OCEAN STATE RESEARCH INSTITUTE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OCEAN STATE RESEARCH INSTITUTE INC (EIN 05-0440574)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-04-28
IRS object ID
201411189349301211
Schema version
2012v2.0
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)
Timestamp2014-04-28T10:03:08-07:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARLUCCI & DUGAN CPASBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11525 OLD LOUISQUISSET PIKE STE B201AddressLine1
CityLINCOLNCity
StateRIState
ZIP Code02865ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050440574EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OCEAN STATE RESEARCH INSTITUTE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOCEANameControl
Phone4014573066Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1DAVIS PARK-VA MEDICAL CENTERAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02908ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT M SWIFT MDName
TitlePRESIDENTTitle
Phone4014573066Phone
Date Signed2013-12-23DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARIO P CARLUCCI CPAName
Phone4017263355Phone
Date Prepared2014-04-28DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT M SWIFT MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1830 CHALKSTONE AVEAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02908ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1838683GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionMedical ResearchActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees28TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year971866ProgramServiceRevenuePriorYear
Program Service Revenue CY1838653ProgramServiceRevenueCY
Investment Income Prior Year41InvestmentIncomePriorYear
Investment Income Current Year30InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year971907TotalRevenuePriorYear
Total Revenue Current Year1838683TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year756720SalariesEtcPriorYear
Salaries Etc Current Year1020158SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year367057OtherExpensePriorYear
Other Expenses Current Year424293OtherExpensesCurrentYear
Total Expenses Prior Year1123777TotalExpensesPriorYear
Total Expenses Current Year1444451TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-151870RevenuesLessExpensesPriorYear
Revenues Less Expenses CY394232RevenuesLessExpensesCY
Total Assets BOY861457TotalAssetsBOY
Total Assets EOY615281TotalAssetsEOY
Total Liabilities BOY1001591TotalLiabilitiesBOY
Total Liabilities EOY361183TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-140134NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY254098NetAssetsOrFundBalancesEOY
Mission DescriptionMedical ResearchMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1295815Expense
Revenue1838653Revenue
DescriptionMEDICAL RESEARCHDescription
Total Program Service Expense1295815TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees28NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARY T FORDNamePerson
Telephone Number4014573066TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1DAVIS PARK-VA MED CTRAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02908ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JAMES W BURROWS
Executive Director/Secretary16.00XX2994700
ROBERT SWIFT
President1.00XX000
MICHAEL VEZERIDIS
Vice President0.25XX000
DEBORAH A CLICKNER
Director0.25X000
SATISH SHARMAMD
Director0.25X000
WEN-CHIH-WUMD
Director0.25X000
GREGORY GILLETTEMD
Treasurer0.25XX000
SHARON ROUNDSMD
Director0.25X000
THOMAS O'TOOLEMD
Director0.25X000
AMIR KHANMD
Director0.25X000
DANIEL STACK
Director0.25X000
DAVID FOEHR
Director0.25X000
KENNETH POYTON
Director0.25X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org29947TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionGrant incomeDescription
Business Code541700BusinessCode
Total Revenue Column1838653TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue1838653TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30TotalRevenueColumn
Exclusion$30ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1838683TotalRevenueColumn
Related Or Exempt Function Income1838653RelatedOrExemptFunctionIncome
Exclusion$30ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total29947Total
Program Services0ProgramServices
Management And General29947ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total848625Total
Program Services788117ProgramServices
Management And General60508ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7455Total
Program Services3906ProgramServices
Management And General3549ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total56725Total
Program Services45380ProgramServices
Management And General11345ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total77406Total
Program Services69665ProgramServices
Management And General7741ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9400Total
Program Services0ProgramServices
Management And General9400ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5985Total
Program Services5386ProgramServices
Management And General599ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total7564Total
Program Services6808ProgramServices
Management And General756ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5392Total
Program Services0ProgramServices
Management And General5392ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total65270Total
Program Services58743ProgramServices
Management And General6527ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total68432Total
Program Services68432ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total12872Total
Program Services0ProgramServices
Management And General12872ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Lab Operations14473914473900
Casual Labor485154851500
Consulting fees460454604500
Dues & Membership100791007900

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1444451Total
Program Services1295815ProgramServices
Management And General148636ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY375192BOY
EOY323631EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY55648BOY
EOY55679EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY163560BOY
EOY20800EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4461BOY
EOY7868EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis556077LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec348774LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY262596BOY
EOY207303EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY861457BOY
EOY615281EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY38245BOY
EOY45532EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY963346BOY
EOY315651EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1001591BOY
EOY361183EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-140134BOY
EOY254098EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-140134BOY
EOY254098EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY861457BOY
EOY615281EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses394232ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research Org170b1 AiiiXMedicalResearchOrg170b1Aiii

Hospital Name And Address HospitalNameAndAddress

Name Name

FieldValueIRS element (for citing)
Business Name Line1VA HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
CityPROVIDENCECity
StateRIState
FieldValueIRS element (for citing)
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis556077OtherCostOrOtherBasis
Depreciation348774Depreciation
Book Value207303BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings207303TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt1838653TotRevenueEtcAuditedFinclStmt
Revenue Subtotal1838653RevenueSubtotal
Other Revenues Not Included30OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt30RevenueNotRptdOnFinStmt
Total Revenue Per Form9901838683TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1444451TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1444451ExpensesSubtotal
Total Expenses Per Form9901444451TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 19No documents available to the public
Pt VI, Line 11bSent to board members & discussed at next convened meeting
Pt VI, Line 12cDirectors report conflicts & are updated annually.Board
with legal's input determines whether conflict prohibits the
individual from participating in governance decisions
Pt VI, Line 15aThe Executive Director's compensation is determined by
a review of comparable data based on size of the entity
and revenue. Other employees' compensatiom is determined
using the Federal Goverment's general pay schedule.
Form 990EZ, Part II, Line 24PLEDGES & GRANTS RECEIVABLE, NET PREPAID EXPENSES AND DEFERRED CHARGES
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE AND ACCRUED EXPENSES DEFERRED REVENUE
Form 990, Part IX, Line 24fTUITION HONORARIUMS

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