2016-08-11T14:26:54-05:00 2015-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2014-10-01 050450410 UNIVERSITY MEDICINE FOUNDATION UNIV 4014445135 593 EDDY STREET PROVIDENCE RI 02903 LOUIS RICE MD PRESIDENT 4014445135 2016-08-11 1 DEBORAH A HOPKINS P00167843 4012742001 2014 2016-12-15 16:53:06Z LOUIS RICE MD 593 EDDY STREET PROVIDENCE RI 02903 78116969 0 X WWW.UMF.BROWNMEDICINE.ORG X 2000 RI TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. 16 3 458 0 0 0 0 0 71006873 77760612 458435 344889 0 0 71465308 78105501 287500 115000 0 0 57468928 62668451 0 0 0 10711560 12967380 68467988 75750831 2997320 2354670 32447728 35016261 5959331 6619107 26488397 28397154 X UMF IS A NON-PROFIT, ACADEMIC, MULTI-SPECIALTY MEDICAL GROUP WITH PRACTICES IN PROVIDENCE, RI AND ITS SURROUNDING COMMUNITIES. OUR MISSION IS TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. OUR CULTURE PROMOTES CONSTANT LEARNING, WHICH TRANSFERS ACROSS ALL STAFF MEMBERS AND TO THE PHYSICIANS WE TRAIN. TO REINFORCE THIS, UMF ALLOCATES 10% OF ITS REVENUE INTO THE ACADEMIC PURSUITS OF OUR PHYSICIANS WHO HAVE FACULTY APPOINTMENTS WITH BROWN UNIVERSITY'S WARREN ALPERT MEDICAL SCHOOL.WE CONTRIBUTE TIME, ENERGY AND FUNDS TO NON-PROFIT HEALTHCARE ENDEAVORS LOCALLY AND GLOBALLY. WE PROVIDE OVER $1 MILLION DOLLARS OF FREE CARE TO PEOPLE IN THE STATE OF RHODE ISLAND. OUR INTERNATIONAL REACH PROVIDES FINANCIAL AND MEDICAL RESOURCES TO THE UNDER SERVED THROUGHOUT THE WORLD. 0 0 52413231 115000 77760612 UMF PROVIDED PRIMARY 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. 52413231 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 71 0 458 1 0 0 0 0 0 0 0 0 0 0 X 16 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 17 VIRGINIA AVENUE SUITE 107 PROVIDENCE RI 02905 LOUIS RICE MD PRESIDENT 1.00 X X 0 0 0 KIM BASU MD DIRECTOR 40.00 X 243391 0 34615 CURT BECKWITH MD DIRECTOR 40.00 X 164803 0 37463 ALICE BONITATI MD DIRECTOR 40.00 X 193843 0 39694 SYBIL CINEAS MD DIRECTOR 40.00 X 143222 0 23590 REBEKAH GARDNER MD DIRECTOR (AS OF 1/15) 40.00 X 114955 0 13381 GEETHA GOPALAKRISHNAN MD DIRECTOR 40.00 X 256746 0 36336 E MILU KOJIC MD DIRECTOR (AS OF 1/15) 40.00 X 182713 0 38384 JEROME LARKIN MD DIRECTOR 40.00 X 196793 0 39094 KELLY MCGARRY MD DIRECTOR 40.00 X 184453 0 39759 JOHN MURPHY MD DIRECTOR 1.00 X 0 0 0 JOHN O'BELL DIRECTOR 40.00 X 166980 0 37733 BHARAT RAMRATNAM MD DIRECTOR (AS OF 1/15) 40.00 X 159432 0 36279 JENNIFER SALM MD DIRECTOR 40.00 X 230343 0 31016 EDWARD STULIK MD DIRECTOR 40.00 X 125068 0 29384 GLENN A TUNG MD DIRECTOR 1.00 X 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 40.00 X 434967 0 44214 RICHARD MILLMAN MD TREASURER/SECRETARY 40.00 X 317543 0 46045 RICHARD BORSCHUK CFO (10/14-2/15) 40.00 X 284485 0 41076 MARY JANE ANDERSON COO 40.00 X 244097 0 26871 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 40.00 X 467801 0 47159 LANCE DWORKIN MD PHYSICIAN 40.00 X 427648 0 40505 PETER QUESENBERRY MD PHYSICIAN 40.00 X 389209 0 40175 MITCHELL LEVY MD PHYSICIAN 40.00 X 407140 0 42456 FRED SCHIFFMAN MD PHYSICIAN 40.00 X 377060 0 41097 5712692 0 806326 210 0 1 0 OPTUM 360 LLC 3436 MOMENTUM PLACE CHICAGO IL 60689 MEDICAL BILLING 1173811 RHODE ISLAND HOSPITAL PO BOX H PROVIDENCE RI 02901 PHYSICIAN SERVICES, STAFFING 762378 LIFESPAN PO BOX 414546 BOSTON MA 02241 PHYSICIAN SERVICES, STAFFING 523324 ECLINICALWORKS PO BOX 847950 BOSTON MA 02284 ELECTRONIC MEDICAL RECORDS 428759 PROVIDENCE VA MEDICAL CENTER 860 CHALKSTONE AVENUE PROVIDENCE RI 02908 PHYSICIAN SERVICES 354387 9 MEDICAL SERVICE