RHODE ISLAND HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: RHODE ISLAND HOSPITAL (EIN 05-0258954)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-13
IRS object ID: 202602259349302695
Schema version: 2024v5.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-13T16:17:39+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	60 SOUTH STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02111	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	050258954	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RHODE ISLAND HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RHOD	BusinessNameControlTxt
Phone	4014444000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	593 EDDY STREET	AddressLine1Txt
City	PROVIDENCE	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02903	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PETER K MARKELL	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	4014447914	PhoneNum
Signature	2026-08-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KRISTIN ANDERSON	PreparerPersonNm
PTIN	P01231300	PTIN
Phone	6179881000	PhoneNum
Preparation	2026-08-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN FERNANDEZ	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	593 EDDY STREET	AddressLine1Txt
City	PROVIDENCE	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02903	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,591,505,383	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RHODEISLANDHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1863	FormationYr
Legal Domicile State	RI	LegalDomicileStateCd
Activity Or Mission	AS A FOUNDING HOSPITAL IN THE BROWN UNIVERSITY HEALTH SYSTEM, RHODE ISLAND HOSPITAL (RIH) IS COMMITTED TO ITS MISSION: DELIVERING HEALTH WITH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	9913	TotalEmployeeCnt
Total Volunteers	650	TotalVolunteersCnt
Total Gross UBI	$5,484,808	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$387,861	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$38,995,557	PYContributionsGrantsAmt
CY Contributions Grants	$18,066,419	CYContributionsGrantsAmt
PY Program Service Revenue	$2,205,549,824	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,381,275,668	CYProgramServiceRevenueAmt
PY Investment Income	$61,956,780	PYInvestmentIncomeAmt
CY Investment Income	$63,680,774	CYInvestmentIncomeAmt
PY Other Revenue	-$9,512,970	PYOtherRevenueAmt
CY Other Revenue	-$8,443,447	CYOtherRevenueAmt
PY Total Revenue	$2,296,989,191	PYTotalRevenueAmt
CY Total Revenue	$2,454,579,414	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,173,873	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,417,981	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$796,027,593	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$827,869,954	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,315,115,274	PYOtherExpensesAmt
CY Other Expenses	$1,429,874,294	CYOtherExpensesAmt
PY Total Expenses	$2,112,316,740	PYTotalExpensesAmt
CY Total Expenses	$2,259,162,229	CYTotalExpensesAmt
PY Revenues Less Expenses	$184,672,451	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$195,417,185	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,833,203,164	TotalAssetsBOYAmt
Total Assets EOY	$2,160,470,291	TotalAssetsEOYAmt
Total Liabilities BOY	$799,148,540	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$950,963,766	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,034,054,624	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,209,506,525	NetAssetsOrFundBalancesEOYAmt
Mission	AS A FOUNDING HOSPITAL IN THE BROWN UNIVERSITY HEALTH SYSTEM, RIH IS COMMITTED TO ITS MISSION: DELIVERING HEALTH WITH CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,878,779,609	ExpenseAmt
Revenue	$2,269,413,839	RevenueAmt
Desc	PATIENT CARE: RIH IS THE STATE'S LARGEST HOSPITAL, AND ITS ONLY LEVEL I TRAUMA CENTER AND VERIFIED BURN CENTER. IT PROVIDES A COMPREHENSIVE RANGE OF DIAGNOSTIC AND THERAPEUTIC HEALTH CARE SERVICES TO INPATIENTS AND OUTPATIENTS. RIH HAS PARTICULAR EXPERTISE IN CANCER, CARDIOLOGY, DIABETES, EMERGENCY MEDICINE, NEUROSCIENCES, ORTHOPEDICS, AND MORE. HASBRO CHILDREN'S HOSPITAL (HCH), RIH'S PEDIATRIC DIVISION, IS THE REGION'S PREMIER PROVIDER OF PEDIATRIC CLINICAL CARE. HCH OFFERS A BROAD SPECTRUM OF BOTH ROUTINE CARE AND SPECIALTY PROGRAMS NOT AVAILABLE ELSEWHERE AND HAS THE ONLY PEDIATRIC EMERGENCY DEPARTMENT, LEVEL I TRAUMA CENTER, PEDIATRIC CRITICAL CARE TEAMS, AND 24-HOUR AMBULANCE IN THE REGION. RIH IS A 719-BED, NONPROFIT GENERAL ACUTE CARE TEACHING HOSPITAL WITH UNIVERSITY AFFILIATION, THE LARGEST HOSPITAL IN THE STATE OF RHODE ISLAND (THE STATE) PROVIDING A COMPREHENSIVE RANGE OF DIAGNOSTIC AND THERAPEUTIC SERVICES TO PATIENTS. (CONTINUED ON SCHEDULE O)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$141,253,205	ExpenseAmt
Grant	$1,417,981	GrantAmt
Revenue	$23,152,878	RevenueAmt
Desc	MEDICAL EDUCATION: RIH PROVIDES THE SETTING FOR AND SUBSTANTIALLY SUPPORTS MEDICAL EDUCATION IN VARIOUS CLINICAL TRAINING AND NURSING PROGRAMS. RIH IS DESIGNATED AS THE PRINCIPAL TEACHING HOSPITAL OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. THE TOTAL COST OF DIRECT MEDICAL EDUCATION PROVIDED BY RIH EXCEEDED THE REIMBURSEMENT RECEIVED FROM THIRD-PARTY PAYORS BY $118.1 MILLION IN FISCAL YEAR 2025. UNDER AN AFFILIATION AGREEMENT WITH THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY (BROWN), RIH PARTICIPATES JOINTLY IN VARIOUS CLINICAL TRAINING PROGRAMS AND RESEARCH ACTIVITIES. IN 2010, BROWN NAMED RIH ITS PRINCIPAL TEACHING HOSPITAL. (CONTINUED ON SCHEDULE O)	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$55,055,093	ExpenseAmt
Revenue	$88,706,061	RevenueAmt
Desc	RESEARCH: RIH CONDUCTS EXTENSIVE MEDICAL RESEARCH AND IS IN THE FOREFRONT OF BIOMEDICAL HEALTH CARE DELIVERY RESEARCH AND AMONG THE LEADERS NATIONALLY IN THE NATIONAL INSTITUTES OF HEALTH PROGRAMS. RIH ALSO SPONSORS A SIGNIFICANT LEVEL OF RESEARCH ACTIVITIES. FEDERAL SUPPORT ACCOUNTS FOR APPROXIMATELY 57% OF ALL EXTERNALLY FUNDED RESEARCH AT BROWN HEALTH. RESEARCHERS FOCUS ON BASIC RESEARCH PROJECTS AND CLINICAL TRIALS WHICH INVESTIGATE PREVENTION AND TREATMENT OF HIV/AIDS, OBESITY, CANCER, DIABETES, CARDIAC DISEASE, NEUROLOGICAL PROBLEMS, ORTHOPEDIC ADVANCEMENTS, MENTAL HEALTH CONCERNS, AND BRAIN SCIENCE. INCLUDED IN THE TOTALS ARE $2.6 MILLION OF RESEARCH GRANTS FROM FOR-PROFIT ORGANIZATIONS THAT ARE NOT REPORTED IN SCHEDULE H. (CONTINUED ON SCHEDULE O)	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$2,075,087,907	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	692	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9913	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PETER K MARKELL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4014447914	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15 LASALLE SQUARE	AddressLine1Txt
City	PROVIDENCE	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02903	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALAN H LITWIN
VICE CHAIR	2.0	9.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN FERNANDEZ
PRESIDENT & CEO	10.0	63.0	Yes (X)	Yes (X)	$0	$1,651,362	$365,361
LAWRENCE A AUBIN SR
CHAIR	2.0	8.3	Yes (X)	Yes (X)	$0	$0	$0
PETER CAPODILUPO
VICE CHAIR (THRU 12/24)	0.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
ANGEL TAVERAS
DIRECTOR	0.5	2.5	Yes (X)		$0	$0	$0
BERNARD BUONANNO III
DIRECTOR (AS OF 12/24)	0.5	2.5	Yes (X)		$0	$0	$0
CHRIS COCKS
DIRECTOR	0.5	2.5	Yes (X)		$0	$0	$0
CHRISTINA H PAXSON PHD
DIRECTOR (AS OF 12/24)	0.5	3.0	Yes (X)		$0	$0	$0
EDWARD D FELDSTEIN ESQ
DIRECTOR (THRU 12/24)	0.9	1.2	Yes (X)		$0	$0	$0
EMANUEL BARROWS
DIRECTOR	1.5	5.5	Yes (X)		$0	$0	$0
JANET ROBINSON
DIRECTOR	0.5	3.0	Yes (X)		$0	$0	$0
LAWRENCE B SADWIN
DIRECTOR (THRU 12/24)	2.0	11.0	Yes (X)		$0	$0	$0
MARTHA MAINIERO MD
DIRECTOR	0.5	3.6	Yes (X)		$0	$0	$0
MICHAEL L HANNA
DIRECTOR	0.5	1.8	Yes (X)		$0	$0	$0
MUKESH K JAIN MD
DIRECTOR (AS OF 12/24)	0.5	0.5	Yes (X)		$0	$0	$0
PAULA MCNAMARA
DIRECTOR	0.5	2.5	Yes (X)		$0	$0	$0
PHILLIP KYDD
DIRECTOR (THRU 12/24)	0.5	2.5	Yes (X)		$0	$0	$0
ROGER N BEGIN CFP
DIRECTOR	2.0	11.0	Yes (X)		$0	$0	$0
SAMUEL MENCOFF
DIRECTOR	1.0	19.0	Yes (X)		$0	$0	$0
SARAH T DOWLING JD LLM
DIRECTOR (THRU 12/24)	0.5	0.5	Yes (X)		$0	$0	$0
SHIVAN SUBRAMANIAM
DIRECTOR	0.3	5.3	Yes (X)		$0	$0	$0
ZIYA L GOKASLAN MD
DIRECTOR	0.5	45.0	Yes (X)		$0	$1,671,733	$46,216
PAUL J ADLER
SECRETARY	28.8	21.3		Yes (X)	$0	$879,367	$149,013
PETER K MARKELL
TREASURER	5.0	55.0		Yes (X)	$0	$1,464,555	$40,760
SARAH FROST
PRESIDENT	21.0	40.0		Yes (X)	$0	$744,621	$69,863
CYNTHIA DANNER
CHIEF NURSING OFFICER (THRU 10/24)	40.0	0.0			$527,934	$0	$20,505	Yes (X)
CHRISTINE M COLLINS
SVP PHARMACY	40.0	0.0			$436,607	$0	$102,536		Yes (X)
DONNA M MARASIGAN
REGISTERED NURSE	40.0	0.0			$370,625	$0	$33,018		Yes (X)
JESSICA L SMITH MD
PHYSICIAN	40.0	0.0			$396,797	$0	$34,489		Yes (X)
QIAN CHEN
SR. RESEARCH SCIENTIST	40.0	0.0			$366,718	$0	$52,694		Yes (X)
TRACEY L WALLACE
SVP CLINICAL SVCS	40.0	0.0			$398,192	$0	$85,073		Yes (X)
EVA GREENWOOD
FORMER TREASURER	0.5	49.5			$0	$539,491	$116,060			Yes (X)
G DEAN ROYE
FORMER INTERIM PRESIDENT	55.0	0.0			$845,405	$0	$158,136			Yes (X)
SAUL N WEINGART
FORMER PRESIDENT	0.0	0.0			$0	$378,639	$0			Yes (X)
TIMOTHY J BABINEAU MD
FORMER TRUSTEE	0.0	0.0			$0	$1,335,765	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,342,278	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,665,533	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,273,724	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1505	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BROWN MEDICINE
110 ELM STREET 2ND FL	PROVIDENCE	RI	02903	MEDICAL SERVICES	$46,664,349
AMN HEALTHCARE INC
2735 COLLECTION CENTER	CHICAGO	IL	606930027	CONTRACT LABOR	$20,930,165
BROWN SURGICAL ASSOCIATES
PO BOX 16149	RUMFORD	RI	02916	MEDICAL SERVICES	$17,305,910
ALLIED UNIVERSAL SECURITY SERVICES
PO BOX 8228854	PHILADELPHIA	PA	191828854	SECURITY SERVICES	$9,789,254
BROWN NEUROLOGY
110 ELM ST 1ST FL	PROVIDENCE	RI	02903	MEDICAL SERVICES	$9,354,956

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	91	CntrctRcvdGreaterThan100KCnt
Related Organizations	$15,809,134	RelatedOrganizationsAmt
Government Grants	$308,379	GovernmentGrantsAmt
All Other Contributions	$1,948,906	AllOtherContributionsAmt
Total Contributions	$18,066,419	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	622110	$1,892,180,744	$1,892,180,744
BROWN HEALTH PHARMACY	446110	$387,895,982	$387,893,092	$2,890
DIRECT REV FROM RESEARCH	541710	$88,706,061	$88,706,061
RENTAL	531120	$7,083,230	$7,083,230
TEMP RESTRICTED (SPF'S)	900099	$5,409,651	$5,409,651

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,381,275,668	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,752,816	TotalRevenueColumnAmt
Exclusion	$20,752,816	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,449,635	TotalRevenueColumnAmt
Exclusion	$8,449,635	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,673,057	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,122,027	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,551,030	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,551,030	TotalRevenueColumnAmt
Exclusion	$1,551,030	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$169,370,743	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$134,803,942	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$34,566,801	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,478,323	TotalRevenueColumnAmt
Exclusion	$34,478,323	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE	722210	$6,058,763	$6,058,763
LAB SERVICES	621500	$3,698,739		$3,698,739
SALE OF HEAT, LIGHT AND POWER, GASES	221120	$1,559,621			$1,559,621

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$21,311,600	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$23,206,780	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,783,179	UnrelatedBusinessRevenueAmt
Exclusion	$112,001	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$9,994,477	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,454,579,414	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,359,625,619	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,484,808	UnrelatedBusinessRevenueAmt
Exclusion	$71,402,568	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,382,981	TotalAmt
Program Services	$1,382,981	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$35,000	TotalAmt
Program Services	$35,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,971,863	TotalAmt
Management And General	$1,971,863	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$896,702	TotalAmt
Program Services	$10,472	ProgramServicesAmt
Management And General	$886,230	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$640,465,664	TotalAmt
Program Services	$639,689,911	ProgramServicesAmt
Management And General	$775,753	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$27,432,624	TotalAmt
Program Services	$27,432,624	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$111,830,662	TotalAmt
Program Services	$103,511,077	ProgramServicesAmt
Management And General	$8,319,585	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$45,272,439	TotalAmt
Program Services	$45,046,461	ProgramServicesAmt
Management And General	$225,978	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$912,226	TotalAmt
Management And General	$912,226	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$219,164,547	TotalAmt
Program Services	$219,164,547	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$73,919	TotalAmt
Program Services	$73,919	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,821,740	TotalAmt
Program Services	$31,644,914	ProgramServicesAmt
Management And General	$176,826	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$34,209,107	TotalAmt
Program Services	$34,209,107	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,744,585	TotalAmt
Program Services	$1,739,422	ProgramServicesAmt
Management And General	$5,163	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,614,834	TotalAmt
Program Services	$2,281,925	ProgramServicesAmt
Management And General	$332,909	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,625,249	TotalAmt
Program Services	$16,625,249	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$66,880,959	TotalAmt
Program Services	$61,327,447	ProgramServicesAmt
Management And General	$5,553,512	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$28,407,618	TotalAmt
Program Services	$28,407,618	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL & SURGICAL SUPPLIES	$673,732,912	$673,732,912
PURCH SVS & EQUIP CONTRACTS	$207,967,221	$43,432,944	$164,534,277
PROVISION FOR BAD DEBTS	$55,701,416	$55,701,416
FEDERAL TAXES	$86,607	$86,607

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$89,931,354	TotalAmt
Program Services	$89,551,354	ProgramServicesAmt
Management And General	$380,000	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,259,162,229	TotalAmt
Program Services	$2,075,087,907	ProgramServicesAmt
Management And General	$184,074,322	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$656,458	BOYAmt
EOY	$1,259,034	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$102,161,607	BOYAmt
EOY	$63,279,040	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,142,675	BOYAmt
EOY	$18,369,782	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$191,772,821	BOYAmt
EOY	$190,946,505	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$39,654,777	BOYAmt
EOY	$43,186,694	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,342,367	BOYAmt
EOY	$3,792,820	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,304,694,289	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$773,414,938	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$484,733,772	BOYAmt
EOY	$531,279,351	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$635,247,284	BOYAmt
EOY	$521,591,830	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$41,020,086	BOYAmt
EOY	$5,740,159	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$319,471,317	BOYAmt
EOY	$781,025,076	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,833,203,164	BOYAmt
EOY	$2,160,470,291	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$130,488,597	BOYAmt
EOY	$114,545,798	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$367,081	BOYAmt
EOY	$699,882	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$332,492,871	BOYAmt
EOY	$317,089,657	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$147,750,000	BOYAmt
EOY	$147,750,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$11,469,688	BOYAmt
EOY	$9,850,438	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$176,580,303	BOYAmt
EOY	$361,027,991	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$799,148,540	BOYAmt
EOY	$950,963,766	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$569,146,942	BOYAmt
EOY	$706,703,487	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$464,907,682	BOYAmt
EOY	$502,803,038	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,034,054,624	BOYAmt
EOY	$1,209,506,525	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,833,203,164	BOYAmt
EOY	$2,160,470,291	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$195,417,185	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,484,087	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$29,449,371	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Assets Included	$76,305	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$620,353,820	BeginningYearBalanceAmt
Contributions	$97,526,166	ContributionsAmt
Investment Earnings Or Losses	$72,597,027	InvestmentEarningsOrLossesAmt
Other Expenditures	$128,550,725	OtherExpendituresAmt
End Year Balance	$661,926,288	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$573,959,401	BeginningYearBalanceAmt
Contributions	$122,487,024	ContributionsAmt
Investment Earnings Or Losses	$102,923,166	InvestmentEarningsOrLossesAmt
Other Expenditures	$179,015,771	OtherExpendituresAmt
End Year Balance	$620,353,820	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$532,724,063	BeginningYearBalanceAmt
Contributions	$127,087,720	ContributionsAmt
Investment Earnings Or Losses	$50,052,523	InvestmentEarningsOrLossesAmt
Other Expenditures	$135,904,905	OtherExpendituresAmt
End Year Balance	$573,959,401	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$722,992,773	BeginningYearBalanceAmt
Contributions	$98,490,852	ContributionsAmt
Investment Earnings Or Losses	-$79,688,422	InvestmentEarningsOrLossesAmt
Other Expenditures	$209,071,140	OtherExpendituresAmt
End Year Balance	$532,724,063	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$475,684,077	BeginningYearBalanceAmt
Contributions	$302,153,870	ContributionsAmt
Investment Earnings Or Losses	$107,027,228	InvestmentEarningsOrLossesAmt
Other Expenditures	$161,872,402	OtherExpendituresAmt
End Year Balance	$722,992,773	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.3959	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0654	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.5387	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,133,997	OtherCostOrOtherBasisAmt
Book Value	$35,133,997	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$811,010,982	OtherCostOrOtherBasisAmt
Depreciation	$524,341,702	DepreciationAmt
Book Value	$286,669,280	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$397,469,454	OtherCostOrOtherBasisAmt
Depreciation	$249,073,236	DepreciationAmt
Book Value	$148,396,218	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,079,856	OtherCostOrOtherBasisAmt
Book Value	$61,079,856	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$531,279,351	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED FINANCING COSTS	$2,688,460
INTERCOMPANY RECEIVABLES	$291,476,337
INTEREST IN NET ASSETS OF RIH FOUNDATION	$85,850,984
OTHER NON-CURRENT ASSETS	$335,752
OTHER RECEIVABLES	$266,870,322
RIGHT-OF-USE ASSETS,NET OPERATING LEASES	$14,145,549
OUTSIDE TRUSTS	$16,625,292
DUE FROM ENDOWMENT POOL	$103,032,380

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$781,025,076	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
ACCRUED INTEREST PAYABLE	$3,487,316
ACCRUED PENSION LIABILITY	$14,052,200
ARBITRAGE 2024 BOND	$2,920,955
HEALTH CARE BENEFITS SELF-INSURANCE	$7,488,685
OPERATING LEASE LIABILITIES	$15,925,272
OTHER LIABILITIES	$285,045,244
POST-RETIREMENT BENEFIT LIABILITY	$4,262,100
THIRD-PARTY PAYOR SETTLEMENTS	$27,846,219

Field	Value	IRS element (for citing)
Total Liability	$361,027,991	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART III, LINE 4 COLLECTIONS OF ART - DESCRIPTION OF COLLECTIONS	RHODE ISLAND HOSPITAL'S (RIH) COLLECTION OF ARTWORK CONSISTS OF PAINTINGS, PHOTOGRAPHS, ETCHINGS, SILKSCREENS, WATERCOLORS, CHARCOALS, AND LITHOGRAPHS. THE WORKS OF ART ARE DISPLAYED THROUGHOUT THE RIH CAMPUS FOR THE VIEWING PLEASURE OF PATIENTS, VISITORS, AND EMPLOYEES.
SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS	RIH'S ENDOWMENT FUNDS CONSIST OF BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY RIH TO FUNCTION AS ENDOWMENTS. RIH'S LARGEST PERMANENTLY RESTRICTED ENDOWMENTS SUPPORT PATIENT CARE, PARTICULARLY CARDIOLOGY, HEMATOLOGY/ONCOLOGY, AND NEUROLOGY, AS WELL AS PEDIATRIC CARE AT RIH'S PEDIATRIC DIVISION, HASBRO CHILDREN'S (HC), RESEARCH, AND CHARITY CARE. RIH'S UNRESTRICTED ENDOWMENT INCLUDES DESIGNATED ASSETS SET ASIDE BY RIH'S BOARD FOR FUTURE CAPITAL IMPROVEMENTS, OVER WHICH THE BOARD RETAINS CONTROL AND MAY AT ITS DISCRETION SUBSEQUENTLY USE FOR OTHER PURPOSES. SIGNIFICANT TEMPORARILY RESTRICTED FUNDS HELD BY RIH ARE USED FOR THE PURPOSES OF: (1) THE CARE AND TREATMENT OF CHILDREN WITH MEDICAL NEEDS; (2) CARDIOLOGY FELLOWSHIP EDUCATIONAL SUPPORT; (3) ORTHOPEDIC RESEARCH; (4) STRATEGIC ENERGY MANAGEMENT PLANNING; AND (5) BUILDING MAINTENANCE AND IMPROVEMENTS.
SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE	THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BROWN UNIVERSITY HEALTH SYSTEM WHICH INCLUDES THE FOLLOWING FOOTNOTE REGARDING UNCERTAIN TAX POSITIONS: BROWN HEALTH RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. BROWN HEALTH DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2024 OR 2023.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
EAST ASIA AND THE PACIFIC	2	PROGRAM SERVICES	RESEARCH	$123,160
EUROPE (INCLUDING ICELAND AND GREENLAND)	3	PROGRAM SERVICES	RESEARCH	$12,268
SOUTH ASIA	2	PROGRAM SERVICES	RESEARCH	$179,355
SUB-SAHARAN AFRICA	5	PROGRAM SERVICES	RESEARCH	$203,228

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	12	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	12	TotalEmployeeCnt
Subtotal Spent	$518,011	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$518,011	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	Yes (true)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS	FormAndLineReferenceDesc
Explanation	EAST ASIA AND THE PACIFIC-ACCRUAL; EUROPE (INCLUDING ICELAND AND GREENLAND)-ACCRUAL; SOUTH ASIA-ACCRUAL; SUB-SAHARAN AFRICA-ACCRUAL	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,290,373	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,902,917	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,387,456	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$387,496,043	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$374,866,152	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,629,891	NetCommunityBenefitExpnsAmt
Total Expense	0.00559	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$416,786,416	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$386,769,069	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,017,347	NetCommunityBenefitExpnsAmt
Total Expense	0.01329	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$506,335	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$117,846	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$388,489	NetCommunityBenefitExpnsAmt
Total Expense	0.00017	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$141,253,205	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,152,878	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$118,100,327	NetCommunityBenefitExpnsAmt
Total Expense	0.05228	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,885,475	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,734,104	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,151,371	NetCommunityBenefitExpnsAmt
Total Expense	0.00494	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,297,467	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,297,467	NetCommunityBenefitExpnsAmt
Total Expense	0.00721	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$213,583	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$213,583	NetCommunityBenefitExpnsAmt
Total Expense	0.00009	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$212,156,065	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,004,828	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$146,151,237	NetCommunityBenefitExpnsAmt
Total Expense	0.06469	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$628,942,481	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$452,773,897	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$176,168,584	NetCommunityBenefitExpnsAmt
Total Expense	0.07798	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$14,977,576	BadDebtExpenseAmt
Bad Debt Expense Attributable	$295,025	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$239,793,146	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$216,115,847	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$23,677,299	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RHODE ISLAND HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	593 EDDY STREET	AddressLine1Txt
City	PROVIDENCE	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02903	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.RHODEISLANDHOSPITAL.ORG	WebsiteAddressTxt
State License	HOS00121	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	RHODE ISLAND HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	25	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.brownhealth.org/about-brown-university-health/community-affairs/community-health-institu	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.brownhealth.org/sites/default/files/2025-10/Brown-University-H	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.brownhealth.org/patients-visitors	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.brownhealth.org/patients-visitors	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.brownhealth.org/patients-visitors	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1	FACILITY , 1 - RHODE ISLAND HOSPITAL. PART V, LINE 5 - DESCRIBE HOW HOSPITAL TOOK INPUT FROM COMMUNITY: THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FROM OCTOBER 2024 THROUGH JUNE 2025 USING A MIXED METHODS APPROACH THAT INTEGRATED PRIMARY RESEARCH AND SECONDARY DATA ANALYSIS. THIS DESIGN ENSURED THAT BOTH QUANTITATIVE INDICATORS AND LIVED COMMUNITY EXPERIENCE INFORMED THE IDENTIFICATION OF HEALTH NEEDS, DISPARITIES, AND OPPORTUNITIES FOR IMPROVEMENT ACROSS RHODE ISLAND. THE PRIMARY DATA SOURCES INCLUDED COMMUNITY ENGAGEMENT, INDIVIDUAL SURVEYS, AND KEY INFORMANT INTERVIEWS. SECONDARY DATA WERE ANALYZED AT MULTIPLE GEOGRAPHIC LEVELS TO IDENTIFY LOCALIZED HEALTH NEEDS AND DISPARITIES. THESE SOURCES VARIED IN SAMPLE SIZE, METHOD OF DATA COLLECTION AND MEASURES REPORTED, BUT ALL ARE PUBLICLY AVAILABLE SOURCES, AND IN EACH CASE, THE MOST RECENT PUBLICLY ACCESSIBLE DATA WAS PRESENTED. THE DATA SOURCES ARE DESCRIBED IN MORE DETAIL BELOW. COMMUNITY ENGAGEMENT: COMMUNITY ENGAGEMENT SERVED AS A FOUNDATIONAL COMPONENT OF THE CHNA. WORKING IN COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS THROUGHOUT RHODE ISLAND, THE ASSESSMENT SOUGHT INPUT FROM A BROAD CROSS SECTION OF RESIDENTS, WITH INTENTIONAL OUTREACH TO DIVERSE POPULATIONS, UNDER RESOURCED COMMUNITIES, AND GROUPS THAT HAVE BEEN HISTORICALLY MARGINALIZED. THESE ENGAGEMENTS ENSURED REPRESENTATION ACROSS REGIONS, AGE GROUPS, AND COMMUNITY SECTORS. PARTICIPANTS CONTRIBUTED PERSPECTIVES ON: -UNMET HEALTH AND SOCIAL NEEDS -AVAILABILITY AND ADEQUACY OF COMMUNITY RESOURCES -BARRIERS TO ACCESSING SERVICES -GAPS IN SERVICE DELIVERY -RECOMMENDATIONS TO IMPROVE HEALTH AND WELLBEING KEY STAKEHOLDER SURVEY: AN ONLINE STAKEHOLDER SURVEY WAS ADMINISTERED TO 120 INDIVIDUALS REPRESENTING ORGANIZATIONS THAT SERVE DIVERSE COMMUNITIES STATEWIDE. THE SURVEY COLLECTED INSIGHTS ON LOCAL HEALTH NEEDS, CLIENT EXPERIENCES WITH SERVICE ACCESS, SYSTEM LEVEL CHALLENGES, AND OPPORTUNITIES FOR COLLECTIVE IMPACT AND COLLABORATION. KEY STAKEHOLDER SURVEY PARTICIPANTS OVERWHELMINGLY IDENTIFIED BEHAVIORAL HEALTH AS THE MOST PRESSING SET OF HEALTH CONCERNS AFFECTING THE POPULATIONS THEY SERVE. BEHAVIORAL HEALTH ISSUES CITED INCLUDED MENTAL HEALTH CHALLENGES, SUBSTANCE USE DISORDERS, TRAUMA, AND CHRONIC STRESS. STAKEHOLDERS EMPHASIZED THAT THESE CONCERNS ARE BOTH WIDESPREAD AND INCREASINGLY COMPLEX, AFFECTING INDIVIDUALS ACROSS AGE GROUPS, COMMUNITIES, AND SERVICE SETTINGS. IN ADDITION TO BEHAVIORAL HEALTH, STAKEHOLDERS HIGHLIGHTED SIGNIFICANT CONCERNS RELATED TO OLDER ADULT HEALTH AND CHRONIC CONDITIONS, INCLUDING HEART DISEASE, DIABETES, AND CANCER. THESE CONDITIONS WERE DESCRIBED AS PERSISTENT DRIVERS OF POOR HEALTH OUTCOMES AND CONTRIBUTORS TO LONG TERM HEALTHCARE NEEDS. STAKEHOLDER PERCEPTIONS WERE CONSISTENT WITH THE SECONDARY DATA ANALYZED FOR THE CHNA, WHICH SIMILARLY SHOWED HIGH PREVALENCE AND DISPROPORTIONATE IMPACT OF BEHAVIORAL HEALTH CONDITIONS AND CHRONIC DISEASES ACROSS RHODE ISLAND. THIS ALIGNMENT REINFORCES THE VALIDITY OF STAKEHOLDER INSIGHTS AND UNDERSCORES THE IMPORTANCE OF PRIORITIZING THESE ISSUES IN COMMUNITY HEALTH PLANNING COMMUNITY PERSPECTIVES AND STATEWIDE PUBLIC HEALTH DATA INDICATE THAT MANY PRIORITY HEALTH CONCERNS HAVE INTENSIFIED IN RECENT YEARS, DRIVEN BY BOTH THE LINGERING EFFECTS OF THE COVID 19 PANDEMIC AND PERSISTENT SOCIAL DETERMINANTS OF HEALTH (SDOH) CHALLENGES. STAKEHOLDERS DESCRIBED HOW PANDEMIC RELATED FACTORS-SUCH AS PROLONGED ISOLATION, DELAYED OR FORGONE HEALTHCARE, AND DEVELOPMENTAL DELAYS AMONG CHILDREN-CONTINUE TO SHAPE COMMUNITY HEALTH NEEDS. THESE IMPACTS ARE COMPOUNDED BY STRUCTURAL ISSUES INCLUDING THE RISING COST OF LIVING, HOUSING INSTABILITY, AND DECLINING ACCESS TO CARE. DETERMINING COMMUNITY HEALTH PRIORITIES TO IMPROVE COMMUNITY HEALTH, IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES TOWARD THE MOST PRESSING AND CROSS-CUTTING HEALTH NEEDS. IN DETERMINING HEALTH PRIORITIES ON WHICH TO FOCUS ITS EFFORTS OVER THE NEXT THREE-YEAR CYCLE, BROWN UNIVERSITY HEALTH LEADERSHIP REVIEWED FINDINGS FROM THE CHNA AND SOUGHT TO ALIGN WITH ITS HEALTH IMPROVEMENT PROGRAMS AND POPULATION HEALTH MANAGEMENT STRATEGIES. BROWN UNIVERSITY HEALTH APPLIED THE FOLLOWING RATIONALE AND CRITERIA TO DEFINE PRIORITIES: PREVALENCE OF DISEASE AND NUMBER OF COMMUNITY MEMBERS AFFECTED. RATE OF DISEASE COMPARED TO STATE AND NATIONAL BENCHMARKS HEALTH DIFFERENCES BETWEEN COMMUNITY MEMBERS. EXISTING PROGRAMS, RESOURCES, AND EXPERTISE TO ADDRESS THE ISSUE. INPUT FROM COMMUNITY PARTNERS AND REPRESENTATIVES. *ALIGNMENT WITH CONCURRENT PUBLIC HEALTH AND SOCIAL SERVICE ORGANIZATION INITIATIVES. OTHER HEALTH ISSUES IDENTIFIED AS SIGNIFICANT HEALTH NEEDS FOR THE STATE INCLUDE AFFORDABLE HOUSING, MATERNAL AND CHILD HEALTH, AND OLDER ADULT HEALTH AND WELLBEING. WHILE THESE AREAS ARE NOT NAMED PRIORITIES FOR BROWN UNIVERSITY HEALTH DUE TO THE NEED TO PRIORITIZE RESOURCES, THE SYSTEM IS COMMITTED TO COLLABORATING WITH AND SUPPORTING OTHER COMMUNITY AGENCIES FOCUSED ON THESE NEEDS. BROWN UNIVERSITY HEALTH WILL ALSO CONSIDER THESE AREAS WHEN DEVELOPING NUANCED AND WHOLE-PERSON STRATEGIES TO IMPROVE ACCESS TO CARE, BEHAVIORAL HEALTH, AND CHRONIC DISEASE.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1	FACILITY , 1 - THE MIRIAM HOSPITAL. REGIONAL TEACHING HOSPITAL
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 2	FACILITY , 2 - EMMA PENDLETON BRADLEY HOSPITAL. CHILDREN'S PSYCHIATRIC HOSPITAL
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 3	FACILITY , 3 - NEWPORT HOSPITAL. REGIONAL HOSPITAL
