BROWN MEDICINE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BROWN MEDICINE (EIN 05-0450410)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-12
IRS object ID
201442249349300009
Schema version
2012v2.1
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)
Timestamp2014-08-12T07:14:07-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN050409384EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KAHN LITWIN RENZA & CO LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1951 NORTH MAIN STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050450410EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY MEDICINE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone4014445135Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1593 EDDY STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLOUIS RICE MDName
TitlePRESIDENTTitle
Phone4014445135Phone
Date Signed2014-08-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDEBORAH A HOPKINSName
PTINP00167843PTIN
Phone4012742001Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOUIS RICE MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1593 EDDY STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Gross Receipts65142842GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UMF.BROWNMEDICINE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees336TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year60641257ProgramServiceRevenuePriorYear
Program Service Revenue CY61952328ProgramServiceRevenueCY
Investment Income Prior Year276469InvestmentIncomePriorYear
Investment Income Current Year342872InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year60917726TotalRevenuePriorYear
Total Revenue Current Year62295200TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year82500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY316576GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year48474564SalariesEtcPriorYear
Salaries Etc Current Year50592271SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10940430OtherExpensePriorYear
Other Expenses Current Year9098074OtherExpensesCurrentYear
Total Expenses Prior Year59497494TotalExpensesPriorYear
Total Expenses Current Year60006921TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1420232RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2288279RevenuesLessExpensesCY
Total Assets BOY24293812TotalAssetsBOY
Total Assets EOY28141395TotalAssetsEOY
Total Liabilities BOY4750241TotalLiabilitiesBOY
Total Liabilities EOY5377070TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19543571NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22764325NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUMF 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense43884156Expense
Grants316576Grants
Revenue61952328Revenue
DescriptionUMF 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.Description
Total Program Service Expense43884156TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109654NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees336NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledRIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HERMINEH OHARONIANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4017844909TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line117 VIRGINIA AVENUE SUITE 107AddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02905ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
LOUIS RICE MD
PRESIDENT40.00XX000
JOHN O'BELL
DIRECTOR (AS OF 1/13)40.00X142843036885
GEETHA GOPALAKRISHNAN MD
DIRECTOR40.00X253425040682
KELLY MCGARRY MD
DIRECTOR40.00X185496042107
HARLAN RICH MD
DIRECTOR40.00X275695051510
JEROME LARKIN MD
DIRECTOR40.00X178506040633
EDWARD STULIK MD
DIRECTOR40.00X109704032163
CURT BECKWITH MD
DIRECTOR40.00X156546038838
KIM BASU MD
DIRECTOR40.00X233238044933
SYBIL CINEAS MD
DIRECTOR40.00X145325026372
TED LALLY MD
DIRECTOR40.00X230492045365
GLENN A TUNG MD
DIRECTOR1.00X000
JOHN MURPHY MD
DIRECTOR1.00X000
ANGELA CALIENDO MD
VICE PRESIDENT (AS OF 2/13)40.00X000
STEVEN MALLOZZI MD
VICE PRESIDENT40.00X213281027452
RICHARD MILLMAN MD
TREASURER/SECRETARY40.00X299298046549
MARY JANE ANDERSON
COO40.00199536025683X
LANCE DWORKIN MD
PHYSICIAN40.00420099042485X
KWAME DAPAAH-AFRIYIE MD
PHYSICIAN40.00490373045551X
PETER QUESENBERRY MD
PHYSICIAN40.00386760035576X
FRED SCHIFFMAN MD
PHYSICIAN40.00366670037904X
MITCHELL LEVY MD
PHYSICIAN40.00369956038154X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4657243TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation698842TotalOtherCompensation
Number Individuals GT100 K166NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INGENIX CARETRACKER
2771 MOMENTUM PLACECHICAGOIL60689MEDICAL BILLING1071322
RHODE ISLAND HOSPITAL
PO BOX HPROVIDENCERI02901STAFFING994380
LIFESPAN
PO BOX 414546BOSTONMA02241PHYSICIAN SERVICES385188
PROVIDENCE VA MEDICAL CENTER
860 CHALKSTONE AVENUEPROVIDENCERI02908PHYSICIAN SERVICES218695
PHYSICIAN CHART AUDITORS LLC
14 DRIFTWAY AVENUEHULLMA02045CHART AUDIT SERVICES159790
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL SERVICE FEES9000994553223845532238
SUPPORT FROM RIH, TMH90009995908439590843
CONTRACT SERVICE REV.90009964696106469610
MISCELLANEOUS900099359637359637
FieldValueIRS element (for citing)
Total Program Service Revenue61952328TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column299476TotalRevenueColumn
Exclusion$299,476ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2891038Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2847642Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities43396Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column43396TotalRevenueColumn
Exclusion$43,396ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column62295200TotalRevenueColumn
Related Or Exempt Function Income61952328RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$342,872ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total316576Total
Program Services316576ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3398580Total
Program Services3000515ProgramServices
Management And General398065ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37486985Total
Program Services30391511ProgramServices
Management And General7095474ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3300729Total
Program Services2778580ProgramServices
Management And General522149ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3932991Total
Program Services2664954ProgramServices
Management And General1268037ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2472986Total
Program Services1842425ProgramServices
Management And General630561ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total96904Total
Management And General96904ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total58104Total
Management And General58104ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total6741Total
Management And General6741ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2180751Total
Program Services296268ProgramServices
Management And General1884483ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total89021Total
Management And General89021ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1264128Total
Program Services318ProgramServices
Management And General1263810ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total70614Total
Management And General70614ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1569976Total
Management And General1569976ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total97276Total
Program Services10753ProgramServices
Management And General86523ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total188543Total
Program Services188543ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total19111Total
Management And General19111ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total255484Total
Management And General255484ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1482254Total
Program Services1402918ProgramServices
Management And General79336ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CARDIOLOGY EXPENSES-AEF910452676424234028
OTHER EXPENSES372471372471
SUBSCRIPTIONS/LICENSES30795926150846451
EDUCATION AND TRAINING5286352863

