2012-08-10T09:17:15-05:00 2011-09-30 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2010-10-01 050450410 UNIVERSITY MEDICINE FOUNDATION UNIV 4014445135 593 EDDY STREET PROVIDENCE RI 02903 LOUIS RICE MD 4014445135 2012-08-09 1 DEBORAH A HOPKINS 4012742001 2010 2016-02-24 21:20:13Z LOUIS RICE MD 593 EDDY STREET PROVIDENCE RI 02903 56424178 0 X UMF.BROWNMEDICINE.ORG X 2000 RI TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. 12 2 347 0 0 0 0 0 53211270 55537870 287382 278618 0 0 53498652 55816488 0 212500 0 0 42152613 44759213 0 0 0 10090006 10127927 52242619 55099640 1256033 716848 20099165 21456791 3687415 4550641 16411750 16906150 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 39686387 55537870 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. 39686387 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 49 0 347 1 0 0 0 0 0 0 0 0 0 0 X 12 2 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 TED LALLY MD 40.00 X X 245957 0 40208 GEETHA GOPALAKRISHNAN MD 40.00 X 172557 0 25547 KELLY MCGARRY MD 40.00 X 165493 0 34217 JAMES BUTERA MD 40.00 X 249833 0 43429 JOHN LONKS MD 40.00 X 159672 0 33158 HARLAN RICH MD 40.00 X 241223 0 42905 MICHAEL JOHNSON MD 40.00 X 153523 0 33237 MICHELLE ANVAR MD 40.00 X 170886 0 34923 JEROME LARKIN MD 40.00 X 152753 0 21849 WARREN LICHT MD 40.00 X 213933 0 40067 GLENN A TUNG MD 1.00 X 0 0 0 JOHN MURPHY MD 1.00 X 0 0 0 STEVEN MALLOZZI MD 40.00 X 224251 0 24043 RICHARD MILLMAN MD 40.00 X 286754 0 40346 PETER CERIANI 40.00 X 258540 0 42880 LANCE DWORKIN MD 40.00 X 437713 0 40190 KWAME DAPAAH-AFRIYIE MD 40.00 X 430979 0 43507 PETER QUESENBERRY MD 40.00 X 397220 0 34196 FRED SCHIFFMAN MD 40.00 X 369148 0 36452 JACK R WANDS MD 40.00 X 361643 0 29260 4692078 0 640414 149 0 1 0 INGENIX CARETRACKER 2771 MOMENTUM PLACE CHICAGO IL 60689 MEDICAL BILLING 1212308 RHODE ISLAND HOSPITAL PO BOX H PROVIDENCE RI 02901 STAFFING 354311 PROVIDENCE VA MEDICAL CENTER 860 CHALKSTONE AVENUE PROVIDENCE RI 02908 PHYSICIAN SERVICES 315064 LIFESPAN PO BOX 414546 BOSTON MA 02241 PHYSICIAN SERVICES 284233 PHYSICIAN CHART AUDITORS LLC 14 DRIFTWAY AVENUE HULL MA 02045 CHART AUDIT SERVICES 191748 10 MEDICAL SERVICE FEES 900099 39013016 39013016 SUPPORT FROM RIH, TMH 900099 10074740 10074740 CONTRACT SERVICE REV. 900099 5760126 5760126 MISCELLANEOUS 900099 689988 689988 55537870 255324 255324 629893 1091 597794 9896 32099 -8805 23294 23294 55816488 55537870 0 278618 212500 212500 3172437 2785457 386980 33288705 26805618 6483087 2850100 2417076 433024 3257041 2271378 985663 2190930 1647865 543065 124009 124009 55200 55200 5413 5413 3202082 1085515 2116567 135400 135400 1202916 497 1202419 12649 12649 1536272 1536272 79984 10985 68999 152902 152902 22307 22307 259550 259550 1517510 1441853 75657 CARDIOLOGY EXPENSES-AEF 723753 556161 167592 OTHER EXPENSES 442559 442559 EQUIPMENT RENTAL & MAIN 253082 253082 SUBSCRIP/LICENSES 234880 213422 21458 EDUCATION AND TRAINING 84205 84205 83254 953 82301 55099640 39686387 15413253 0 3002800 3655256 3680189 4758247 1632336 1838824 