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1	FACILITY , 1 - RHODE ISLAND HOSPITAL. RIH HAS IMPLEMENTED THE FOLLOWING ACTIONS TO STRATEGICALLY ADDRESS THE IDENTIFIED SIGNIFICANT NEEDS IN ORDER TO MAXIMIZE THE IMPROVEMENT OF THE OVERALL HEALTH AND WELLNESS OF RESIDENTS WITHIN ITS COMMUNITY: SIGNIFICANT HEALTH NEED #1: ACCESS TO CARE 1.1 PROVIDE TRANSPORTATION ASSISTANCE TO MEDICAL APPOINTMENTS. 1.2 APPLY FOR GRANTS AND CONTRACTS TO ADD NAVIGATORS/CHWS IN KEY SERVICE LINES TO IMPROVE CONTINUITY OF CARE AND AVAILABILITY. 1.3 OFFER FREE SKIN CANCER SCREENINGS AND ADD PARTNERS/LOCATIONS TO REACH DIVERSE AUDIENCES. 1.4 OFFER BLOOD PRESSURE AND GLUCOSE SCREENINGS IN COMMUNITY SETTINGS. 1.5 SERVE AS A COMMUNITY IMMUNIZER, OFFERING INFLUENZA, COVID AND/OR OTHER VACCINATION CLINICS IN COMMUNITY SETTINGS. 1.6 NCREASE FLOW AND REDUCE WAIT TIMES IN EMERGENCY DEPARTMENT. 1.7 IMPROVE PATIENT EXPERIENCE BY IMPROVING LANGUAGE ACCESS AND COMMUNICATION BETWEEN PROVIDERS, PATIENTS AND CAREGIVERS. 1.8 1.8 EXPAND ACCESS TO PRIMARY CARE BY ADDING 30,000 NEW PRIMARY CARE PATIENTS DURING THE IMPLEMENTATION PERIOD. SIGNIFICANT HEALTH NEED #2: BEHAVIORAL HEALTH 2.1 OFFER MENTAL HEALTH FIRST AID TRAINING. 2.2 WORK WITH ADDICTION MEDICINE TEAM AT RIH ON PREVENTION AND OUTREACH TO REDUCE RACIAL & ETHNIC DISPARITIES IN OVERDOSE RATES AND FATALITIES. 2.3 IMPROVE PATIENT EXPERIENCE SCORES IN PSYCH AND PSYCH EMERGENCY SERVICES. 2.4 OFFER SERVICES TO MANAGE ADDICTION DISORDERS AMONG THE ADULT POPULATION TRANSITIONING OUT OF INCARCERATION. 2.5 FACILITATE RAPID ACCESS TO TREATMENT FOR SUBSTANCE MISUSE THROUGH A "BRIDGE" CLINIC, A LOW-THRESHOLD TRANSITIONAL CLINIC FOR THE TREATMENT OF SUBSTANCE USE FOR PATIENTS WHO ARE NOT YET ESTABLISHED IN OUTPATIENT ADDICTION CARE, AND A 24/7 BUPRENORPHINE HOTLINE TO CONSULT WITH A PRESCRIBER AND POTENTIALLY RECEIVE A PRESCRIPTION WHILE ON THE PHONE. 2.6 CONTRIBUTE RESEARCH AND POLICY LEADERSHIP TO STATEWIDE INITIATIVES TO REDUCE OPIOID OVERDOSE AND FATALITY RATES, ESPECIALLY TARGETING ADDICTION PROGRAMMING TO THE AREAS OF THE STATE THAT MOST NEED ADDICTION SERVICES. 2.7 DEVELOP FAMILY- AND COMMUNITY-BASED STRATEGIES FOR SUPPORTING INDIVIDUALS WITH SUBSTANCE USE DISORDER THROUGH HARM REDUCTION AND REMOVING BARRIERS TO CARE. SIGNIFICANT HEALTH NEED #3: CHRONIC DISEASES 3.1 OFFER BREAST, CERVICAL, LUNG, COLORECTAL AND/OR PROSTATE CANCER SCREENING FOR UNINSURED, UNDERINSURED AND LOW INCOME RESIDENTS. 3.2 FACILITATE REFERRALS FROM PRIMARY CARE PRACTICES WITHIN BROWN UNIVERSITY HEALTH TO THE BROWN UNIVERSITY HEALTH CANCER INSTITUTE, CARDIOVASCULAR INSTITUTE, AND OTHER SPECIALTY DEPARTMENTS. 3.3 CONTINUE TO OFFER A MONTHLY HEALTH AMBASSADOR LECTURE SERIES ON CHRONIC DISEASE PREVENTION TOPICS FOR THE GENERAL PUBLIC. 3.4 CONTINUE TO OFFER THE DIABETES PREVENTION PROGRAM AND BECOME A MEDICARE DPP SUPPLIER. 3.5 PROVIDE TAR WARS PROGRAMMING FOR YOUTH ACROSS SERVICE AREA. 3.6 OFFER CONFERENCES, WORKSHOPS AND PRESENTATIONS ON TOPICS REQUESTED BY COMMUNITY PARTNERS. 3.7 INCORPORATE TELEHEALTH AND TELEMONITORING IN CARDIAC REHABILITATION TO DRIVE PATIENT & FAMILY SELF-EFFICACY. 3.8 PROVIDE MULTIDISCIPLINARY SUPPORTS AND INCREASE UTILIZATION OF THE PALLIATIVE CARE NURSE, PSYCHOLOGIST, AND SOCIAL WORKER IN THE ADVANCED HEART FAILURE CLINIC. 3.9 OFFER SMOKING CESSATION AND WEIGHT LOSS PROGRAMS AT CARDIAC REHAB. 3.10 INCREASE ACCESS TO CARDIAC CARE BY RECRUITING ADDITIONAL PROVIDERS. 3.11 OFFER AN ATRIAL FIBRILLATION CLINIC AT RIH TO FACILITATE REFERRALS FROM THE EMERGENCY DEPARTMENT. SIGNIFICANT HEALTH NEED #4: MATERNAL AND CHILD HEALTH 4.1 INCREASE ACCESS TO OBSTETRICS AND GYNECOLOGY BY RECRUITING ADDITIONAL PROVIDERS. 4.2 OFFER REPRODUCTIVE HEALTH EDUCATION FOR MIDDLE AND HIGH SCHOOL STUDENTS. 4.3 CONTRIBUTE COMMUNITY HEALTH AND POLICY LEADERSHIP TO STATEWIDE INITIATIVES TO IMPROVE MATERNAL AND CHILD HEALTH THROUGH PARTICIPATION IN STATEWIDE INITIATIVES LIKE THE RHODE ISLAND MATERNAL HEALTH TASK FORCE AND RI KIDS COUNT ADVISORY COMMITTEE. SIGNIFICANT HEALTH NEED #5: OLDER ADULT HEALTH AND WELLBEING 5.1 IMPROVE PATIENT EXPERIENCE BY CREATING AND POSTING FAQS AND RESOURCES ON THE BROWN UNIVERSITY HEALTH.ORG SITE FOR PATIENTS AND CAREGIVERS TO PREPARE FOR HOSPITAL CARE AND DISCHARGE. 5.2 OFFER COMMUNITY-BASED HANDS-ONLY CPR CLASSES FOR UNDERSERVED, ELDERLY, AND SECONDARY STUDENTS WHO MAY BE IN A LIFE-SAVING SITUATION. 5.3 WORK WITH PSYCHIATRY TO LEVERAGE CONNECTIONS TO COMMUNITY-BASED, FAMILY, AND PATIENT SUPPORTS FOR HEALTH AND WELLBEING OF AN AGING POPULATION. 5.4 ASSIST WITH TRANSITION TO COMMUNITY-BASED SERVICE PROVIDERS TO FACILITATE DISCHARGE OF LONG-STAY PATIENTS. SIGNIFICANT HEALTH NEED #6: SOCIAL DETERMINANTS OF HEALTH 6.1 EXPAND SOCIAL NEEDS SCREENING AND NAVIGATION ASSISTANCE (E.G., CONNECT FOR HEALTH) TO SERVE KEY SERVICE LINES INCLUDING LCI, CVI, AND PSYCHIATRY. 6.2 INCREASE ACCESS TO EMPLOYEE FOOD BANK. 6.3 INCREASE ACCESS TO PATIENT & FAMILY FOOD BANK. 6.4 IMPROVE ACCESS TO FOOD FOR PATIENTS EXPERIENCING FOOD INSECURITY. 6.5 CONTINUE TO OFFER FOOD AND NUTRITION EDUCATION PROGRAMS TO PATIENTS AND RESIDENTS OF THE HOSPITAL SERVICE AREA. 6.6 OFFER MEDICALLY TAILORED, HOME-DELIVERED MEALS TO PATIENTS EXPERIENCING FOOD INSECURITY. 6.7 MAKE CONNECT FOR HEALTH EXPRESS SHEETS AVAILABLE ON PATIENT & GUEST SERVICES INTRANET AND THROUGH THE EXTERNAL BROWN UNIVERSITY HEALTH.ORG SITE. OTHER HEALTH ISSUES IDENTIFIED AS SIGNIFICANT HEALTH NEEDS FOR THE STATE INCLUDE AFFORDABLE HOUSING, MATERNAL AND CHILD HEALTH, AND OLDER ADULT HEALTH AND WELLBEING. WHILE THESE AREAS ARE NOT NAMED PRIORITIES FOR BROWN UNIVERSITY HEALTH DUE TO THE NEED TO PRIORITIZE RESOURCES, THE SYSTEM IS COMMITTED TO COLLABORATING WITH AND SUPPORTING OTHER COMMUNITY AGENCIES FOCUSED ON THESE NEEDS. BROWN UNIVERSITY HEALTH WILL ALSO CONSIDER THESE AREAS WHEN DEVELOPING NUANCED AND WHOLE-PERSON STRATEGIES TO IMPROVE ACCESS TO CARE, BEHAVIORAL HEALTH, AND CHRONIC DISEASE. THERE ARE NO SIGNIFICANT NEEDS NOT BEING ADDRESSED.
SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1	FACILITY , 1 - RHODE ISLAND HOSPITAL. AN ABBREVIATED VERSION OF RIH'S FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS ADMITTING AND OUTPATIENT AREAS OF RIH. ADDITIONALLY, REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO PATIENT FINANCIAL COUNSELORS TO DISCUSS THE POLICY AND/OR ANSWER ANY QUESTIONS THEY MIGHT HAVE.

Field	Value	IRS element (for citing)
Facility	34	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
BROWN UNIVERSITY HEALTH CANCER INSTITUTE PRGM OF RIH
164 SUMMIT AVENUE	PROVIDENCE	RI	02906	COMPREHENSIVE CANCER CENTER PHYSICIAN VISITS, INFUSION THERAPY
RIH RHEUMATOLOGY INFUSION CENTER
407 EAST AVENUE SUITE 250	PAWTUCKET	RI	02860	INFUSION SERVICES
EAST PROVIDENCE INFUSION CENTER
375 WAMPANOAG TRAIL SUITE 101A	EAST PROVIDENCE	RI	02915	INFUSION SERVICES
DIALYSIS CENTER OF RIH
22 BAKER STREET	PROVIDENCE	RI	02905	HEMODIALYSIS, HOME PERITONEAL DIALYSIS, HOME HEMODIALYSIS
RIH NORMAN PRINCE SPINE INSTITUTE
690 EDDY STREET	PROVIDENCE	RI	02903	COMPREHENSIVE, MULTIDISCIPLINARY CARE FOR SPINE PATIENTS
RIH CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE
950 WARREN AVENUE SUITE 103	EAST PROVIDENCE	RI	02914	WOUND CARE AND HYPERBARIC MEDICINE
RIH HASBRO CHILDREN'S OUTPATIENT REHAB CENTER
765 ALLENS AVENUE 2ND FLOOR SUITE 2	PROVIDENCE	RI	02905	CHILDREN'S PHYSICAL AND OCCUPATIONAL THERAPY	00
RIH CENTER FOR PRIMARY CARE AND SPECIALTY MEDICINE
245 CHAPMAN STREET SUITE 300	PROVIDENCE	RI	02905	PRIMARY CARE AND SPECIALTY MEDICAL SERVICES
DIALYSIS CENTER OF RIH
950 WARREN AVENUE	EAST PROVIDENCE	RI	02914	HEMODIALYSIS
RADIOSURGERY CENTER OF RI LLC
593 EDDY STREET	PROVIDENCE	RI	02903	RADIOSURGERY SERVICES
RIH PEDIATRIC HEART CENTER
1 HOPPIN STREET	PROVIDENCE	RI	02903	OUTPATIENT PEDIATRIC CARDIOLOGY SERVICES
RIH OUTPATIENT REHABILITATION SERVICES
765 ALLENS AVENUE 1ST FLOOR SUITE 1	PROVIDENCE	RI	02905	ADULT PHYSICAL AND OCCUPATIONAL THERAPY	02
CHILDREN'S NEUROLOGY & DEVELOPMENT CLINIC
335R PRAIRIE AVENUE SUITE 2B	PROVIDENCE	RI	02905	PEDIATRIC SERVICES
RIH PEDIATRIC AND ADOLESCENT HEALTH CARE CENTER
1 HOPPIN STREET SUITE 3055	PROVIDENCE	RI	02903	OUTPATIENT ADOLESCENT SERVICES
RIH OUTPATIENT SPECIALTY SVCS PEDI ENDOCRINOLOGY
111 PLAIN STREET 3RD FLOOR	PROVIDENCE	RI	02903	PEDIATRIC ENDOCRINOLOGY SERVICES
BROWN UNIVERSITY HEALTH RESEARCH CENTER
1 HOPPIN STREET CORO BUILDING	PROVIDENCE	RI	02903	STUDY, DESIGN, ANALYSIS, MEDICAL & REGULATORY OVERSIGHT RESEARCH
MEDICINE PEDIATRICS
245 CHAPMAN STREET SUITE 100	PROVIDENCE	RI	02905	PRIMARY CARE MEDICINE
PEDIATRIC MULTI-DISCIPLINE CLINIC & REHAB SATELLITE
1454 SOUTH COUNTY TRAIL 1ST FLOOR	EAST GREENWICH	RI	02818	PEDIATRIC SPECIALTIES & PHYSICAL THERAPY INCLUSIVE OF PSYCHIATRY
BROWN UNIVERSITY HEALTH RECOVERY CENTER
200 CORLISS STREET SUITE 1	PROVIDENCE	RI	02904	TREATMENT OF OPIOID AND RELATED DRUG ADDICTIONS
CENTER FOR ADVANCED LUNG CARE
146 WEST RIVER STREET STE 11A	PROVIDENCE	RI	02904	COMPREHENSIVE CARE FOR ADVANCED LUNG AND HEART-LUNG DISEASES
RIH SLEEP DISORDERS CENTER
70 CATAMORE BOULEVARD	EAST PROVIDENCE	RI	02914	OUTPATIENT PROFESSIONAL AND TECHNICAL EVALUATION OF SLEEP DISORDERS
RIH MOLECULAR LABORATORY
15 LASALLE SQUARE CORO EAST 3RD FLO	PROVIDENCE	RI	02903	CLINICAL LABORATORY TESTING - MOLECULAR DIAGNOSTICS	OR
RHODE ISLAND HOSPITAL EAST GREENWICH LAB
1454 SOUTH COUNTY TRAIL	EAST GREENWICH	RI	02818	CLINICAL CORE LABORATORY TESTING
GENERAL INTERNAL MEDICINE RESEARCH GROUP
111 PLAIN STREET	PROVIDENCE	RI	02903	BEHAVIORAL RESEARCH STUDIES
PEDIATRIC AND ADULT MEDICINE
900 WARREN AVENUE 2ND FLOOR	EAST PROVIDENCE	RI	02914	PEDIATRIC AND ADULT SPECIALTY SERVICES
BROWN UNIVERSITY HEALTH SLEEP DISORDERS CTR-EAST GREENWI
1407 SOUTH COUNTY TRAIL SUITE 430	EAST GREENWICH	RI	02818	OUTPATIENT PROFESSIONAL AND TECHNICAL EVALUATION OF SLEEP DISORDERS
AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY SERVICES
115 GEORGIA AVENUE	PROVIDENCE	RI	02905	SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SERVICES
RIH REHABILITATION SERVICES HAND THERAPY
235 PLAIN STREET SUITE 203	PROVIDENCE	RI	02903	OCCUPATIONAL THERAPY
CTR INNOVATIVE NEUROTECHNOLOGY FOR NEURAL REPAIR
117 CHAPMAN STREET SUITE 100	PROVIDENCE	RI	02905	PHYSICAL THERAPY
RI DEPT OF HUMAN GENETICS AND GENETIC CLINIC
111 PLAIN STREET 2ND FLOOR	PROVIDENCE	RI	02903	HUMAN GENETICS
WEST RIVER INFUSION
148 WEST RIVER STREET SUITE 2B	PROVIDENCE	RI	02904	INFUSION SERVICES

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C PART I, LINE 3C - CHARITY CARE ELIGIBILITY CRITERIA (FPG IS NOT USED)	RHODE ISLAND HOSPITAL (RIH) USES A DUAL SYSTEM FOR DETERMINING FINANCIAL AID ELIGIBILITY: FEDERAL POVERTY GUIDELINES AND AN ASSET TEST. THE FINANCIAL SCREENING PROCESS AT RIH IS INTENDED TO DEFINE PROBABLE ELIGIBILITY FOR PUBLIC ASSISTANCE (MEDICAID OR COMMUNITY FREE SERVICE ("CFS")) FOR THOSE PATIENTS WHO DO NOT HAVE THE MEANS TO PAY FOR HOSPITAL SERVICES RENDERED, AS FOLLOWS: 1. UPON PATIENT INDICATION OF AN INABILITY TO PAY REQUIRED MONIES, THE PATIENT IS OFFERED THE FINANCIAL SCREENING OPTION TO DETERMINE ELIGIBILITY FOR PUBLIC ASSISTANCE (MEDICAID, CFS). 2. THE APPLICATION FOR CFS IS COMPLETED AND INCLUDES INFORMATION RELATIVE TO INCOME, EXPENSE, AND OTHER AVAILABLE RESOURCES, AND REQUIRES PROOF OF SUCH INFORMATION WHICH MAY INCLUDE: - MOST RECENTLY FILED FEDERAL INCOME TAX RETURN AND W-2 FORM(S) - COPIES OF MOST RECENT SAVINGS AND/OR CHECKING ACCOUNT STATEMENTS - TWO MOST RECENTLY RECEIVED PAYROLL CHECK STUBS - COPY OF RENT RECEIPTS FOR THE LAST SIX MONTHS FOR PROOF OF RESIDENCY - COPY OF UTILITY BILLS FOR THE LAST MONTH FOR PROOF OF RESIDENCY 3. IF THE PATIENT'S FINANCIAL SITUATION FALLS WITHIN THE GUIDELINES FOR ELIGIBILITY FOR MEDICAID, RITE CARE, OR CFS, OR IF THE PATIENT HAS A LONG-TERM DISABILITY, THE APPROPRIATE APPLICATION PROCESS IS COMPLETED. (ASSISTANCE TO COMPLETE SUCH APPLICATIONS IS AVAILABLE FROM THE PATIENT FINANCIAL ADVOCATES (PFA) OFFICE AT RIH.) 4. UNINSURED PATIENTS RECEIVE A DISCOUNT EQUAL TO THE DISCOUNT RECEIVED BY MEDICARE BENEFICIARIES ON RIH CHARGES USING THE PROSPECTIVE METHOD. UNDER SECTION 501(R)(5), THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FINANCIAL ASSISTANCE POLICY (FAP)-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE MEDICARE INSURANCE COVERING SUCH CARE. IN NO CASE WAS THERE A SITUATION WHERE AN UNINSURED PATIENT PAID MORE THAN AMOUNTS REIMBURSED FROM MEDICARE. 5. ELIGIBILITY FOR CFS ABOVE THE DISCOUNT IS PROVIDED FOR THOSE APPLICANTS WHOSE FAMILY GROSS INCOME IS AT OR BELOW TWICE THE FEDERAL POVERTY GUIDELINES, WITH A SLIDING SCALE FOR INDIVIDUALS UP TO THREE TIMES THE POVERTY LEVEL IN EFFECT AT THE TIME OF APPLICATION. FULL CHARITY CARE APPLICANTS WITH ASSETS WORTH MORE THAN $4,000 FOR AN INDIVIDUAL (OR $6,000 FOR A FAMILY) MAY NOT QUALIFY FOR CARE WITHOUT CHARGE, BUT WILL QUALIFY FOR DISCOUNTED CARE. WHILE THE MAXIMUM 100% DISCOUNT MAY NOT BE AVAILABLE TO ALL CHARITY CARE APPLICANTS BASED ON THE RESULTS OF THEIR ASSET TEST, ALL UNINSURED PATIENTS WHO RECEIVE CARE ARE ELIGIBLE FOR, AT A MINIMUM, THE SAME CHARITY CARE DISCOUNT AS PROVIDED BY THE MEDICARE PROGRAM. 