2014-08-12T07:14:07-05:00 2013-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2012-10-01 050450410 UNIVERSITY MEDICINE FOUNDATION UNIV 4014445135 593 EDDY STREET PROVIDENCE RI 02903 LOUIS RICE MD 4014445135 2014-08-07 1 DEBORAH A HOPKINS P00167843 4012742001 2012 2015-11-30 17:44:51Z LOUIS RICE MD 593 EDDY STREET PROVIDENCE RI 02903 65142842 0 X WWW.UMF.BROWNMEDICINE.ORG X 2000 RI TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. 13 3 336 0 0 0 0 0 60641257 61952328 276469 342872 0 0 60917726 62295200 82500 316576 0 0 48474564 50592271 0 0 0 10940430 9098074 59497494 60006921 1420232 2288279 24293812 28141395 4750241 5377070 19543571 22764325 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 43884156 316576 61952328 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. 43884156 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 54 0 336 1 0 0 0 0 0 0 0 0 0 0 X 13 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 40.00 X X 0 0 0 JOHN O'BELL 40.00 X 142843 0 36885 GEETHA GOPALAKRISHNAN MD 40.00 X 253425 0 40682 KELLY MCGARRY MD 40.00 X 185496 0 42107 HARLAN RICH MD 40.00 X 275695 0 51510 JEROME LARKIN MD 40.00 X 178506 0 40633 EDWARD STULIK MD 40.00 X 109704 0 32163 CURT BECKWITH MD 40.00 X 156546 0 38838 KIM BASU MD 40.00 X 233238 0 44933 SYBIL CINEAS MD 40.00 X 145325 0 26372 TED LALLY MD 40.00 X 230492 0 45365 GLENN A TUNG MD 1.00 X 0 0 0 JOHN MURPHY MD 1.00 X 0 0 0 ANGELA CALIENDO MD 40.00 X 0 0 0 STEVEN MALLOZZI MD 40.00 X 213281 0 27452 RICHARD MILLMAN MD 40.00 X 299298 0 46549 MARY JANE ANDERSON 40.00 X 199536 0 25683 LANCE DWORKIN MD 40.00 X 420099 0 42485 KWAME DAPAAH-AFRIYIE MD 40.00 X 490373 0 45551 PETER QUESENBERRY MD 40.00 X 386760 0 35576 FRED SCHIFFMAN MD 40.00 X 366670 0 37904 MITCHELL LEVY MD 40.00 X 369956 0 38154 4657243 0 698842 166 0 1 0 INGENIX CARETRACKER 2771 MOMENTUM PLACE CHICAGO IL 60689 MEDICAL BILLING 1071322 RHODE ISLAND HOSPITAL PO BOX H PROVIDENCE RI 02901 STAFFING 994380 LIFESPAN PO BOX 414546 BOSTON MA 02241 PHYSICIAN SERVICES 385188 PROVIDENCE VA MEDICAL CENTER 860 CHALKSTONE AVENUE PROVIDENCE RI 02908 PHYSICIAN SERVICES 218695 PHYSICIAN CHART AUDITORS LLC 14 DRIFTWAY AVENUE HULL MA 02045 CHART AUDIT SERVICES 159790 7 MEDICAL SERVICE FEES 900099 45532238 45532238 SUPPORT FROM RIH, TMH 900099 9590843 9590843 CONTRACT SERVICE REV. 900099 6469610 6469610 MISCELLANEOUS 900099 359637 359637 61952328 299476 299476 2891038 2847642 43396 43396 43396 62295200 61952328 0 342872 316576 316576 3398580 3000515 398065 37486985 30391511 7095474 3300729 2778580 522149 3932991 2664954 1268037 2472986 1842425 630561 96904 96904 58104 58104 6741 6741 2180751 296268 1884483 89021 89021 1264128 318 1263810 70614 70614 1569976 1569976 97276 10753 86523 188543 188543 19111 19111 255484 255484 1482254 1402918 79336 CARDIOLOGY EXPENSES-AEF 910452 676424 234028 OTHER EXPENSES 372471 372471 SUBSCRIPTIONS/LICENSES 307959 261508 46451 EDUCATION AND TRAINING 52863 52863 75422 75422 