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total75422Total
Management And General75422ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total60006921Total
Program Services43884156ProgramServices
Management And General16122765ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3914791BOY
EOY4037422EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4748487BOY
EOY6878327EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1541341BOY
EOY1673273EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY718983BOY
EOY944078EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3578831LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2932846LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY739470BOY
EOY645985EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9169137BOY
EOY10195060EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3461603BOY
EOY3767250EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24293812BOY
EOY28141395EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3398873BOY
EOY3911198EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1351368BOY
EOY1465872EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4750241BOY
EOY5377070EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19509142BOY
EOY22720782EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY34429BOY
EOY43543EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19543571BOY
EOY22764325EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24293812BOY
EOY28141395EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2288279ReconcilationRevenueExpenses
Reconciliation Unrealized Invest932475ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research Org170b1 AiiiXMedicalResearchOrg170b1Aiii

Hospital Name And Address HospitalNameAndAddress (5 entries)

CityCityStateState
RHODE ISLAND HOSPITAL
PROVIDENCERI
MIRIAM HOSPITAL
PROVIDENCERI
HASBRO CHILDREN'S HOSPITAL
PROVIDENCERI
WOMEN AND INFANTS HOSPITAL
PROVIDENCERI
PROVIDENCE VETERANS ADMINISTRATION HOSPITAL
PROVIDENCERI

