0 0 0 0 0 77760612 79046264 344889 466471 0 0 78105501 79512735 115000 30000 0 0 62668451 63852010 0 0 0 12967380 13846449 75750831 77728459 2354670 1784276 35016261 63067677 6619107 32327742 28397154 30739935 X UNIVERSITY MEDICINE FOUNDATION (UMF) 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 53249744 30000 79046264 UMF 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. UMF ALSO PROVIDED ENDOCRINOLOGY SERVICES THROUGH THE HALLET CENTER FOR DIABETES AND ENDOCRINOLOGY AT RHODE ISLAND HOSPITAL. UMF PHYSICIANS RAN THE HOSPITALISTS PROGRAMS AT BOTH THE RHODE ISLAND AND MIRIAM HOSPITALS. IN ADDITION, UMF OFFERED MEDICAL CARE AT ALL SEVEN OF RHODE ISLAND'S INPATIENT KIDNEY DIALYSIS CENTERS AND TWO STAND ALONE OUTPATIENT DIALYSIS CENTERS, AND UMF OFFERED A TRAVEL CLINIC AT MIRIAM HOSPITAL.THE FOUNDATION'S CULTURE PROMOTES CONSTANT LEARNING, WHICH TRANSFERS ACROSS ALL STAFF MEMBERS AND TO THE PHYSICIANS THE FOUNDATION TRAINS. TO REINFORCE THIS, UMF ALLOCATES 10% OF ITS REVENUE INTO THE ACADEMIC PURSUITS OF UMF PHYSICIANS WHO HAVE FACULTY APPOINTMENTS WITH BROWN UNIVERSITY'S WARREN ALPERT MEDICAL SCHOOL.UMF CONTRIBUTES TIME, ENERGY AND FUNDS TO NON-PROFIT HEALTHCARE ENDEAVORS LOCALLY AND GLOBALLY. UMF PROVIDES OVER $186,000 OF FREE CARE TO PEOPLE IN THE STATE OF RHODE ISLAND. THE FOUNDATION'S CONTRIBUTION TO UNFUNDED TEACHING SERVICES IS ESTIMATED AT $3.2 MILLION PER YEAR. UMF'S INTERNATIONAL REACH PROVIDES FINANCIAL AND MEDICAL RESOURCES TO THE UNDER SERVED THROUGHOUT THE WORLD. THE FOUNDATION'S CONTRIBUTION TO UNFUNDED TEACHING SERVICES ABROAD IS ESTIMATED AT $200,000 PER YEAR. THE FOUNDATION ALSO CONTRIBUTED $950,000 TO FUND STUDIES TO FURTHER THE SCIENCE OF MEDICAL RESEARCH. 53249744 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 1 108 0 484 1 0 0 0 0 0 0 0 0 0 0 X 17 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 17 VIRGINIA AVENUE SUITE 107 PROVIDENCE RI 02905 LOUIS RICE MD PRESIDENT 1.00 X X 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 40.00 X X 482360 0 42581 RICHARD MILLMAN MD TREASURER/SECRETARY 40.00 X X 313903 0 41014 CURT BECKWITH MD DIRECTOR 40.00 X 161049 0 34819 ALICE BONITATI MD DIRECTOR 40.00 X 194587 0 37559 SYBIL CINEAS MD DIRECTOR 40.00 X 142737 0 23046 REBEKAH GARDNER MD DIRECTOR 40.00 X 137351 0 15100 FADLALLAH HABR DIRECTOR (AS OF 1/16) 40.00 X 288488 0 47223 E MILU KOJIC MD DIRECTOR 40.00 X 195900 0 37520 JEROME LARKIN MD DIRECTOR 40.00 X 187997 0 36672 JOHN MURPHY MD DIRECTOR 1.00 X 0 0 0 JOHN O'BELL DIRECTOR 40.00 X 185356 0 21906 BHARAT RAMRATNAM MD DIRECTOR 40.00 X 165606 0 32807 JENNIFER SALM MD DIRECTOR 40.00 X 261229 0 30500 EDWARD STULIK MD DIRECTOR 40.00 X 112470 0 18401 GLENN A TUNG MD DIRECTOR 1.00 X 0 0 0 MARGARET VAN BREE DIRECTOR (AS OF 1/16) 1.00 X 0 0 0 RICHARD BORSCHUK CHIEF FINANCIAL OFFICER (1/15 - 2/15) 40.00 X 74040 0 7373 MARY JANE ANDERSON CHIEF OPERATIONS OFFICER 40.00 X 237018 0 25133 PETER HOLLMANN MD CHIEF MEDICAL OFFICER 40.00 X 224945 0 13501 TAMMY LEDERER CHIEF HUMAN RESOURCES OFFICER 40.00 X 157288 0 30107 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 40.00 X 604910 0 45851 LANCE DWORKIN MD PHYSICIAN 40.00 X 458871 0 37954 MITCHELL LEVY MD PHYSICIAN 40.00 X 423712 0 37240 JACK WANDS MD PHYSICIAN 40.00 X 375688 0 32865 CHRISTINA DIEROLF MD PHYSICIAN 40.00 X 369419 0 30302 5754924 0 679474 215 0 1 0 AZ CORPORATION PO BOX 370 N STONINGTON CT 06359 BUILDING DEVELOPMENT 4232823 OPTUM 360 LLC 3436 MOMENTUM PLACE CHICAGO IL 60689 MEDICAL BILLING 1206385 RHODE ISLAND HOSPITAL PO BOX H PROVIDENCE RI 02901 PHYSICIAN SERVICES, STAFFING 934078 LIFESPAN PO BOX 414546 BOSTON MA 02241 PHYSICIAN SERVICES, STAFFING 621627 MARSHALL DEVELOPMENT LLC 700 NARRAGANSETT PARK DRIVE PAWTUCKET RI 02861 BUILDING DEVELOPMENT 405724 12 MEDICAL SERVICE FEES 900099 60268225 60268225 SUPPORT FROM RIH, TMH 900099 9303612 9303612 CONTRACT SERVICE REV. 900099 8861488 8861488 