60006921 43884156 16122765 0 3914791 4037422 4748487 6878327 1541341 1673273 718983 944078 3578831 2932846 739470 645985 9169137 10195060 3461603 3767250 24293812 28141395 3398873 3911198 1351368 1465872 4750241 5377070 X 19509142 22720782 34429 43543 19543571 22764325 24293812 28141395 2288279 932475 0 X 0 1 X 1 0 X RHODE ISLAND HOSPITAL PROVIDENCE RI MIRIAM HOSPITAL PROVIDENCE RI HASBRO CHILDREN'S HOSPITAL PROVIDENCE RI WOMEN AND INFANTS HOSPITAL PROVIDENCE RI PROVIDENCE VETERANS ADMINISTRATION HOSPITAL PROVIDENCE RI 363433 210885 152548 3215398 2721961 493437 645985 OTHER RECEIVABLES 3767250 3767250 PLEDGES PAYABLE 250638 DEFERRED COMPENSATION PLAN 1215234 1465872 X 63227675 932475 932475 62295200 0 62295200 60006921 0 60006921 0 60006921 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 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. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 DOCTORS TRAVEL TO DOMINICAN REPUBLIC FOR A FEW WEEKS TO TRAIN RESIDENT MDS INTERNATIONAL HEALTH PROGRAM 10363 0 0 0 0 0 0 10363 0 10363 0 0 0 0 0 0 0 BROWN UNIVERSITY CONTROLLERS OFFICE BOX J PROVIDENCE RI 02912 050258809 501(C)3 105000 SUPPORT CARDIOVASCULAR LAB AND MINORITY HOUSESTAFF ASSOCIATION OCEAN STATE RESEARCH INSTITUTE 830 CHALKSTONE AVENUE PROVIDENCE RI 02908 050440574 501(C)3 37500 SUPPORT VASCULAR RESEARCH LAB RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)3 136576 SUPPORT MEDICAL INFRASTRUCTURE, CARDIOVASCULAR RESEARCH, AND SPONSOR PRESIDENT'S PURSUIT OF EXCELLENCE THE MIRIAM HOSPITAL 164 SUMMIT AVENUE PROVIDENCE RI 02906 050258905 501(C)3 32500 SUPPORT ID PILOT PROGRAMS, MEDICAL INFRASTRUCTURE, AND SPONSOR THE ANNUAL GALA HASBRO CHILDREN HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)3 5000 SPONSOR ANNUAL BALL 5 X 0 0 0 0 0 0 0 0 0 JOHN O'BELL 139782 0 0 0 3061 0 17735 0 19150 0 179728 0 0 0 GEETHA GOPALAKRISHNAN MD 250790 0 0 0 2635 0 31287 0 9395 0 294107 0 0 0 KELLY MCGARRY MD 180396 0 0 0 5100 0 22818 0 19289 0 227603 0 0 0 HARLAN RICH MD 270288 0 0 0 5407 0 31775 0 19735 0 327205 0 0 0 JEROME LARKIN MD 172272 0 0 0 6234 0 21840 0 18793 0 219139 0 0 0 CURT BECKWITH MD 155424 0 0 0 1122 0 19588 0 19250 0 195384 0 0 0 KIM BASU MD 229435 0 0 0 3803 0 28646 0 16287 0 278171 0 0 0 SYBIL CINEAS MD 142635 0 0 0 2690 0 18275 0 8097 0 171697 0 0 0 TED LALLY MD 223769 0 0 0 6723 0 27937 0 17428 0 275857 0 0 0 STEVEN MALLOZZI MD 209281 0 0 0 4000 0 25634 0 1818 0 240733 0 0 0 RICHARD MILLMAN MD 291277 0 0 0 8021 0 29250 0 17299 0 345847 0 0 0 MARY JANE ANDERSON 196654 0 0 0 2882 0 23848 0 1835 0 225219 0 0 0 LANCE DWORKIN MD 412178 0 0 0 7921 0 25000 0 17485 0 462584 0 0 0 KWAME DAPAAH-AFRIYIE MD 488534 0 0 0 1839 0 25000 0 20551 0 535924 0 0 0 PETER QUESENBERRY MD 380580 0 0 0 6180 0 25000 0 10576 0 422336 0 0 0 FRED SCHIFFMAN MD 359356 0 0 0 7314 0 25000 0 12904 0 404574 0 0 0 MITCHELL LEVY MD 364356 0 0 0 5600 0 25250 0 12904 0 408110 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.