6. FOR PATIENTS WHO QUALIFY FOR LESS THAN 100% OF THE FINANCIAL ASSISTANCE PROGRAM, A PAYMENT SCHEDULE IS DETERMINED AND AGREED UPON (DISCUSSED FURTHER BELOW). PAYMENT ARRANGEMENTS ARE ESTABLISHED PRIOR TO SERVICE FOR NON-URGENT CARE. 7. IN ANY CASE, THE FINAL RESULTS OF THE FINANCIAL SCREENING ARE RECORDED IN THE COMMENTS SECTION OF RIH'S BILLING SYSTEM. REQUESTS FOR PAYMENT ARRANGEMENTS: PATIENT FINANCIAL ADVOCATES (PFA) WILL QUALIFY PATIENTS THAT ARE RECEIVING NON-URGENT, MEDICALLY INDICATED PROCEDURES PRIOR TO SERVICES. THE PFA WILL REQUEST 75% TO 100% OF ESTIMATED DISCOUNTED CHARGES IF THE BALANCE IS UNDER $5,000 AND 50% TO 100% OF ESTIMATED DISCOUNTED CHARGES IF THE ESTIMATED BILL EQUALS OR EXCEEDS $5,000. FOR ELECTIVE OR NON-URGENT CASES, THE POLICY REQUIRES FINANCIAL CLEARANCE PRIOR TO SERVICES OR AN EXCEPTION FROM THE MEDICAL DIRECTOR BASED ON THE CLINICAL CIRCUMSTANCES IF THE PATIENT CANNOT MEET THE ABOVE PAYMENT AGREEMENT. PATIENTS WHO DO NOT QUALIFY FOR TOTAL OR PARTIAL CFS, BUT WHO HAVE DIFFICULTY IN PAYING THEIR BILLS AFTER SERVICES ARE RENDERED, MAY REQUEST ENROLLMENT IN A PAYMENT PLAN. ELIGIBILITY FOR THE PAYMENT PLAN INCLUDES THE FOLLOWING GUIDELINES: 1. IMMEDIATE PAYMENT IN FULL WILL RESULT IN FINANCIAL HARDSHIP TO THE PATIENT OR THE PATIENT'S FAMILY. 2. DEPOSIT OF ONE-HALF OF THE ESTIMATED TOTAL BILL IS REQUESTED PRIOR TO ADMISSION. 3. THE MINIMUM MONTHLY PAYMENT OF $50.00. 4. THE MAXIMUM LENGTH OF THE PAYMENT PLAN IS TWENTY-FOUR MONTHS. THE CUSTOMER SERVICE STAFF WILL SET UP THE PAYMENT PLAN USING THE ABOVE GUIDELINES AS WELL AS COMPLETE THE NECESSARY INFORMATION ON THE "PAYMENT AGREEMENT" FORM AND MAIL TO THE PATIENT FOR SIGNATURE. ACCOUNT DOCUMENTATION WILL BE DONE ONLINE. THE PRE-COLLECT AGENCY WILL BE SENT A COPY OF THE PAYMENT AGREEMENT, AND ALL FORMS WILL BE SCANNED INTO THE PFS OPTICAL IMAGING SYSTEM.
SCHEDULE H, PART I, LINE 6A PART I, LINE 6A - RELATED ORGANIZATION COMMUNITY BENEFIT REPORT	THE COMMUNITY BENEFIT REPORT FOR ALL BROWN HEALTH IS MAINTAINED BY BROWN HEALTH AND INCLUDED IN BROWN HEALTH'S ANNUAL REPORT. THE ANNUAL REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2024 IS AVAILABLE AT THE FOLLOWING LINK. HTTPS://WWW.BROWNHEALTH.ORG/SITES/DEFAULT/FILES/2025-07/ANNUAL-REPORT-2024_250709.PDF THE ANNUAL REPORT FOR THE YEAR ENDED SEPTEMBER 30, 2025 IS NOT YET AVAILABLE.
SCHEDULE H, PART I, LINE 7F PART I, LINE 7, COLUMN F - EXPLANATION OF BAD DEBT EXPENSE	THE CALCULATION OF PERCENTAGES DISCLOSED FOR SCHEDULE H, PART I, LINE 7, COLUMN (F) "PERCENT OF TOTAL EXPENSE", DOES NOT INCLUDE BAD DEBT EXPENSE. FORM 990, PART IX, LINE 25 INCLUDES PROVISION FOR BAD DEBTS OF $55,701,521.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	RIH'S COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN PART I, LINE 7 IS AS FOLLOWS: A) FINANCIAL ASSISTANCE AT COST- INVOLVES UTILIZATION OF A RATIO DERIVED FROM DIVIDING PATIENT COSTS, AS DEFINED, BY PATIENT CHARGES, AS DEFINED, AND APPLYING THAT PERCENTAGE TO TOTAL CHARITY CARE CHARGES. PATIENT COSTS REPORTED IN THE COST ACCOUNTING SYSTEM ARE CALCULATED BASED ON MEDICARE PRINCIPLES OF REIMBURSEMENT BY REDUCING TOTAL OPERATING EXPENSES (AS CALCULATED BY FORM 990 REQUIREMENTS) BY ITEMS SUCH AS BAD DEBT EXPENSE, THE COST OF MEDICAL EDUCATION, INTERNALLY FUNDED RESEARCH, SUBSIDIZED HEALTH SERVICES, COMMUNITY SERVICES, CHARITABLE CONTRIBUTIONS, AND OTHER OPERATING REVENUE. PATIENT COSTS ARE THEN DIVIDED BY PATIENT CHARGES TO DETERMINE A RATIO OF COST TO CHARGES (RCC). THIS RCC IS APPLIED AS THE COSTING METHODOLOGY FOR DETERMINING CHARITY CARE EXPENSE. B) MEDICAID- MEDICAID EXPENSE IS DETERMINED AT COST AS CALCULATED BY RIH'S COST ACCOUNTING SYSTEM. THE SYSTEM USES HISTORICAL COSTING METHODS APPLIED TO ALL PATIENT SEGMENTS BASED ON VARIOUS PATIENT DEMOGRAPHICS AND UTILIZATIONS. THESE COSTING STANDARDS EXCLUDE BAD DEBT, CHARITY CARE, AND THE MEDICAID PORTION OF COSTS OF HEALTH PROFESSIONS EDUCATION, WHICH ARE REPORTED ON OTHER AREAS OF LINE 7. THESE EXPENSES INCLUDE MEDICAID PROVIDER TAXES. DIRECT OFFSETTING REVENUE IS REPORTED AS AMOUNTS RECEIVED FROM MEDICAID, AS WELL AS OTHER PAYMENTS WHICH INCLUDE REIMBURSEMENT UNDER FEDERAL "UPPER PAYMENT LIMIT" (UPL) AND "DISPROPORTIONATE SHARE HOSPITAL" (DSH) PROGRAMS. E) COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS-COMMUNITY BENEFIT OPERATIONS EXPENSE IS RECORDED AS DIRECT EXPENSES INCURRED AS REPORTED BY RIH'S COMMUNITY HEALTH SERVICES DEPARTMENT. REVENUE RECEIVED FOR THESE SERVICES IS REPORTED AS DIRECT OFFSETTING REVENUE. F) HEALTH PROFESSIONS EDUCATION- HEALTH PROFESSIONS EDUCATION EXPENSES REPRESENT DIRECT COSTS RELATED TO AMOUNTS ASSOCIATED WITH RESIDENT AND INTERN PROGRAMS UTILIZED AT RIH. THESE COSTS ARE DETERMINED BY REPORTING ACTUAL DIRECT COSTS TAKEN FROM THE MEDICARE COST REPORT. DIRECT OFFSETTING REVENUE IS REPORTED AS ANY DIRECT MEDICARE REIMBURSEMENTS RECEIVED FOR SUCH SERVICES PROVIDED, AS REPORTED IN THE RIH'S MEDICARE COST REPORT. G) SUBSIDIZED HEALTH SERVICES- SUBSIDIZED HEALTH SERVICES' COMMUNITY BENEFIT EXPENSE IS DETERMINED BY RIH'S COST ACCOUNTING SYSTEM. THESE SUBSIDIZED HEALTH SERVICES ARE RECORDED AT COST IN RIH'S COST ACCOUNTING SYSTEM FOR ALL QUALIFIED SUBSIDIZED HEALTH SERVICE DIVISIONS. THIS EXPENSE IS ADJUSTED TO REMOVE ALL RELATED GRADUATE MEDICAL EDUCATION (GME) EXPENSES, AS WELL AS BAD DEBT, MEDICAID, AND CHARITY COSTS ALREADY REPORTED IN THE APPLICABLE SECTIONS OF LINE 7. NET PATIENT SERVICE REVENUE IS RECORDED AS AMOUNTS RECEIVED FROM VARIOUS PAYER TYPES RELATED TO THESE SERVICES. REVENUE ASSOCIATED WITH MEDICARE GME AND MEDICAID IS EXCLUDED FROM THE AMOUNT DISCLOSED FOR SUBSIDIZED HEALTH SERVICES. H) RESEARCH- RIH CONDUCTS EXTENSIVE MEDICAL RESEARCH FOCUSED ON THE PREVENTION AND TREATMENT OF HIV/AIDS, OBESITY, CANCER, DIABETES, CARDIAC DISEASE, NEUROLOGICAL PROBLEMS, ORTHOPEDIC ADVANCEMENTS, AND MENTAL HEALTH CONCERNS. FOR ALL INTERNAL AND EXTERNAL RESEARCH CONDUCTED, THE COSTS ASSOCIATED WITH THESE ACTIVITIES ARE CALCULATED BY COMBINING THE DIRECT AND INDIRECT COSTS AS REPORTED WITHIN RIH'S COST ACCOUNTING SYSTEM. REVENUE RECEIVED FOR THESE SERVICES IS REPORTED AS DIRECT OFFSETTING REVENUE. I) CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT- EXPENSES FOR CASH AND IN-KIND COMMUNITY BENEFIT CONTRIBUTIONS ARE INCURRED BY RIH, INCLUDING AN ALLOCATION OF CONTRIBUTIONS MADE BY BROWN HEALTH ON RIH'S BEHALF.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	THE AMOUNT REPORTED AS BAD DEBT EXPENSE IS DETERMINED BY APPLYING THE RATIO OF COST TO CHARGES (RCC) TO THE TOTAL CHARGES WRITTEN OFF TO BAD DEBT. THE RCC RATE IS DETERMINED USING DATA FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM AND IS ADJUSTED FOR MEDICAL EDUCATION, INTERNALLY FUNDED RESEARCH, SUBSIDIZED HEALTH SERVICES, COMMUNITY SERVICES, AND CHARITABLE CONTRIBUTIONS. DISCOUNTS AND PAYMENTS ARE APPLIED TO PATIENT ACCOUNTS BEFORE SUCH ACCOUNT BALANCES ARE TRANSFERRED TO BAD DEBT.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	ACCOUNTS PENDING TRANSFER TO BAD DEBT ARE REVIEWED BY RIH'S PATIENT FINANCIAL ADVOCATE STAFF TO DETERMINE QUALIFICATION FOR FINANCIAL ASSISTANCE UNDER RIH'S POLICY. ACCOUNTS WITH INSUFFICIENT INFORMATION TO DETERMINE ELIGIBILITY ARE ASSIGNED A SEPARATE IDENTIFYING CODE. THESE ACCOUNTS ARE ULTIMATELY TRANSFERRED TO BAD DEBT IF THE APPROPRIATE QUALIFYING DOCUMENTATION IS NOT RECEIVED. THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 3 REPRESENTS THE ACCOUNT BALANCES AT CHARGE WRITTEN OFF TO BAD DEBT FROM THE PENDING CODE, WHICH ARE IN TURN CONVERTED TO COST BY APPLYING THE RCC RATE AS IDENTIFIED IN SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	THERE IS NO SPECIFIC FOOTNOTE FOR BAD DEBT EXPENSE; HOWEVER, DUE TO THE ADOPTION OF ASU NO. 2014-09 IN 2019 - REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), BAD DEBT EXPENSE IS NO LONGER REPORTED IN THE AUDITED FINANCIAL STATEMENTS AS A SEPARATE LINE ITEM BUT RATHER IS TREATED AS A PRICE CONCESSION. RIH'S ADOPTION OF THE ASU DID NOT MATERIALLY CHANGE THE TIMING OR AMOUNT OF REVENUE RECOGNIZED. HOWEVER, THE ASU REQUIRES THAT PATIENT SERVICE REVENUE BE PRESENTED IN THE STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS AT THE TRANSACTION PRICE, I.E., NET OF ANY PROVISION FOR BAD DEBTS.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	PER THE BILLING AND COLLECTION POLICY, REASONABLE STEPS ARE TAKE TO ENSURE THAT NO COLLECTION ACTIONS ARE INITIATED FOR PATIENTS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- RHODE ISLAND HOSPITAL: LINE 16A URL: HTTPS://WWW.BROWNHEALTH.ORG/PATIENTS-VISITORS;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- RHODE ISLAND HOSPITAL: LINE 16B URL: HTTPS://WWW.BROWNHEALTH.ORG/PATIENTS-VISITORS;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- RHODE ISLAND HOSPITAL: LINE 16C URL: HTTPS://WWW.BROWNHEALTH.ORG/PATIENTS-VISITORS;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	BROWN HEALTH'S OFFICE OF STRATEGIC PLANNING AND ANALYSIS PERFORMS POPULATION-BASED STUDIES FOR RIH REGARDING THE NEED FOR INPATIENT MEDICAL AND SURGICAL SERVICES FOR BOTH ADULTS AND CHILDREN AND A WIDE RANGE OF OUTPATIENT SERVICES INCLUDING: PRIMARY CARE OFFICE VISITS, SPECIALTY CARE, EMERGENCY SERVICES, IMAGING, AMBULATORY SURGERY, AND SPECIFIC HIGH TECHNOLOGY SERVICES SUCH AS RADIATION THERAPY AND BONE MARROW TRANSPLANTATION. A POPULATION-BASED STUDY EXAMINES THE GROWTH AND CHANGES IN THE POPULATION, THE RESOURCES IN THE COMMUNITY, AND THE CHANGING PREVALENCE OF DISEASES. IN ADDITION TO THIS APPROACH, BROWN HEALTH STRATEGIC PLANNING ALSO EXAMINES EXPERIENCE WITH WAIT TIMES, THE LEVEL OF STAFFING, AND THE CHANGING STANDARDS OF CARE. ALL OF THIS INFORMATION IS USED TO ASSESS THE DEMAND FOR ADDITIONAL SERVICES TO PROVIDE ACCESS TO HIGH QUALITY CARE. IN ADDITION TO POPULATION APPROACHES TO ASSESSING AND ESTIMATING NEED, ALL SPECIALTIES AND SERVICES MONITOR DEMAND AT THE SERVICE-SPECIFIC LEVEL BY CONSIDERING CHANGING PATTERNS OF CARE AND METHODS OF TREATMENT FOR THE SPECIFIC MEDICAL PROBLEM, WAIT TIMES FOR VISITS/QUEUES, AND COMMUNITY RESOURCES. THE SERVICE LEADERSHIP THEN GOES THROUGH A REVIEW PROCESS TO ADD STAFF, EXPANDED HOURS, AND/OR NEW SUBCOMPONENTS TO ROUND OUT CORE SERVICES ON AN AS-NEEDED BASIS. AT TIMES, EXPANSION REQUIRES MORE SPACE, EQUIPMENT, AND STAFF, BUT OFTEN ACCOMMODATION OF COMMUNITY DEMAND IS ACHIEVED THROUGH EXPANDED HOURS. FACILITIES ARE ADDED AS NEEDED TO ACCOMMODATE THESE EXPANSIONS, BUT MOST OFTEN MINOR RENOVATIONS OF EXISTING LOCATIONS WITH BETTER, MORE MODERN LAYOUTS AND EQUIPMENT ALLOW FOR GREATER PATIENT ACCESS. THE RHODE ISLAND STATE CERTIFICATE OF NEED PROGRAM REQUIRES A FOCUSED STUDY OF NEED FOR ALL PROJECTS OVER $5.25 MILLION, WHICH IS AN IMPORTANT PART OF THE PROGRAM DEVELOPMENT PROCESS ACROSS BROWN HEALTH. BASED ON A BROAD UNDERSTANDING OF COMMUNITY HEALTH NEEDS, RIH PROVIDES A WIDE RANGE OF SERVICES TO BOTH ITS PRIMARY AND SECONDARY AREAS. BROWN HEALTH AND ITS HOSPITAL AFFILIATES MONITOR HEALTH TRENDS IN RHODE ISLAND IN AN EFFORT TO IDENTIFY AREAS OF UNMET DEMANDS REGARDING CLINICAL SERVICES. PREVIOUS EXAMPLES OF ADDRESSING THIS UNMET DEMAND INCLUDE RIH ADDING A BIPLANE NEUROINTERVENTIONAL RADIOLOGY SUITE, EQUIPPED WITH THE LATEST TECHNOLOGY AND STAFF 24/7 AND LOCATED LESS THAN 100 STEPS FROM THE AMBULANCE BAYS OF RIH'S ANDREW F. ANDERSON EMERGENCY CENTER. NO OTHER EMERGENCY DEPARTMENT IN THE WORLD HAS THIS STROKE SURGERY SUITE WITHIN IT. TWO NEW MINIMALLY INVASIVE TREATMENTS ARE OFFERED AT RIH'S COMPREHENSIVE SPINE CENTER: BALLOON KYPHOPLASTY, FOR TREATMENT OF VERTEBRAL COMPRESSION FRACTURES, AND INDIRECT SPINAL DECOMPRESSION WITH AN INTERSPINOUS SPACER DEVICE, TO DECOMPRESS SPINAL STENOSIS AND RELIEVE SYMPTOMS OF NEUROGENIC CLAUDICATION, INCLUDING PAIN OR PRESSURE WHEN STANDING OR WALKING. ADDITIONALLY, RIH'S PEDIATRIC DIVISION, HASBRO CHILDREN'S, IS THE STATE'S ONLY FACILITY DEDICATED TO PEDIATRIC CARE. RIH HAS CONTINUED ITS PIONEERING WORK ON TREATMENTS FOR INOPERABLE TUMORS AS WELL AS RADIOFREQUENCY ABLATION. ALSO OF NOTE IS HASBRO'S MEDICAL/PSYCHIATRIC PROGRAM. THIS PROGRAM IS EXPRESSLY DESIGNED FOR CHILDREN AND ADOLESCENTS WITH CHALLENGING MENTAL HEALTH AND MEDICAL CONDITIONS WHO REQUIRE HOSPITALIZATION. A COLLABORATION WITH EMMA PENDLETON BRADLEY HOSPITAL, IT IS THE ONLY PROGRAM IN THE REGION CREATED TO MEET THE COMPLEX NEEDS OF THESE CHILDREN.