635729 461340 3334182 2412002 713930 922180 7256798 7770123 3177383 2050821 20099165 21456791 3293048 3278957 394367 1271684 3687415 4550641 X 16338945 16843679 72805 62471 16411750 16906150 20099165 21456791 X 716848 -222448 X 0 1 1 X 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 MEMORIAL HOSPITAL PAWTUCKET RI 373363 176451 196912 2960819 2235551 725268 922180 OTHER RECEIVABLES 2039685 DUE FROM UNIVERSITY CARDIOLOGY FOUNDATION 11136 2050821 PLEDGES PAYABLE 546144 DEFERRED COMPENSATION PLAN 725540 1271684 55816488 55099640 716848 -222448 -222448 494400 55594040 -222448 -222448 55816488 0 55816488 55099640 0 55099640 0 55099640 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2008, 2009, AND 2010 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 10151 0 0 0 0 0 0 10151 0 10151 0 0 0 0 0 0 0 BROWN UNIVERSITY CONTROLLERS OFFICE BOX J PROVIDENCE RI 02912 050258809 501(C)3 10000 TO SUPPORT AIDS CENTER, MEDICAL SCHOOL DONATION RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)3 120000 SUPPORT PRESIDENT'S PURSUIT OF EXCELLENCE, RESEARCH DEVELOPMENT AWARD, AND SUPPORT OF RIH MEDICAL INFRASTRUCTURE THE MIRIAM HOSPITAL 164 SUMMIT AVENUE PROVIDENCE RI 02906 050258905 501(C)3 42500 RESEARCH DEVELOPMENT AWARD, SUPPORT FOR TMH ANNUAL GALA WOMEN & INFANTS HOSPITAL 101 DUDLEY STREET PROVIDENCE RI 02905 050258937 501(C)3 10000 SUPPORT FOR THE CENTER OF EXCELLENCE IN WOMEN'S HEALTH HASBRO CHILDREN HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)3 5000 SPONSOR HASBRO'S ANNUAL FUNDRAISING GALA OCEAN STATE RESEARCH INSTITUTE 830 CHALKSTONE AVENUE PROVIDENCE RI 02908 050440574 501(C)3 25000 RESEARCH DEVELOPMENT AWARD X 0 0 0 0 0 0 0 0 0 TED LALLY MD 241406 0 0 0 4551 0 24100 0 16108 0 286165 0 0 0 GEETHA GOPALAKRISHNAN MD 170660 0 0 0 1897 0 17108 0 8439 0 198104 0 0 0 KELLY MCGARRY MD 162076 0 0 0 3417 0 16372 0 17845 0 199710 0 0 0 JAMES BUTERA MD 245733 0 0 0 4100 0 24500 0 18929 0 293262 0 0 0 JOHN LONKS MD 156043 0 0 0 3629 0 15613 0 17545 0 192830 0 0 0 HARLAN RICH MD 238964 0 0 0 2259 0 24064 0 18841 0 284128 0 0 0 MICHAEL JOHNSON MD 149937 0 0 0 3586 0 15113 0 18124 0 186760 0 0 0 MICHELLE ANVAR MD 169410 0 0 0 1476 0 17124 0 17799 0 205809 0 0 0 JEROME LARKIN MD 152250 0 0 0 503 0 4110 0 17739 0 174602 0 0 0 WARREN LICHT MD 210250 0 0 0 3683 0 21244 0 18823 0 254000 0 0 0 STEVEN MALLOZZI MD 221343 0 0 0 2908 0 22034 0 2009 0 248294 0 0 0 RICHARD MILLMAN MD 280562 0 0 0 6192 0 24500 0 15846 0 327100 0 0 0 PETER CERIANI 256851 0 0 0 1689 0 24500 0 18380 0 301420 0 0 0 LANCE DWORKIN MD 431480 0 0 0 6233 0 24500 0 15690 0 477903 0 0 0 KWAME DAPAAH-AFRIYIE MD 428159 0 0 0 2820 0 24500 0 19007 0 474486 0 0 0 PETER QUESENBERRY MD 388460 0 0 0 8760 0 24500 0 9696 0 431416 0 0 0 FRED SCHIFFMAN MD 363610 0 0 0 5538 0 24500 0 11952 0 405600 0 0 0 JACK R WANDS MD 355182 0 0 0 6461 0 24500 0 4760 0 390903 0 0 0 ARCHILLES R ALCARAZ LEGAL EXPENSES RELATED TO OBTAINING WORK PERMIT TO WORK IN US. X 15000 8315 0 1 1 8315 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -222,448.