MISCELLANEOUS 900099 612939 612939 79046264 283621 283621 2351657 23000 1988430 203377 363227 -180377 182850 182850 79512735 79046264 0 466471 30000 30000 3948306 3148183 800123 47858624 36600955 11257669 4049888 3283170 766718 4819589 3710066 1109523 3175603 2260372 915231 147112 147112 72000 72000 7092 7092 3640578 1201956 2438622 69558 69558 2116645 180 2116465 298388 298388 2673026 2673026 46831 10922 35909 212592 212592 71920 71920 460037 460037 1314636 1225766 88870 CARDIOLOGY EXPENSES-AEF 1106929 981229 125700 OTHER EXPENSES 832577 569 832008 SUBSCRIPTIONS/LICENSES 546046 500110 45936 PROFESSIONAL DEVELOPMEN 108540 108540 121942 83674 38268 77728459 53249744 24478715 0 5450633 8189220 6218632 6976800 2987108 3251848 1162397 1336520 9072208 2811645 1668398 6260563 11895207 11058994 5633886 25993732 35016261 63067677 5203819 5834253 4600000 1415288 21893489 6619107 32327742 X 28345255 30711345 51899 28590 28397154 30739935 35016261 63067677 1784276 558505 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 5121065 203071 4917994 3951143 2608574 1342569 6260563 OTHER RECEIVABLES 5552912 CONSTRUCTION IN PROGRESS 138446 RIGHT-OF-USE ASSETS - OPERATING LEASES 20211347 RIGHT-OF-USE ASSETS - FINANCING LEASES 91027 25993732 PLEDGES PAYABLE 12500 DEFERRED COMPENSATION PLAN 1656184 OPERATING LEASES PAYABLE 20134845 FINANCING LEASES PAYABLE 89960 21893489 X 80071240 558505 558505 79512735 0 79512735 77728459 0 77728459 0 77728459 PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE FOUNDATION OPERATES IN A MANNER CONSISTENT WITH ITS TAX-EXEMPT STATUS AT BOTH THE STATE AND FEDERAL LEVEL. THE FOUNDATION 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 FOUNDATION 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 10254 0 0 0 0 0 0 10254 0 10254 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) 10000 TO SPONSOR PRESIDENT'S PURSUIT OF EXCELLENCE DINNER RHODE ISLAND MEDCIAL SOCIETY FOUNDATION 405 PROMENADE STREET SUITE A PROVIDENCE RI 02908 050401176 501(C)(3) 5000 TO SUPPORT THE PHYSICIANS HEALTH FUND 4 X 0 0 0 0 0 0 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 476475 0 0 0 5885 0 26500 0 16081 0 524941 0 0 0 RICHARD MILLMAN MD TREASURER/SECRETARY 303307 0 0 0 10596 0 26500 0 14514 0 354917 0 0 0 CURT BECKWITH MD DIRECTOR 158031 0 0 0 3018 0 16105 0 18714 0 195868 0 0 0 ALICE BONITATI MD DIRECTOR 189822 0 0 0 4765 0 19443 0 18116 0 232146 0 0 0 SYBIL CINEAS MD DIRECTOR 140668 0 0 0 2069 0 14105 0 8941 0 165783 0 0 0 REBEKAH GARDNER MD DIRECTOR 134287 0 0 0 3064 0 13263 0 1837 0 152451 0 0 0 FADLALLAH HABR DIRECTOR (AS OF 1/16) 285986 0 0 0 2502 0 26500 0 20723 0 335711 0 0 0 E MILU KOJIC MD DIRECTOR 190151 0 0 0 5749 0 19215 0 18305 0 233420 0 0 0 JEROME LARKIN MD DIRECTOR 182854 0 0 0 5143 0 18653 0 18019 0 224669 0 0 0 JOHN O'BELL DIRECTOR 181869 0 0 0 3487 0 17955 0 3951 0 207262 0 0 0 BHARAT RAMRATNAM MD DIRECTOR 161839 0 0 0 3767 0 16430 0 16377 0 198413 0 0 0 JENNIFER SALM MD DIRECTOR 257952 0 0 0 3277 0 25467 0 5033 0 291729 0 0 0 MARY JANE ANDERSON CHIEF OPERATIONS OFFICER 234214 0 0 0 2804 0 22972 0 2161 0 262151 0 0 0 PETER HOLLMANN MD CHIEF MEDICAL OFFICER 221698 0 0 0 3247 0 0 0 13501 0 238446 0 0 0 TAMMY LEDERER CHIEF HUMAN RESOURCES OFFICER 156071 0 0 0 1217 0 15909 0 14198 0 187395 0 0 0 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 600949 0 0 0 3961 0 26500 0 19351 0 650761 0 0 0 LANCE DWORKIN MD PHYSICIAN 446787 0 0 0 12084 0 26500 0 11454 0 496825 0 0 0 MITCHELL LEVY MD PHYSICIAN 411600 0 0 0 12112 0 26500 0 10740 0 460952 0 0 0 JACK WANDS MD PHYSICIAN 368682 0 0 0 7006 0 26500 0 6365 0 408553 0 0 0 CHRISTINA DIEROLF MD PHYSICIAN 368318 0 0 0 1101 0 26500 0 3802 0 399721 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 ALL PHYSICIANS ARE MEMBERS UPON JOINING THE FOUNDATION. 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 11 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.