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	RIH HAS MULTILINGUAL SIGNAGE IN ITS MAIN LOBBY AND WAITING AREAS WHICH PROVIDES INFORMATION ON FINANCIAL AID CONTACTS. THE REGISTRATION DEPARTMENT MEETS WITH PATIENTS AT THE OUTSET OF CARE TO DISCUSS ELIGIBILITY FOR ASSISTANCE. THE REGISTRATION STAFF PROVIDES INTERESTED PATIENTS WITH A "WELCOME" BOOKLET WHICH INCLUDES INFORMATION ON PATIENT RIGHTS AND RESPONSIBILITIES. THE SIGNAGE AND BOOKLETS CONTAIN A TELEPHONE NUMBER WHICH CONNECTS PATIENTS WITH REGISTRATION STAFF WHO CAN ANSWER ANY ADDITIONAL QUESTIONS THAT MAY ARISE AFTER THE PATIENT HAS LEFT RIH. ASSISTANCE ELIGIBILITY IS ALSO SUMMARIZED ON RIH'S WEBSITE. AS PART OF RIH'S INPATIENT INTAKE PROCESS, RIH PROVIDES A SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY, ALONG WITH ALL ASSISTANCE APPLICATIONS AND THE PATIENT FINANCIAL SERVICES CONTACT NUMBER, TO ALL SELF-PAY PATIENTS. THE SAME PROCESS IS ALSO USED FOR PATIENTS SEEN DURING THE OUTPATIENT DISCHARGE PROCESS. ATTEMPTS ARE MADE TO CONTACT PATIENTS PRIOR TO THEIR VISIT TO SCREEN FOR FINANCIAL ASSISTANCE AND TO INFORM THEM WHAT DOCUMENTS ARE REQUIRED FOR THEIR FINANCIAL ASSISTANCE DETERMINATION OR TO SET UP AN APPOINTMENT TO SEE A "PATIENT FINANCIAL ADVOCATE" (PFA) PRIOR TO SERVICE. PFAS DISCUSS WITH PATIENTS THE VARIOUS GOVERNMENT PROGRAMS THAT MIGHT BE AVAILABLE TO THEM FOR FINANCIAL ASSISTANCE. PFAS ALSO OFFER ASSISTANCE WITH THE FINANCIAL APPLICATION PROCESS AND/OR UNDERSTANDING THE QUALIFICATION FACTORS FOR MEDICAID, THE AFFORDABLE CARE ACT, MEDICARE, SOCIAL SECURITY DISABILITY, THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), AND RHODE ISLAND TEMPORARY DISABILITY INSURANCE AND UNEMPLOYMENT. THIS IS DONE FOR BOTH INPATIENT AND OUTPATIENT SERVICES.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	RHODE ISLAND HOSPITAL, LOCATED IN PROVIDENCE, RHODE ISLAND, IS A 719-BED NONPROFIT GENERAL ACUTE CARE TEACHING HOSPITAL WITH UNIVERSITY AFFILIATION PROVIDING A COMPREHENSIVE RANGE OF DIAGNOSTIC AND THERAPEUTIC SERVICES FOR THE ACUTE CARE OF PATIENTS PRINCIPALLY FROM RHODE ISLAND AND SOUTHEASTERN MASSACHUSETTS. AS A COMPLEMENT TO ITS ROLE IN SERVICE AND EDUCATION, RIH ACTIVELY SUPPORTS RESEARCH. RI IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) AND PARTICIPATES AS A PROVIDER PRIMARILY IN MEDICARE, BLUE CROSS, AND MEDICAID PROGRAMS. RIH IS ALSO A MEMBER OF THE FORMERLY-NAMED VOLUNTARY HOSPITALS OF AMERICA, INC., WHICH HAS PARTNERED WITH UHC ALLIANCE NEWCO, INC. TO BECOME VIZIENT, INC., THE LARGEST MEMBER-OWNED HEALTH CARE COMPANY IN THE UNITED STATES. IN 1969, RIH AND CERTAIN OTHER RHODE ISLAND HOSPITALS ENTERED INTO AN AFFILIATION AGREEMENT TO PARTICIPATE JOINTLY IN VARIOUS CLINICAL TRAINING PROGRAMS AND RESEARCH ACTIVITIES WITH THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY (BROWN). IN 2010, BROWN NAMED RIH ITS PRINCIPAL TEACHING HOSPITAL. THE GOALS OF THE PARTNERSHIP ARE TO FACILITATE THE EXPANSION OF JOINT EDUCATIONAL AND RESEARCH PROGRAMS IN ORDER TO COMPETE BOTH CLINICALLY AND ACADEMICALLY. RIH CURRENTLY SPONSORS GRADUATE MEDICAL EDUCATION PROGRAMS ACCREDITED BY OR UNDER THE AUSPICES OF THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), WHILE ALSO SPONSORING HOSPITAL-APPROVED RESIDENCY AND FELLOWSHIP PROGRAMS. WITH RESPECT TO NURSING EDUCATION, RIH HAS DEVELOPED EDUCATIONAL AFFILIATIONS WITH A NUMBER OF ACCREDITED COLLEGES AND UNIVERSITIES. RIH DOES NOT RECEIVE ANY COMPENSATION FROM THE VARIOUS SCHOOLS FOR PROVIDING A CLINICAL SETTING FOR THE STUDENT NURSE TRAINING. RIH CONDUCTS EXTENSIVE MEDICAL RESEARCH AND IS IN THE FOREFRONT OF BIOMEDICAL HEALTH CARE DELIVERY RESEARCH AND AMONG THE LEADERS NATIONALLY IN THE NATIONAL INSTITUTES OF HEALTH PROGRAMS.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	RIH IS GOVERNED BY A BOARD OF TRUSTEES, WHICH IS COMPOSED OF LEADERS OF THE LOCAL COMMUNITY ELECTED BY BROWN UNIVERSITY HEALTH. RIH'S PURPOSE IS TO BE STAFFED, EQUIPPED, AND READY TO SERVE THE HOSPITAL NEEDS OF THE COMMUNITY AND ITS PEOPLE FROM ALL WALKS OF LIFE. RIH WORKS COLLABORATIVELY WITH PHYSICIANS, ITS EMPLOYEES, OTHER HEALTH CARE ORGANIZATIONS, AND THE COMMUNITY TO CREATE A MEASURABLY HEALTHIER COMMUNITY THROUGH THE PROVISION OF HIGH QUALITY, COST-EFFECTIVE, CUSTOMER-FOCUSED HEALTH CARE SERVICES IN AN ENVIRONMENT THAT PROMOTES PATIENT SAFETY. RIH MONITORS THE HEALTHCARE NEEDS OF ITS SERVICE AREA TO ENSURE ALIGNMENT OF ITS RESOURCES WITH ITS MISSION. RIH MEASURES THE RESULTS OF THE PROGRAMS AND SERVICES IT PROVIDES BASED ON THE VALUE ADDED TO THE COMMUNITY AS WELL AS THE FINANCIAL HEALTH OF EACH PROGRAM AND ITS IMPACT ON RIH. RIH IS ORGANIZED AND OPERATED FOR THE BENEFIT OF THE COMMUNITY IT SERVES.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	BROWN HEALTH'S MISSION IS DELIVERING HEALTH WITH CARE. BROWN HEALTH IS AN ACADEMICALLY BASED HEALTHCARE SYSTEM AT THE FOREFRONT OF MEDICAL CARE, CONTINUALLY ENGAGING IN RESEARCH THAT WILL LEAD TO MEDICAL BREAKTHROUGHS. BROWN HEALTH AFFILIATES PROVIDE COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL, SURGICAL, AND PSYCHIATRIC SERVICES FOR ADULTS AND CHILDREN. BROWN HEALTH AND ITS AFFILIATES EMPLOY APPROXIMATELY 21,000 PEOPLE. THE BROWN HEALTH SYSTEM HAS APPROXIMATELY 5,500 PHYSICIANS ON THE MEDICAL STAFFS OF ITS AFFILIATED HOSPITALS, OPERATES 1,473 LICENSED BEDS IN SIX HOSPITAL COMPLEXES, AND IN 2025 GENERATED APPROXIMATELY $4.4 BILLION IN TOTAL OPERATING REVENUE. BY EACH OF THESE MEASURES, BROWN HEALTH IS RHODE ISLAND'S LARGEST HEALTH SYSTEM, SERVING A POPULATION OF ABOUT 1.1 MILLION. THREE OF ITS HOSPITAL MEMBERS, RHODE ISLAND HOSPITAL (RIH), THE MIRIAM HOSPITAL (TMH), AND EMMA PENDLETON BRADLEY HOSPITAL (EPBH), ARE TEACHING AFFILIATES OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. BROWN HEALTH IS A RHODE ISLAND NONPROFIT CORPORATION THAT IS COMMUNITY-BASED AND COMMUNITY-GOVERNED. AS A NONPROFIT ORGANIZATION, BROWN HEALTH IS RUN BY A VOLUNTARY BOARD OF DIRECTORS WHO ARE COMMUNITY REPRESENTATIVES. BROWN HEALTH AND ALL OF ITS NONPROFIT HOSPITAL AFFILIATES HAVE RECEIVED WRITTEN NOTIFICATION FROM THE INTERNAL REVENUE SERVICE THAT THEY HAVE BEEN RECOGNIZED AS BEING ORGANIZED AND OPERATED AS ENTITIES DESCRIBED IN INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND ARE GENERALLY EXEMPT FROM INCOME TAXES UNDER IRC SECTION 501(A). AS OF SEPTEMBER 30, 2025, BROWN UNIVERSITY HEALTH EMPLOYED APPROXIMATELY 1,300 FULL-TIME AND PART-TIME PERSONNEL, MOST OF WHOM ARE LOCATED IN PROVIDENCE, RHODE ISLAND. BROWN UNIVERSITY HEALTH PROVIDES SUPPORT SERVICES TO ITS AFFILIATES, SUCH AS INFORMATION SERVICES, RISK MANAGEMENT, LEGAL, COMMUNICATIONS AND PUBLIC AFFAIRS, FUNDRAISING, FACILITY DEVELOPMENT, STRATEGIC PLANNING, INTERNAL AUDIT/COMPLIANCE, HUMAN RESOURCES, FINANCE, PAYOR CONTRACTING, AND INVESTMENT MANAGEMENT, FOR WHICH EACH AFFILIATE IS CHARGED A FEE EQUIVALENT TO THE ESTIMATED COSTS INCURRED BY BROWN HEALTH IN PROVIDING THESE SERVICES. CORPORATE AUTHORITY AND ROLE BROWN UNIVERSITY HEALTH HAS NO MEMBERS AND IS GOVERNED BY ITS BOARD OF DIRECTORS. THE BOARD HAS RESPONSIBILITY FOR PLANNING, DIRECTING, AND ESTABLISHING POLICIES INTENDED TO ASSURE THE DEVELOPMENT AND DELIVERY OF QUALITY HEALTH SERVICES, PROFESSIONAL EDUCATION, AND BIOMEDICAL RESEARCH ON AN INTEGRATED, COST-EFFECTIVE BASIS. THE BOARD'S POWERS INCLUDE THE POWER TO SET ACCOUNTING POLICIES FOR ITS AFFILIATES, APPROVE ALL MANAGED CARE AGREEMENTS, NEGOTIATE, DEVELOP, AND APPROVE AFFILIATIONS WITH OTHER INSTITUTIONS FOR EDUCATIONAL AND RESEARCH PURPOSES, AND APPROVE HUMAN RESOURCE PLANS, EXECUTIVE COMPENSATION, AND BENEFITS FOR SYSTEM AFFILIATES. THE BYLAWS OF RIH CONFER CERTAIN RESERVED POWERS ON BROWN HEALTH TO PROVIDE IT WITH THE MEANS OF EFFECTIVE OVERSIGHT, COORDINATION, AND SUPPORT OF THE SYSTEM. POWERS SPECIFICALLY RESERVED TO BROWN HEALTH AS SOLE MEMBER OF RIH INCLUDE: TO APPROVE THE AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS AND OTHER CHARTER DOCUMENTS; TO DEVELOP AND APPROVE STRATEGIC PLANS; TO APPROVE CAPITAL OR OPERATING BUDGETS OR MATERIAL NON-BUDGETED EXPENDITURES; AND TO AUTHORIZE INCURRENCE OR GUARANTY OF MATERIAL INDEBTEDNESS. FOR A COMPLETE LISTING OF AFFILIATED MEMBERS OF BROWN HEALTH'S INTEGRATED HEALTHCARE DELIVERY SYSTEM, PLEASE REFER TO SCHEDULE R.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	RI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
BROWN UNIVERSITY
45 PROSPECT STREET	PROVIDENCE	RI	02906	050258809	501(C)(3)	$1,356,481	$0	GENERAL SUPPORT
LEUKEMIA & LYMPHOMA SOCIETY
70 WALNUT STREET STE 301	WELLESLEY	MA	02481	135644916	501(C)(3)	$12,500	$0	GENERAL SUPPORT
RHODE ISLAND MEDICAL SOCIETY
405 PROMENADE STREET	PROVIDENCE	RI	02908	050250010	501(C)(6)	$10,500	$0	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EDUCATIONAL ASSISTANCE	GrantTypeTxt
Recipient	10	RecipientCnt
Cash Grant	$35,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	GRANTS TO ORGANIZATIONS ARE APPROVED BY MANAGEMENT AND ARE MADE TO ORGANIZATIONS WHOSE MISSIONS AND GOALS ALIGN WITH THOSE OF THE HOSPITAL. INDIVIDUAL SCHOLARSHIPS ARE AWARDED ANNUALLY TO APPLICANTS BY A JOINT DECISION-MAKING BODY COMPRISED OF BOTH IBT (INTERNATIONAL BROTHERHOOD OF TEAMSTERS) AND RIH REPRESENTATIVES. PAYMENTS ARE MADE DIRECTLY TO QUALIFIED EDUCATIONAL INSTITUTIONS ON BEHALF OF SCHOLARSHIP RECIPIENTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN FERNANDEZ
PRESIDENT & CEO	$0	$1,550,583	$0	$0	$0	$100,779	$0	$334,533	$0	$30,828	$0	$2,016,723	$0	$0
TIMOTHY J BABINEAU MD
FORMER TRUSTEE	$0	$0	$0	$0	$0	$1,335,765	$0	$0	$0	$0	$0	$1,335,765	$0	$1,335,765
ZIYA L GOKASLAN MD
DIRECTOR	$0	$1,513,496	$0	$144,000	$0	$14,237	$0	$20,700	$0	$25,516	$0	$1,717,949	$0	$0
G DEAN ROYE
FORMER INTERIM PRESIDENT	$745,658	$0	$0	$0	$99,747	$0	$123,743	$0	$34,393	$0	$1,003,541	$0	$76,998	$0
EVA GREENWOOD
FORMER TREASURER	$0	$516,279	$0	$0	$0	$23,212	$0	$91,782	$0	$24,278	$0	$655,551	$0	$0
SAUL N WEINGART
FORMER PRESIDENT	$0	$0	$0	$0	$0	$378,639	$0	$0	$0	$0	$0	$378,639	$0	$0
PETER K MARKELL
TREASURER	$0	$1,221,588	$0	$0	$0	$242,967	$0	$18,975	$0	$21,785	$0	$1,505,315	$0	$0
PAUL J ADLER
SECRETARY	$0	$757,627	$0	$0	$0	$121,740	$0	$127,377	$0	$21,636	$0	$1,028,380	$0	$89,854
SARAH FROST
PRESIDENT	$0	$590,705	$0	$150,000	$0	$3,916	$0	$69,756	$0	$107	$0	$814,484	$0	$0
CYNTHIA DANNER
CHIEF NURSING OFFICER (THRU 10/24)	$314,340	$0	$0	$0	$213,594	$0	$18,358	$0	$2,147	$0	$548,439	$0	$0	$0
CHRISTINE M COLLINS
SVP PHARMACY	$373,240	$0	$20,000	$0	$43,367	$0	$71,464	$0	$31,072	$0	$539,143	$0	$29,670	$0
TRACEY L WALLACE
SVP CLINICAL SVCS	$357,099	$0	$0	$0	$41,093	$0	$63,348	$0	$21,725	$0	$483,265	$0	$28,263	$0
JESSICA L SMITH MD
PHYSICIAN	$395,236	$0	$0	$0	$1,561	$0	$20,700	$0	$13,789	$0	$431,286	$0	$0	$0
QIAN CHEN
SR. RESEARCH SCIENTIST	$306,808	$0	$55,346	$0	$4,564	$0	$18,663	$0	$34,031	$0	$419,412	$0	$0	$0
DONNA M MARASIGAN
REGISTERED NURSE	$362,955	$0	$7,300	$0	$370	$0	$0	$0	$33,018	$0	$403,643	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS	TAX INDEMNIFICATION AND GROSSED UP PAYMENTS: THE BROWN HEALTH EXECUTIVE LONG TERM DISABILITY PROGRAM PROVIDES FINANCIAL PROTECTION TO DESIGNATED BROWN HEALTH PHYSICIANS AND EXECUTIVES IN THE EVENT THAT THEY BECOME DISABLED. PREMIUMS ARE PAID TO THE INSURANCE CARRIER BY THE INSUREDS ON AN AFTER-TAX BASIS TO ALLOW FOR INCOME REPLACEMENT AT A REASONABLE COST. THE INCOME ASSOCIATED WITH THE PREMIUMS IS GROSSED UP TO COVER THE TOTAL COST OF THE BENEFIT AS PROVIDED IN THE BROWN HEALTH EXECUTIVE BENEFIT PLAN AND IS INCLUDED IN MEDICARE WAGES, MORE SPECIFICALLY ON SCHEDULE J, PART II, COLUMN B (III).
SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION	COMPENSATION OF THE RIH PRESIDENT IS DETERMINED BY THE COMPENSATION COMMITTEE OF BROWN UNIVERSITY HEALTH. THIS COMMITTEE'S DETERMINATION PROCESS UTILIZES A COMBINATION OF AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, AND COMPENSATION STUDIES/SURVEYS, ALONG WITH APPROVAL BY THE BROWN HEALTH BOARD OF DIRECTORS.
SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT	LINE 4A: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE AND/OR CHANGE OF CONTROL PAYMENTS DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2024: TIMOTHY J. BABINEAU, MD, FORMER PRESIDENT/CEO OF LIFESPAN CORP (BUH): $1,335,765. SAUL WEINGART, FORMER PRESIDENT: 373,178.32 CYNTHIA DANNER, FORMER CHIEF NURSING OFFICER: $141,230.
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	LINE 4B: BROWN UNIVERSITY HEALTH OFFERS A NON-QUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN TO CERTAIN EXECUTIVES. THE FOLLOWING INDIVIDUALS WERE CREDITED WITH THE AMOUNT INDICATED, DURING CALENDAR YEAR 2024 AND SUCH AMOUNT IS INCLUDED IN DEFERRED COMPENSATION ON SCHEDULE J, PART II, COLUMN C: JULIE ABILHEIRA - $45,120. PAUL ADLER - $106,677. CHRISTINE M. COLLINS - $52,878. JOHN FERNANDEZ - $313,833. SARAH E. FROST - $69,756. EVA GREENWOOD - $73,257. G. DEAN ROYE - $103,043. TRACEY L. WALLACE - $47,972. IN 2024, THE FOLLOWING INDIVIDUAL BECAME VESTED IN AND WAS PAID A NON-QUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP) AMOUNT AND SUCH AMOUNT IS INCLUDED IN MEDICARE WAGES, MORE SPECIFICALLY ON SCHEDULE J, PART II, COLUMN B(III): PAUL J. ADLER - $89,854. CHRISTINE M. COLLINS - $29,670. CYNTHIA DANNER - $55,507. G. DEAN ROYE - $76,888. PETER K. MARKELL - $158,521. TRACEY L. WALLACE - $28,263. PARTICIPANTS INCLUDED IN BROWN UNIVERSITY HEALTH'S SERP ARE AWARDED PLAN CONTRIBUTIONS ON A QUARTERLY BASIS. CONTRIBUTIONS AND INTEREST EARNED DURING A PLAN YEAR VEST AFTER THREE YEARS AND ARE PAID TO PLAN PARTICIPANTS AT THAT TIME. SERP PAYMENTS EARNED DURING THE CALENDAR YEAR WHICH HAVE NOT YET VESTED ARE DISCLOSED ON SCHEDULE J, PART II, COLUMN C. VESTED SERP PAYMENTS RECEIVED DURING THE YEAR ARE DISCLOSED ON SCHEDULE J, PART II, COLUMN B(III) (AS WELL AS COLUMN F IF REPORTED ON SCHEDULE J, PART II, COLUMN C OF A PREVIOUSLY FILED FORM 990). PLAN CONTRIBUTIONS AWARDED TO PARTICIPANTS WHO HAVE REACHED AGE 62 BECOME VESTED AS OF THE BEGINNING OF THE FOLLOWING CALENDAR YEAR.
SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON NET EARNINGS OF THE ORGANIZATION	THE BROWN UNIVERSITY HEALTH ANNUAL INCENTIVE COMPENSATION PLAN PROVIDES A FINANCIAL AWARD OPPORTUNITY FOR DESIGNATED MEMBERS OF MANAGEMENT, BASED ON QUANTIFIED OBJECTIVES THAT ARE APPROVED IN ADVANCE BY THE COMPENSATION COMMITTEE OF THE BROWN UNIVERSITY HEALTH BOARD OF DIRECTORS. A SPECIFIED LEVEL OF FINANCIAL AND NON-FINANCIAL PERFORMANCE MUST BE MET BEFORE ANY AWARD IS EARNED. THE OBJECTIVES VARY FROM YEAR TO YEAR AND GENERALLY INCLUDE VARIOUS ASPECTS OF FINANCIAL MEASURES IN ADDITION TO NON-FINANCIAL PERFORMANCE MEASURES.
SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS	CERTAIN PHYSICIANS AND EXECUTIVES PARTICIPATE IN INCENTIVE COMPENSATION PLANS ARRANGED THROUGH INDIVIDUAL CONTRACTUAL AGREEMENTS WHICH STIPULATE NON-FIXED PAYMENTS BASED ON MEETING CRITERIA COMPRISED OF VARIOUS QUALITY AND PRODUCTIVITY MARKERS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
RIHEBC SERIES 2016
A	521300173	762244FP1	2016-08-11	$227,078,594	REFUND 1996, 2006, 2009 BONDS	false	false	Yes (true)
RIHEBC SERIES 2024
B	521300173	762244MJ7	2024-02-14	$209,673,418	CAPITAL IMPROVEMENTS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$97,169,765	$227,078,594	$1,671,247	$225,407,347	2016	Yes (true)	Yes (true)	Yes (true)	Yes (true)
B		$211,642,843	$1,682,287			false	false	false	Yes (true)	$51,812,455	$158,148,101

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0	0.0	false	false	0	false	Yes (true)
B	false	false	false	false	false	Yes (true)	0.0	0.0	0.0	false	false	0	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	0	false	false	false	0	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	0	false	false	false	0	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (F) COLUMN A	ON AUGUST 11, 2016, THE RHODE ISLAND HEALTH AND EDUCATIONAL BUILDING CORPORATION (RIHEBC) ISSUED, ON BEHALF OF THE BROWN HEALTH OBLIGATED GROUP (BHOG), WHICH CONSISTS OF RHODE ISLAND HOSPITAL, THE MIRIAM HOSPITAL, EMMA PENDLETON BRADLEY HOSPITAL, RHODE ISLAND HOSPITAL FOUNDATION, AND THE MIRIAM HOSPITAL FOUNDATION, $265,470,000 OF TAX-EXEMPT FIXED RATE SERIAL AND TERM BONDS (THE 2016 BONDS) USED FOR THE PURPOSE OF REFUNDING EXISTING BONDS ISSUED TO THE BHOG, AS WELL AS TO PAY CERTAIN EXPENSES OF ISSUANCE WITH RESPECT TO THE 2016 BONDS. THE PORTION OF THE 2016 BONDS' PROCEEDS ALLOCABLE TO RIH IS $227,078,594. FOR PURPOSES OF RIH, THE 2016 ISSUANCE RESULTED IN THE COMPLETE REFINANCING OF ITS RIHEBC SERIES 1996, 2006A AND 2009A BONDS.
SCHEDULE K, PART II, LINE 3 COLUMN B	ON FEBRUARY 14, 2024, RIHEBC ISSUED, ON BEHALF OF BHOG, $300,000,000 OF TAX EXEMPT FIXED RATE, SERIAL AND TERM BONDS (THE 2024 BONDS) DUE MAY 15, 2034 THROUGH 2054 IN ANNUAL AMOUNTS RANGING FROM $5,215 TO $100,000 AT COUPON RATES RANGING FROM 5.00% TO 5.25% WITH AN EFFECTIVE YIELD OF APPROXIMATELY 4.32%. THE 2024 BONDS WILL BE USED TO FINANCE CAPITAL IMPROVEMENTS AND FUND THE COST OF THE 2024 BONDS AND CAPITALIZED INTEREST. THESE 2024 BONDS ARE SECURED BY A PLEDGE OF THE GROSS RECEIPTS OF THE BHOG HOSPITALS AND BY MORTGAGE LIENS ON RIH'S AND TMH'S REAL PROPERTY AND ALL BUILDINGS, STRUCTURES, AND IMPROVEMENTS THEREON. THE BHOG IS JOINTLY AND SEVERALLY LIABLE FOR REPAYMENT OF THE 2024 BONDS. UNDER THE TERMS OF THE 2024 BONDS, THE BHOG IS REQUIRED TO SATISFY CERTAIN MEASURES OF FINANCIAL PERFORMANCE FOR AS LONG AS THE BONDS ARE OUTSTANDING. THE 2024 BONDS WERE ISSUED AT A PREMIUM OF $32,814,949 AND THE BHOG PAID $2,670,297 OF DEBT ISSUANCE COSTS INCLUSIVE OF UNDERWRITING DISCOUNT, LEGAL EXPENSES, AND OTHER ISSUANCE-RELATED COSTS. THE BOND PREMIUM AND DEBT ISSUANCE COSTS WILL BE AMORTIZED OVER THE LIFE OF THE BONDS.
SCHEDULE K, PART II, LINE 3	THE BOND PROCEEDS LISTED IN LINE 3A & 3B DIFFER FROM THE BOND ISSUE PRICE DISCLOSED PER IRS FORM 8038 DUE TO THE FACT THAT RIH IS PART OF THE BHOG PREVIOUSLY MENTIONED IN PART I, LINE A(F). OF THE $308,112,067 DISCLOSED IN FORM 8038 FOR THE RIHEBC SERIES 2016 BONDS, RIH WAS ALLOCATED $227,078,594 OF THE TOTAL ISSUANCE PROCEEDS IN LINE 3A. OF THE $332,814,949 DISCLOSED IN FORM 8038 FOR THE RIHEBC SERIES 2024 BONDS, RIH WAS ALLOCATED $209,673,418 OF THE TOTAL ISSUANCE PROCEEDS IN LINE 3B. ADDITIONALLY, FOR THE SERIES 2024 BOND, THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I AND THE TOTAL PROCEEDS OF ISSUE IN PART III REPRESENTS INVESTMENT EARNINGS OF BOND PROCEEDS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

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FORM 990, PART I, LINE 4	THE COUNT OF INDEPENDENT VOTING MEMBERS EXCLUDES THOSE WITH COMPENSATION REPORTED IN PART VII OR TRANSACTION WITH A RELATED ORGANIZATION ON SCHEDULE L, AS WELL AS ONE MEMBER WITH FAMILY MEMBER EMPLOYMENT WITH A RELATED ORGANIZATION.