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis363433OtherCostOrOtherBasis
Depreciation210885Depreciation
Book Value152548BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3215398OtherCostOrOtherBasis
Depreciation2721961Depreciation
Book Value493437BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings645985TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionOTHER RECEIVABLESDescription
Book Value3767250BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets3767250TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PLEDGES PAYABLE$250,638
DEFERRED COMPENSATION PLAN$1,215,234
FieldValueIRS element (for citing)
Total Of Amounts1465872TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt63227675TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments932475NetUnrealizedGainsInvestments
Revenue Not Rptd F990932475RevenueNotRptdF990
Revenue Subtotal62295200RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99062295200TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt60006921TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal60006921ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99060006921TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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 THEIR 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 FOR 2010, 2011, AND 2012 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE FOUNDATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN -Region
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedDOCTORS TRAVEL TO DOMINICAN REPUBLIC FOR A FEW WEEKS TO TRAIN RESIDENT MDSTypeOfActivitiesConducted
Specific Services ProvidedINTERNATIONAL HEALTH PROGRAMSpecificServicesProvided
Total Expenditures10363TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent10363SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent10363TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BROWN UNIVERSITY
CONTROLLERS OFFICE BOX JPROVIDENCERI02912050258809501(C)3105000SUPPORT CARDIOVASCULAR LAB AND MINORITY HOUSESTAFF ASSOCIATION
OCEAN STATE RESEARCH INSTITUTE
830 CHALKSTONE AVENUEPROVIDENCERI02908050440574501(C)337500SUPPORT VASCULAR RESEARCH LAB
RHODE ISLAND HOSPITAL
593 EDDY STREETPROVIDENCERI02903050258954501(C)3136576SUPPORT MEDICAL INFRASTRUCTURE, CARDIOVASCULAR RESEARCH, AND SPONSOR PRESIDENT'S PURSUIT OF EXCELLENCE
THE MIRIAM HOSPITAL
164 SUMMIT AVENUEPROVIDENCERI02906050258905501(C)332500SUPPORT ID PILOT PROGRAMS, MEDICAL INFRASTRUCTURE, AND SPONSOR THE ANNUAL GALA
HASBRO CHILDREN HOSPITAL
593 EDDY STREETPROVIDENCERI02903050258954501(C)35000SPONSOR ANNUAL BALL
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN O'BELL
DIRECTOR (AS OF 1/13)13978200030610177350191500179728000
GEETHA GOPALAKRISHNAN MD
DIRECTOR2507900002635031287093950294107000
KELLY MCGARRY MD
DIRECTOR18039600051000228180192890227603000
HARLAN RICH MD
DIRECTOR27028800054070317750197350327205000
JEROME LARKIN MD
DIRECTOR17227200062340218400187930219139000
CURT BECKWITH MD
DIRECTOR15542400011220195880192500195384000
KIM BASU MD
DIRECTOR22943500038030286460162870278171000
SYBIL CINEAS MD
DIRECTOR1426350002690018275080970171697000
TED LALLY MD
DIRECTOR22376900067230279370174280275857000
STEVEN MALLOZZI MD
VICE PRESIDENT2092810004000025634018180240733000
RICHARD MILLMAN MD
TREASURER/SECRETARY29127700080210292500172990345847000
MARY JANE ANDERSON
COO1966540002882023848018350225219000
LANCE DWORKIN MD
PHYSICIAN41217800079210250000174850462584000
KWAME DAPAAH-AFRIYIE MD
PHYSICIAN48853400018390250000205510535924000
PETER QUESENBERRY MD
PHYSICIAN38058000061800250000105760422336000
FRED SCHIFFMAN MD
PHYSICIAN35935600073140250000129040404574000
MITCHELL LEVY MD
PHYSICIAN36435600056000252500129040408110000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6ALL PHYSICIANS ARE MEMBERS UPON JOINING THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7AALL BOARD MEMBERS ARE ELECTED BY THE MEMBERS, EXCEPT THE THREE WHO SERVE AS EX OFFICIO.
FORM 990, PART VI, SECTION A, LINE 7BTHE PRESIDENT'S VETO OF ANY ACTION CAN BE OVERRIDDEN BY A MEMBERSHIP VOTE OF 75%.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CTHE 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 15THE 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 19THE 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.

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