FEES 900099 59976603 59976603 SUPPORT FROM RIH, TMH 900099 9607104 9607104 CONTRACT SERVICE REV. 900099 7881335 7881335 MISCELLANEOUS 900099 295570 295570 77760612 233139 233139 123218 11468 111750 111750 111750 78105501 77760612 0 344889 115000 115000 4284352 3706512 577840 46341739 35460650 10881089 3714140 2983409 730731 5190397 3998887 1191510 3137823 2330083 807740 120363 120363 75541 75541 7073 7073 3439325 1005942 2433383 95686 95686 2396694 276 2396418 315488 315488 2129347 2129347 54291 11572 42719 212194 212194 28158 28158 335665 335665 1296715 1214878 81837 CARDIOLOGY EXPENSES-AEF 1182150 1053660 128490 OTHER EXPENSES 795358 795358 SUBSCRIPTIONS/LICENSES 290450 247996 42454 PROFESSIONAL DEVELOPMEN 80944 80944 111938 72172 39766 75750831 52413231 23337600 0 4961544 5450633 7198103 6218632 2280392 2987108 942838 1162397 5196006 3527608 1304365 1668398 12141222 11895207 3619264 5633886 32447728 35016261 4425588 5203819 1533743 1415288 5959331 6619107 X 26440612 28345255 47785 51899 26488397 28397154 32447728 35016261 2354670 -445913 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 988445 301575 686870 4207561 3226033 981528 1668398 OTHER RECEIVABLES 5127238 CONSTRUCTION IN PROGRESS 506648 5633886 PLEDGES PAYABLE 12500 DEFERRED COMPENSATION PLAN 1402788 1415288 X 77659588 -445913 -445913 78105501 0 78105501 75750831 0 75750831 0 75750831 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, 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 10414 0 0 0 0 0 0 10414 0 10414 0 0 0 0 0 0 0 BROWN UNIVERSITY CONTROLLERS OFFICE BOX J PROVIDENCE RI 02912 050258809 501(C)(3) 100000 TO SUPPORT THE NEW BUILDING AT THE MEDICAL SCHOOL 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 3 X 0 0 0 0 0 0 0 0 0 KIM BASU MD DIRECTOR 239716 0 0 0 3675 0 23673 0 10942 0 278006 0 0 0 CURT BECKWITH MD DIRECTOR 161085 0 0 0 3718 0 15916 0 21547 0 202266 0 0 0 ALICE BONITATI MD DIRECTOR 191795 0 0 0 2048 0 18963 0 20731 0 233537 0 0 0 SYBIL CINEAS MD DIRECTOR 141227 0 0 0 1995 0 13987 0 9603 0 166812 0 0 0 GEETHA GOPALAKRISHNAN MD DIRECTOR 254290 0 0 0 2456 0 25087 0 11249 0 293082 0 0 0 E MILU KOJIC MD DIRECTOR (AS OF 1/15) 180930 0 0 0 1783 0 17779 0 20605 0 221097 0 0 0 JEROME LARKIN MD DIRECTOR 192080 0 0 0 4713 0 19026 0 20068 0 235887 0 0 0 KELLY MCGARRY MD DIRECTOR 181254 0 0 0 3199 0 17911 0 21848 0 224212 0 0 0 JOHN O'BELL DIRECTOR 162906 0 0 0 4074 0 16106 0 21627 0 204713 0 0 0 BHARAT RAMRATNAM MD DIRECTOR (AS OF 1/15) 155737 0 0 0 3695 0 15239 0 21040 0 195711 0 0 0 JENNIFER SALM MD DIRECTOR 227609 0 0 0 2734 0 26935 0 4081 0 261359 0 0 0 EDWARD STULIK MD DIRECTOR 122380 0 0 0 2688 0 11927 0 17457 0 154452 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 429702 0 0 0 5265 0 26000 0 18214 0 479181 0 0 0 RICHARD MILLMAN MD TREASURER/SECRETARY 312296 0 0 0 5247 0 26000 0 20045 0 363588 0 0 0 RICHARD BORSCHUK CFO (10/14-2/15) 280321 0 0 0 4164 0 25916 0 15160 0 325561 0 0 0 MARY JANE ANDERSON COO 241106 0 0 0 2991 0 23977 0 2894 0 270968 0 0 0 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 463475 0 0 0 4326 0 26000 0 21159 0 514960 0 0 0 LANCE DWORKIN MD PHYSICIAN 418288 0 0 0 9360 0 26000 0 14505 0 468153 0 0 0 PETER QUESENBERRY MD PHYSICIAN 382178 0 0 0 7031 0 26000 0 14175 0 429384 0 0 0 MITCHELL LEVY MD PHYSICIAN 400875 0 0 0 6265 0 26000 0 16456 0 449596 0 0 0 FRED SCHIFFMAN MD PHYSICIAN 369287 0 0 0 7773 0 26000 0 15097 0 418157 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 THREE 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.