FORM 990, PART III, LINE 4A PATIENT CARE:	RIH HAS PARTICULAR EXPERTISE IN CARDIOLOGY, INCLUDING THE STATE'S ONLY OPEN HEART SURGERY PROGRAM; ONCOLOGY; NEUROSCIENCES; ORTHOPEDICS; ORGAN TRANSPLANTATION; PEDIATRICS; PSYCHIATRY; AND DIABETES. RIH IS THE ONLY LEVEL I TRAUMA CENTER FOR SOUTHEASTERN NEW ENGLAND, PROVIDING EXPERT STAFF AND EQUIPMENT IN EMERGENCY SITUATIONS 24 HOURS A DAY. IT IS THE PRINCIPAL TEACHING HOSPITAL OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY AND THE LARGEST AND MOST COMPREHENSIVE OF THE BROWN AFFILIATED HOSPITALS. RIH'S PEDIATRIC DIVISION, HCH, IS THE STATE'S PREMIER PEDIATRIC FACILITY WITH THE AREA'S ONLY PEDIATRIC INTENSIVE CARE UNIT, PEDIATRIC ONCOLOGY AND CARDIAC PROGRAMS, PEDIATRIC IMAGING CENTER, AND SEPARATE EMERGENCY AND OPERATING SUITES DESIGNATED FOR PEDIATRIC PATIENTS. RIH HAS EARNED WORLDWIDE RECOGNITION FOR ITS FAMILY-CENTERED ENVIRONMENT AND EXPERT STAFF. IT IS THE FOUNDING PARTNER OF BROWN HEALTH, A COMPREHENSIVE HEALTH SYSTEM PROVIDING ACCESSIBLE, HIGH-VALUE SERVICES TO THE PEOPLE OF RHODE ISLAND AND SOUTHEASTERN NEW ENGLAND. RIH EMPLOYS/CONTRACTS 8,257 FULL-TIME EQUIVALENTS AND IS NATIONALLY AND INTERNATIONALLY RECOGNIZED AS A RESEARCH AND ACADEMIC MEDICAL CENTER. IN 2025, RIH DISCHARGED 33,856 INPATIENTS WITH TOTAL INPATIENT DAYS OF 212,798, TREATED 142,736 PATIENTS IN ITS EMERGENCY DEPARTMENTS, PERFORMED 17,808 INPATIENT AND OUTPATIENT SURGICAL PROCEDURES, AND CARED FOR 468,347 PATIENTS IN OUTPATIENT CLINICS. RIH IS THE DESIGNATED LEVEL I TRAUMA CENTER FOR THE STATE OF RHODE ISLAND AND SOUTHEASTERN NEW ENGLAND, WITH A STATE-OF-THE-ART EMERGENCY DEPARTMENT (ED) AND A DEDICATED PEDIATRIC ED. RIH'S ADULT ED INCLUDES A RADIOLOGY UNIT COMPRISED OF CT SCANNERS AS WELL AS ULTRASOUND AND X-RAY MACHINES; AN ALL-INCLUSIVE CHEST PAIN CENTER; A CRITICAL CARE UNIT FOR THE MOST SERIOUSLY INJURED AND ILL; AND PRIVATE TREATMENT ROOMS. RIH OFFERS IMAGING WITH PET/CT TECHNOLOGY FOR CANCER STAGING, WHILE CARDIAC MRI AND 64-SLICE CARDIAC CT SCANNERS PROVIDE POWERFUL TOOLS FOR EVALUATING HEART DISEASE AND FUNCTION. THE ANNE C. PAPPAS CENTER FOR BREAST IMAGING HAS EARNED THE BREAST IMAGING CENTER OF EXCELLENCE DESIGNATION BY THE AMERICAN COLLEGE OF RADIOLOGY. IN THE AREA OF CANCER SERVICES, RIH HAS PIONEERED IMAGE-GUIDED TUMOR ABLATION, SHRINKING OR ELIMINATING TUMORS BY DESTROYING THEM WITH HEAT (MICROWAVE ABLATION AND RADIOFREQUENCY ABLATION) OR BY FREEZING THEM (CRYOABLATION). IN ADDITION, RADIATION ONCOLOGY SERVICES INCLUDE A LINEAR ACCELERATOR FOR IMAGE-GUIDED RADIOTHERAPY AND STEREOTACTIC RADIOSURGERY, AS WELL AS ELECTRONIC BRACHYTHERAPY FOR EARLY-STAGE BREAST CANCER PATIENTS, WHICH REDUCES AVERAGE TREATMENT TIMES FROM EIGHT WEEKS TO FIVE DAYS. IN THE AREA OF SURGICAL ONCOLOGY, RIH IS THE ONLY HOSPITAL IN RHODE ISLAND AND ONE OF ONLY A FEW HOSPITALS IN NEW ENGLAND TO OFFER HYPERTHERMIC INTRAPERITONEAL CHEMOPERFUSION (HIPEC) FOR PATIENTS WITH ADVANCED CANCER OF THE ABDOMEN. IN THE SPHERE OF NEUROSURGERY, RIH FEATURES ONE OF THE FIRST GAMMA KNIFE SURGICAL CENTERS IN THE UNITED STATES, WHICH OFFERS INTRACRANIAL STEREOTACTIC RADIOSURGERY FOR THE NON-INVASIVE TREATMENT OF BRAIN LESIONS PREVIOUSLY INACCESSIBLE OR UNSUCCESSFULLY TREATED BY CONVENTIONAL THERAPIES. SPECIAL SERVICES AND PROGRAMS PROVIDED BY RIH INCLUDE THE BROWN UNIVERSITY HEALTH CANCER INSTITUTE; THE BROWN HEALTH CARDIOVASCULAR INSTITUTE, WHICH PROVIDES CARDIAC CATHETERIZATION, BALLOON ANGIOPLASTY, AND OPEN HEART SURGERY; THE COMPREHENSIVE STROKE CENTER; THE NORMAN PRINCE SPINE INSTITUTE; CRITICAL CARE SERVICES; MICROVASCULAR SURGERY; NUCLEAR CARDIOLOGY; RADIOLOGY; LABORATORY; RENAL DIALYSIS; COMPUTED TOMOGRAPHY; ORTHOPEDICS, INCLUDING MINIMALLY INVASIVE CARPAL TUNNEL SURGERY AND CARTILAGE TRANSPLANTS FOR KNEE DEFECTS; MAGNETIC RESONANCE IMAGING (MRI); AND DENTAL CARE. HCH'S SPECIALTIES INCLUDE CARDIOLOGY, ORTHOPEDICS, HEMATOLOGY & ONCOLOGY, AND MEDICINE/PSYCHIATRY. HCH ALSO HAS THE AREA'S ONLY CENTER FOR PEDIATRIC IMAGING, AS WELL AS THE AREA'S ONLY PEDIATRIC INTENSIVE CARE UNIT, PEDIATRIC ONCOLOGY AND OUTPATIENT CARDIAC PROGRAMS, PEDIATRIC EMERGENCY DEPARTMENT, AND PEDIATRIC SURGICAL UNIT. IT OPERATES SPECIALTY CLINICS TREATING CHILDREN RANGING IN AGE FROM NEWBORN TO 18 YEARS. SERVICES AND PROGRAMS INCLUDE ADOLESCENT MEDICINE, THE ASTHMA AND ALLERGY CENTER, THE CHILDREN'S NEURODEVELOPMENT CENTER, THE CHILD LIFE PROGRAM, THE CHILD PROTECTION PROGRAM, DERMATOLOGY, GASTROENTEROLOGY, INFECTIOUS DISEASE, THE INJURY PREVENTION CENTER, THE KIDNEY TRANSPLANT CENTER, NEPHROLOGY, NEUROSURGERY, NUTRITION, THE PARTIAL HOSPITALIZATION PROGRAM, SURGERY, PLASTIC SURGERY, PRIMARY CARE CLINIC, REHABILITATION SERVICES, THE SICKLE CELL CLINIC, AND UROLOGY. HCH WAS THE FIRST HOSPITAL IN RHODE ISLAND TO OFFER MINIMALLY INVASIVE PEDIATRIC UROLOGIC SURGERIES. A WIDE RANGE OF ADULT, ADOLESCENT, AND CHILD BEHAVIORAL HEALTH SERVICES AND RESEARCH PROGRAMS ARE ALSO PROVIDED, INCLUDING: PSYCHIATRY EMERGENCY SERVICES FOR ADULTS, ADOLESCENTS, AND CHILDREN; PSYCHIATRY CONSULTATION LIAISON SERVICES; CORRECTIONAL PSYCHIATRY PROGRAM; INPATIENT AND GERIATRIC PSYCHIATRY PROGRAMS; MOOD DISORDERS PROGRAM; GAMBLING TREATMENT PROGRAM; ANXIETY DISORDERS PROGRAM; BODY DYSMORPHIC DISORDER PROGRAM; BEHAVIORAL SLEEP MEDICINE PROGRAM; SUBSTANCE ABUSE TREATMENT PROGRAM; NEUROPSYCHIATRIC SERVICES; ADULT AND PEDIATRIC NEUROPSYCHOLOGY SERVICES; ADULT AND PEDIATRIC PARTIAL HOSPITALIZATION PROGRAMS; FAMILY RESEARCH PROGRAM; AND THE BRADLEY HASBRO CHILDREN'S RESEARCH CENTER. ADDITIONAL SPECIAL SERVICES, FACILITIES, AND PROGRAMS FURNISHED BY RIH INCLUDE: THE ENDOVASCULAR HYBRID OPERATING ROOM SUITE (THE ONLY ONE OF ITS KIND IN RHODE ISLAND, THE SUITE'S DESIGN PROVIDES VASCULAR SURGEONS WITH THE FLEXIBILITY TO PERFORM MINIMALLY INVASIVE PROCEDURES AND TRADITIONAL OPEN SURGERIES SIMULTANEOUSLY WITH LIMITED ANESTHESIA); ADULT AND PEDIATRIC KIDNEY AND PANCREAS TRANSPLANT CENTER; ALZHEIMER'S DISEASE AND MEMORY DISORDERS CENTER; AN ADULT AND PEDIATRIC HEMOSTASIS AND THROMBOSIS CENTER; AN ADULT AND PEDIATRIC DIABETES AND ENDOCRINOLOGY CENTER; COLORECTAL CARE CENTER; AND THE TRANSFUSION-FREE MEDICINE AND SURGERY PROGRAM, ONE OF ONLY TWO SUCH FORMALIZED PROGRAMS IN NEW ENGLAND. RIH ALSO HOLDS DESIGNATION OR CERTIFICATION AS: A BARIATRIC SURGERY CENTER OF EXCELLENCE; ADULT AND PEDIATRIC BURN CENTER; BREAST IMAGING CENTER OF EXCELLENCE; COMPREHENSIVE STROKE CENTER; KNEE AND HIP REPLACEMENT, AND TREATMENT OF COMPLEX AND RARE CANCERS.
FORM 990, PART III, LINE 4B MEDICAL EDUCATION:	THE GOALS OF THE PARTNERSHIP ARE TO FACILITATE THE EXPANSION OF JOINT EDUCATIONAL AND RESEARCH PROGRAMS IN ORDER TO COMPETE BOTH CLINICALLY AND ACADEMICALLY. RIH SPONSORS GRADUATE MEDICAL EDUCATION PROGRAMS ACCREDITED BY OR UNDER THE AUSPICES OF THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), WHILE ALSO SPONSORING HOSPITAL-APPROVED RESIDENCY AND FELLOWSHIP PROGRAMS. RIH SERVES AS THE PRINCIPAL SETTING FOR THESE CLINICAL TRAINING PROGRAMS, WHICH ENCOMPASS MANY DISCIPLINES. RIH PROVIDES STIPENDS TO RESIDENTS AND PHYSICIAN FELLOWS WHILE IN TRAINING. IN 2025, STUDENTS ENROLLED IN BROWN UNIVERSITY'S UNDERGRADUATE MEDICAL EDUCATION PROGRAMS RECEIVED TRAINING AT RIH. RIH TEACHING FACULTY ENSURE THAT THE EXPERIENCE FOR BOTH UNDERGRADUATE AND GRADUATE MEDICAL EDUCATION TRAINEES REMAIN TRANSFORMATIVE - DRAMATICALLY CHANGING NOVICE PRACTITIONERS INTO PHYSICIANS ABLE TO THINK, ACT, AND KEEP THEIR FOCUS ON THE ULTIMATE GOAL OF PROVIDING THE BEST AND MOST APPROPRIATE CARE FOR PATIENTS NO MATTER WHAT THE SETTING OR CIRCUMSTANCES. RIH IS ALSO A PARTICIPATING CLINICAL TRAINING SITE FOR RESIDENTS AND FELLOWS FROM OTHER PROGRAMS. VARIOUS DEPARTMENTS AND SPECIALTIES AT RIH SERVE AS CLINICAL SITES FOR PHYSICIAN ASSISTANT SCHOOLS. IN ADDITION, BEHAVIORAL MEDICINE AT RIH, IN COLLABORATION WITH BROWN, SPONSORS RESEARCH AND CLINICAL PSYCHOLOGY TRAINING PROGRAMS FOR INTERNS, POSTDOCTORAL FELLOWS, AND FACULTY TRAINEES. WITH RESPECT TO NURSING EDUCATION, RIH HAS DEVELOPED EDUCATIONAL AFFILIATIONS WITH VARIOUS SCHOOLS OF NURSING, PURSUANT TO WHICH THEIR NURSING STUDENTS OBTAIN CLINICAL TRAINING AND EXPERIENCE AT RIH. RIH DOES NOT RECEIVE ANY COMPENSATION FROM THE VARIOUS SCHOOLS FOR PROVIDING A CLINICAL SETTING FOR THE STUDENT NURSE TRAINING. THE BROWN UNIVERSITY HEALTH SCHOOL OF MEDICAL IMAGING COLLABORATES WITH RHODE ISLAND COLLEGE IN THE FOLLOWING PROGRAMS: DIAGNOSTIC MEDICAL SONOGRAPHY; NUCLEAR MEDICINE TECHNOLOGY; RADIOGRAPHY; AND MAGNETIC RESONANCE IMAGING. STUDENTS COMPLETE EDUCATIONAL EXPERIENCES AT RIH, AS WELL AS OTHER OUTPATIENT SITES. RIH ALSO SPONSORS EDUCATION PROGRAMS IN COMPUTED TOMOGRAPHY AND MAMMOGRAPHY. AT RIH, CLINICAL AFFILIATIONS/STUDENT CLINICAL TRAINING PROGRAMS ARE PROVIDED THROUGH CONTRACTS WITH SEVERAL COLLEGES AND UNIVERSITIES IN THE PROFESSIONAL AREAS OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY, PHYSICAL THERAPY, PHYSICAL THERAPY ASSISTANTS, OCCUPATIONAL THERAPY, CERTIFIED OCCUPATIONAL THERAPY ASSISTANTS, AND CHILD DEVELOPMENT. RIH HAS CLINICAL TRAINING AFFILIATIONS IN RESPIRATORY THERAPY WITH NEW ENGLAND INSTITUTE OF TECHNOLOGY AND CCRI. IN ADDITION, RIH IS THE HOST FOR TRAINING PROGRAMS IN HISTOLOGY, CYTOLOGY, PHLEBOTOMY, AND MEDICAL LABORATORY SCIENCE (MEDICAL TECHNOLOGY) SPONSORED JOINTLY THROUGH THE UNIVERSITY OF RHODE ISLAND, SALVE REGINA UNIVERSITY, AND RHODE ISLAND COLLEGE. THESE PROGRAMS ALLOW STUDENTS TO OBTAIN DIDACTIC COURSEWORK AT PARTNER UNIVERSITIES AND AT RIH, AND CLINICAL EDUCATION AND EXPERIENCE ON SITE AT RIH, RESULTING IN CERTIFICATION FOR CAREERS IN CLINICAL LABORATORIES. RIH ALSO HAS CLINICAL AFFILIATIONS/STUDENT CLINICAL TRAINING PROGRAMS FOR PHARMACY STUDENTS PROVIDED THROUGH CONTRACTS WITH A NUMBER OF COLLEGES AND UNIVERSITIES. RIH'S PHARMACY DEPARTMENT SPONSORS A POSTGRADUATE YEAR ONE (PGY1) RESIDENCY PROGRAM IN PHARMACY PRACTICE. IN ADDITION, RIH'S PHARMACY DEPARTMENT CO-SPONSORS SECOND-YEAR POSTGRADUATE SPECIALIZED RESIDENCY PROGRAMS IN ONCOLOGY AND AMBULATORY CARE PHARMACY. RIH'S PHARMACISTS PARTICIPATE IN THE EDUCATION OF PHARMACY, NURSING, AND PHYSICIAN ASSISTANT STUDENTS BY PROVIDING DIDACTIC LECTURES AT VARIOUS UNIVERSITIES. IN ADDITION, RIH HAS CLINICAL SOCIAL WORK STUDENT CONTRACTS WITH VARIOUS EDUCATIONAL FACILITIES.
FORM 990, PART III, LINE 4C RESEARCH:	RIH PROVIDED $16.3 MILLION IN SUPPORT OF RESEARCH ACTIVITIES IN FISCAL YEAR 2025. MAJOR AREAS OF RESEARCH INCLUDE: CANCER: RIH PARTICIPATES IN CLINICAL TRIALS OF NEW THERAPEUTIC AGENTS IN BOTH ADULT AND PEDIATRIC MEDICINE. THESE TRIALS ARE SUPPORTED BY NATIONAL INSTITUTES OF HEALTH (NIH) SPONSORED GROUPS SUCH AS ALLIANCE AND CHILDREN'S ONCOLOGY GROUP (COG). RIH IS A PARTICIPATING HOSPITAL IN THE BROWN-SPONSORED CANCER ONCOLOGY GROUP (BRUCOG). HEART DISEASE: RESEARCH CONTINUES IN AREAS OF INVASIVE THERAPY, SUCH AS ANGIOPLASTY, ATHERECTOMY, CORONARY STENTING, LASER TREATMENT OF CORONARY ARTERY DISEASE, AND THE REASONS FOR SUDDEN HEART FAILURE. NEUROLOGICAL ILLNESS: THE ALZHEIMER'S DISEASE AND MEMORY DISORDER CENTER COMBINES HIGH QUALITY NEUROLOGICAL, NEUROPSYCHOLOGIC, AND PSYCHIATRIC SERVICES, THUS CREATING A COMPREHENSIVE DIAGNOSTIC AND TREATMENT OPTION FOR PATIENTS WITH MEMORY DISORDERS. INFECTIOUS DISEASES: RIH'S RESEARCH TEAM HAS BEEN AT THE HEART OF THE GLOBAL COVID-19 RESPONSE, FROM BEING SOUGHT AFTER FOR COMMENT BY NATIONAL MEDIA, TO BEING SELECTED AS A SITE FOR VACCINE TRIALS. RIH RESEARCH IS ALSO FOCUSED ON THE TREATMENT AND PREVENTION OF OPIOID ABUSE.
FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	LAWRENCE A. AUBIN, SR., CHAIRMAN, AND MICHAEL L. HANNA, DIRECTOR - BUSINESS RELATIONSHIP, MUKESH K. JAIN, MD, DIRECTOR AND CHRISTINA H. PAXSON, PHD, DIRECTOR - BUSINESS RELATIONSHIP
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	BROWN UNIVERSITY HEALTH IS THE SOLE MEMBER OF RIH.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	THE BYLAWS OF RIH CONFER CERTAIN RESERVED POWERS UPON BROWN HEALTH TO PROVIDE IT WITH THE MEANS OF EFFECTIVE OVERSIGHT, COORDINATION, AND SUPPORT OF THE SYSTEM. POWERS RESERVED TO BROWN HEALTH INCLUDE THE POWER TO ELECT AND REMOVE RIH TRUSTEES, AND TO APPROVE THE ELECTION OR REMOVAL OF CERTAIN OFFICERS. THE RIH BOARD IS COMPRISED OF THE SAME INDIVIDUALS WHO SERVE ON THE BROWN HEALTH BOARD.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	BROWN HEALTH HAS THE RESPONSIBILITY FOR PLANNING, DIRECTING, AND ESTABLISHING POLICIES INTENDED TO ASSURE THE DEVELOPMENT AND DELIVERY OF QUALITY HEALTH SERVICES ON AN INTEGRATED, COST-EFFECTIVE BASIS. SPECIFIC DECISIONS RESERVED TO BROWN HEALTH INCLUDE: APPROVAL OF AMENDMENTS OF THE ARTICLES OF INCORPORATION AND BYLAWS AND OTHER CHARTER DOCUMENTS; TO APPROVE STRATEGIC PLANS; APPROVAL OF INVESTMENT POLICIES AND ANY CAPITAL OR OPERATING BUDGETS OR MATERIAL NON-BUDGETED EXPENDITURES; AND AUTHORIZATION OF THE INCURRENCE OR GUARANTY OF MATERIAL INDEBTEDNESS.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	THE PREPARATION AND FILING OF THE FORM 990 AND SUPPORTING SCHEDULES IS THE RESPONSIBILITY OF THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER (EVP/CFO) AND BROWN HEALTH'S FINANCE DEPARTMENT. THE FORM 990 IS PREPARED BY THE ACCOUNTING STAFF UPON COMPLETION OF BROWN HEALTH'S ANNUAL INDEPENDENT AUDIT AND IS REVIEWED BY THE CORPORATE SERVICES TAX COMPLIANCE MANAGER AND THE VP OF CORPORATE FINANCIAL SERVICES. IN ADDITION, KPMG IS ENGAGED TO PERFORM AN INDEPENDENT REVIEW OF THE FORM 990 AND SUPPORTING SCHEDULES AND PROVIDE RECOMMENDATIONS AS APPROPRIATE. THE DRAFT FORM 990 IS THEN PROVIDED TO THE EVP/CFO FOR FINAL MANAGEMENT REVIEW. PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE, A COPY OF THE ENTIRE FORM IS POSTED TO RIH'S BOARD OF TRUSTEES WEBSITE PORTAL IN ADVANCE OF ITS NEXT BOARD MEETING. AT THE TIME OF THE BOARD MEETING THE 990 IS PRESENTED BY THE BROWN HEALTH VP OF CORPORATE FINANCIAL SERVICES AND THE EVP/CFO, AT WHICH TIME ALL QUESTIONS AND CONCERNS OF THE MEMBERS OF THE BOARD ARE ADDRESSED BY THE EVP/CFO AND INCORPORATED INTO THE FORM 990 WHEN APPROPRIATE. ONCE THE FORM 990 IS COMPLETE AND READY TO BE FILED, THE MEMBERS OF THE BOARD ARE NOTIFIED VIA EMAIL THAT A COPY OF THE FINAL VERSION OF THE FORM 990 IS ACCESSIBLE THROUGH THE SAME PASSWORD PROTECTED WEBSITE PORTAL. THE EVP/CFO AUTHORIZES THE FILING OF THE FORM 990.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	BROWN UNIVERSITY HEALTH (BUH) HAS A CONFLICT-OF INTEREST POLICY APPLICABLE TO ALL AFFILIATES WHICH IS ADMINISTERED BY THE BUH CORPORATE COMPLIANCE DEPARTMENT AS FOLLOWS: EACH DESIGNATED PERSON SUBJECT TO BROWN UNIVERSITY HEALTH'S CONFLICT OF INTEREST POLICY IS REQUIRED TO PROVIDE BROWN UNIVERSITY HEALTH WITH AN INITIAL DISCLOSURE STATEMENT AND THEREAFTER AN ANNUAL STATEMENT: (I) ATTESTING THAT THE DESIGNATED PERSON HAS READ AND IS FAMILIAR WITH THIS POLICY, AND (II) EITHER ATTESTING THAT THE DESIGNATED PERSON AND, TO THE BEST OF HIS/HER KNOWLEDGE, FAMILY MEMBERS, HAVE NOT IN THE PAST ENGAGED IN, ARE NOT PRESENTLY ENGAGING IN, OR PLAN TO ENGAGE IN, ANY ACTIVITY WHICH CONSTITUTES A CONFLICT OR POTENTIAL CONFLICT OF INTEREST OR DISCLOSING ANY SUCH CONFLICT OR POTENTIAL CONFLICT OF INTEREST, IN WHICH LATTER CASE, THE CORPORATE COMPLIANCE DEPARTMENT, THROUGH A CONFLICT OF INTEREST COMMITTEE, REVIEWS THE SITUATION AND OVERSEES ANY NECESSARY MITIGATION MEASURE REQUIRED TO ELIMINATE OR AMELIORATE THE CONFLICT OF INTEREST. FURTHER, IF AT ANY TIME DURING EMPLOYMENT OR ASSOCIATION, A DESIGNATED PERSON HAS REASON TO BELIEVE THAT A NEW OR CONTEMPLATED ACTIVITY CONSTITUTES A CONFLICT OF INTEREST, THE DESIGNATED PERSON IS REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENT WHICH WILL THEN BE REVIEWED BY THE CORPORATE COMPLIANCE DEPARTMENT IN CONSULTATION WITH THE CONFLICT OF INTEREST COMMITTEE AND MITIGATION MEASURES TAKEN AS APPROPRIATE. THIS REQUIREMENT IS ACKNOWLEDGED AS PART OF THE ANNUAL PERFORMANCE EVALUATION PROCESS. IF THE ACTIVITY IN QUESTION INVOLVES THE CHIEF EXECUTIVE OFFICER A DETERMINATION IS ALSO SOUGHT FROM THE CHAIRMAN OF THE BOARD OF DIRECTORS OF BROWN UNIVERSITY HEALTH. ANNUALLY, THE BROWN UNIVERSITY HEALTH COMPLIANCE OFFICER REVIEWS AND REPORTS TO THE BROWN UNIVERSITY HEALTH EXECUTIVE CORPORATE COMPLIANCE COMMITTEE, THE BROWN UNIVERSITY HEALTH GOVERNANCE AND NOMINATING COMMITTEE AND TO THE BROWN UNIVERSITY HEALTH AUDIT AND COMPLIANCE COMMITTEE ON THE ADMINISTRATION OF THIS POLICY. FAILURE ON THE PART OF ANY DESIGNATED PERSON TO COMPLY WITH THIS POLICY, INCLUDING FAILURE TO SUBMIT IN A TIMELY FASHION THE CONFLICT-OF-INTEREST DISCLOSURE STATEMENT OR UPDATES AS REQUIRED, MAY RESULT IN REMOVAL FROM THEIR POSITION AND/OR TERMINATION OF THEIR EMPLOYMENT WITH BROWN UNIVERSITY HEALTH.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE FOLLOWING APPLIES TO BROWN HEALTH AND ALL OF ITS AFFILIATES, INCLUDING RIH: EXECUTIVE COMPENSATION BROWN HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY BALANCES APPROPRIATE STEWARDSHIP OF RESOURCES AND THE NEED TO BE COMPETITIVE IN RECRUITING AND RETAINING TALENTED INDIVIDUALS. IT INCORPORATES MARKET COMPETITIVE AND PERFORMANCE-RELATED PRINCIPLES AND COVERS THE PRESIDENT AND CEO OF BROWN HEALTH AS WELL AS OTHER OFFICERS, SENIOR MANAGEMENT, AND KEY EMPLOYEES. BROWN HEALTH'S EXECUTIVE COMPENSATION PROGRAM COMPLIES BOTH WITH LAW AND WITH CONTEMPORARY ETHICAL NORMS, AND IS ADMINISTERED CONSISTENT WITH THE ORGANIZATION'S TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND THE AVOIDANCE OF TRANSACTIONS SUBJECT TO INTERMEDIATE SANCTIONS UNDER SECTION 4958 OF THE IRC. EXECUTIVE COMPENSATION IS ALSO ADMINISTERED CONSISTENT WITH BROWN HEALTH'S CORPORATE COMPLIANCE POLICY ON EXCESS BENEFIT TRANSACTIONS. THE COMPENSATION COMMITTEE OF THE BROWN UNIVERSITY HEALTH BOARD OF DIRECTORS (THE COMMITTEE), COMPRISED OF DISINTERESTED BROWN HEALTH BOARD MEMBERS, IS RESPONSIBLE FOR DILIGENT OVERSIGHT OF EXECUTIVE COMPENSATION TO ENSURE COMPLIANCE WITH IRC REQUIREMENTS. ITS DUTIES INCLUDE: * APPROVING ELIGIBILITY FOR PARTICIPATION IN THE EXECUTIVE COMPENSATION PROGRAM * APPROVING CHANGES IN COMPENSATION FOR EXISTING EXECUTIVE PARTICIPANTS * APPROVING GUIDELINES, SUCH AS SALARY RANGES AND CONTRACT TERMS, ON APPROPRIATE LEVELS OF COMPENSATION FOR OTHER KEY EMPLOYEES * APPROVING NEW, AND MODIFYING OR TERMINATING EXISTING, EXECUTIVE COMPENSATION PLANS INCLUDING, BUT NOT LIMITED TO, ANNUAL INCENTIVE AND EXECUTIVE BENEFIT PLANS * APPROVING PERFORMANCE OBJECTIVES ASSOCIATED WITH BROWN HEALTH'S ANNUAL INCENTIVE PLAN, INCLUDING MEASURING POINTS, AND USING VERIFIED ACTUAL PERFORMANCE RELATIVE TO THESE OBJECTIVES AS A PRECONDITION TO APPROVING THE PAYMENT OF ANY AWARDS UNDER THE PLAN * AUTHORIZING PERIODIC PERFORMANCE BENCHMARK STUDIES TO BE CONDUCTED FOR PURPOSES OF ASSESSING BROWN HEALTH'S PERFORMANCE WITHIN THE HEALTHCARE INDUSTRY AND THE DEGREE TO WHICH TOTAL REMUNERATION LEVELS AT BROWN HEALTH ARE GENERALLY COMMENSURATE WITH BROWN HEALTH PERFORMANCE RELATIVE TO HEALTHCARE INDUSTRY PERFORMANCE * CONDUCTING AN ANNUAL PERFORMANCE REVIEW OF BROWN HEALTH'S CHIEF EXECUTIVE OFFICER. THE CHAIR OF THE COMMITTEE CONDUCTS AND DOCUMENTS THIS REVIEW, BASED ON HIS/HER OBSERVATIONS AND INTERPRETATION OF FEEDBACK FROM MEMBERS OF THE BOARD OF DIRECTORS. * SELECTING AND ENGAGING QUALIFIED, INDEPENDENT, THIRD-PARTY COMPENSATION VALUATION CONSULTANTS THAT THE COMMITTEE CHARGES WITH RENDERING OPINIONS WITH RESPECT TO THE REASONABLENESS AND COMPARABILITY OF COMPENSATION AS WELL AS THE COMPARATIVE ORGANIZATIONS AGAINST WHICH COMPENSATION IS ASSESSED, IN ACCORDANCE WITH RELEVANT SECTIONS OF THE IRC AND BROWN HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY. BROWN HEALTH'S CHIEF EXECUTIVE OFFICER WORKS CLOSELY WITH THE COMMITTEE TO MAKE RECOMMENDATIONS ON THE ABOVE TOPICS AND KEEP THE COMMITTEE INFORMED ABOUT CONTEMPLATED COMPENSATION CHANGES FOR EXECUTIVES AND OTHER KEY EMPLOYEES, AS WELL AS CANDIDATES FOR THESE ROLES. THE CEO ALSO PROVIDES PERIODIC UPDATES TO THE COMMITTEE REGARDING BROWN HEALTH'S PERFORMANCE RELATIVE TO COMPENSATION-RELATED PERFORMANCE OBJECTIVES. THE COMMITTEE'S DELIBERATIONS AND ACTIONS ARE DOCUMENTED IN MINUTES PREPARED FOR EACH MEETING. PROCESS FOR DETERMINING COMPENSATION VALUATION OF TOTAL CASH AND TOTAL REMUNERATION: NO LESS FREQUENTLY THAN ANNUALLY, THE COMMITTEE RECEIVES AND REVIEWS A TOTAL CASH COMPENSATION VALUATION OF ALL EXISTING EXECUTIVE COMPENSATION PROGRAM PARTICIPANTS PREPARED BY ITS INDEPENDENT COMPENSATION CONSULTANT. ANNUALLY, THE COMMITTEE ALSO RECEIVES AND REVIEWS A TOTAL REMUNERATION VALUATION OF ALL EXISTING EXECUTIVE COMPENSATION PARTICIPANTS. BASE SALARY ACTIONS: THE CEO RECOMMENDS ANY SALARY ADJUSTMENTS FOR PARTICIPANTS IN THE EXECUTIVE COMPENSATION PROGRAM, USING THE RESULTS OF THE VALUATION STUDY AND HIS/HER ASSESSMENT OF INDIVIDUAL PERFORMANCE OR OTHER PERTINENT INFORMATION, FOR THE COMMITTEE'S CONSIDERATION. NEW PARTICIPANTS IN EXECUTIVE COMPENSATION PROGRAM: WITH RESPECT TO COMPENSATION OFFERS FOR INDIVIDUALS EXPECTED TO PARTICIPATE IN THE EXECUTIVE COMPENSATION PROGRAM, CERTAIN MEMBERS OF THE BROWN HEALTH CEO'S LEADERSHIP TEAM WORK WITH THE COMMITTEE'S INDEPENDENT COMPENSATION CONSULTANT OR RELY ON INFORMATION PREVIOUSLY PROVIDED BY THE CONSULTANT TO ESTABLISH A RANGE OF REASONABLE CASH COMPENSATION WITHIN WHICH RECRUITMENT IS EXPECTED TO CONCLUDE WITH ACCEPTANCE OF A REASONABLE COMPENSATION OFFER.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	BROWN HEALTH AND THE BROWN HEALTH OBLIGATED GROUP, WHICH CONSISTS OF RIH, THE MIRIAM HOSPITAL, EMMA PENDLETON BRADLEY HOSPITAL, RHODE ISLAND HOSPITAL FOUNDATION, AND THE MIRIAM HOSPITAL FOUNDATION, CURRENTLY MAKE THEIR ANNUAL AND QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC VIA DAC (DIGITAL ASSURANCE CERTIFICATION, LLC), A DISCLOSURE DISSEMINATION AGENT FOR ISSUERS OF TAX EXEMPT BONDS WHICH ELECTRONICALLY POSTS AND TRANSMITS BROWN HEALTH'S FINANCIAL INFORMATION TO REPOSITORIES AND INVESTORS ALIKE. IN ADDITION, COPIES OF RIH'S ARTICLES OF INCORPORATION, BYLAWS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE OFFICE OF THE BROWN HEALTH EVP/CFO, EITHER IN PERSON OR BY MAIL.
FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE	ALL OTHER REVENUE - TOTAL REVENUE: -21311600, RELATED OR EXEMPT FUNCTION REVENUE: -23206780, UNRELATED BUSINESS REVENUE: 1783179, REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 112001; ALL OTHER REVENUE - TOTAL REVENUE: , RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	CHANGE IN FUNDED STATUS OF PENSION AND OTHER POSTRETIREMENT - 9921082; INCREASE IN INTEREST IN NET ASSETS OF RHODE ISLAND HOSPITAL FOUNDATION - 10057459; JOINT VENTURE EQUITY TRANSFER - -49479225; NET ASSETS TRANSFER FROM RELATED ORGANIZATIONS - 51313; TOTAL - -29449371;
FORM 990, PART VII - COMPENSATION EXPLANATION	INDIVIDUALS ARE REPORTED BELOW AS THEY WERE COMPENSATED BY A RELATED ORGANIZATION: JOHN FERNANDEZ SERVES AS PRESIDENT OF BROWN HEALTH AND AFFILIATES, DEVOTING 40+ HOURS PER WEEK TO THE COMBINED ORGANIZATIONS. AS PART OF HIS RESPONSIBILITIES, HE PROVIDES ADMINISTRATIVE OVERSIGHT TO ALL OF BROWN HEALTH'S AFFILIATED ORGANIZATIONS DISCLOSED IN SCHEDULE R. MR. FERNANDEZ'S COMPENSATION WAS PAID BY BROWN HEALTH DURING CALENDAR YEAR 2024. PAUL J. ADLER, BROWN HEALTH SECRETARY, IS ALSO SENIOR VICE PRESIDENT AND GENERAL COUNSEL OF BROWN UNIVERSITY HEALTH AND VARIOUS OTHER AFFILIATES. AS A FULL-TIME EMPLOYEE HE DEVOTES 40+ HOURS PER WEEK TO THESE ORGANIZATIONS. HIS COMPENSATION IS PAID BY BROWN UNIVERSITY HEALTH. PETER K. MARKELL SERVES AS EVP/CFO OF BROWN HEALTH AND AFFILIATES, DEVOTING 40+ HOURS PER WEEK TO THE COMBINED ORGANIZATIONS. AS PART OF HIS RESPONSIBILITIES, HE PROVIDES FINANCIAL OVERSIGHT TO ALL OF BROWN HEALTH'S AFFILIATED ORGANIZATIONS DISCLOSED IN SCHEDULE R. MR. MARKELL'S COMPENSATION WAS PAID BY BROWN HEALTH DURING CALENDAR YEAR 2024. EVA GREENWOOD SERVED AS TREASURER OF BROWN HEALTH AND AFFILIATES UNTIL DECEMBER 31, 2023. MS. GREENWOOD CONTINUES TO SERVE BROWN HEALTH AND AFFILIATES AS SVP OF FINANCE, DEVOTING 40+ HOURS PER WEEK TO THE COMBINED ORGANIZATIONS. AS PART OF HER RESPONSIBILITIES, SHE PROVIDES FINANCIAL OVERSIGHT TO ALL OF BROWN HEALTH'S AFFILIATED ORGANIZATIONS DISCLOSED IN SCHEDULE R. MS. GREENWOOD'S COMPENSATION WAS PAID BY BROWN HEALTH DURING CALENDAR YEAR 2024. SARAH FROST BECAME THE EVP & CHIEF OF HOSPITAL OPERATIONS OF BROWN HEALTH AND AFFILIATES AND PRESIDENT OF RIH IN JUNE 2024. MS. FROST SERVES AS A FULL-TIME EMPLOYEE DEVOTING 40+ HOURS PER WEEK TO THE COMBINED ORGANIZATIONS. MS. FROST'S COMPENSATION WAS PAID BY BROWN HEALTH DURING CALENDAR YEAR 2024. ZIYA L. GOKASLAN, MD, TRUSTEE, IS ALSO THE NEUROSURGEON-IN-CHIEF AT RHODE ISLAND HOSPITAL AND THE MIRIAM HOSPITAL. AS A FULL-TIME EMPLOYEE HE DEVOTES 40+ HOURS PER WEEK TO THE NEUROSURGERY SERVICE-LINE. HIS COMPENSATION IS PAID BY BROWN HEALTH MEDICAL GROUP. G. DEAN ROYE, SVP AND CHIEF MEDICAL OFFICER AT RHODE ISLAND HOSPITAL, SERVED AS INTERIM PRESIDENT OF RHODE ISLAND HOSPITAL AND AFFILIATES UNTIL JUNE 2024. AS A FULL-TIME EMPLOYEE HE DEVOTES 40+ HOURS PER WEEK TO THE ORGANIZATION. HIS COMPENSATION WAS PAID BY RHODE ISLAND HOSPITAL.
FORM 990, PART I, LINE 6 VOLUNTEERS	VOLUNTEERS SUPPORT AND CONTRIBUTE TO THE MISSION OF RIH AND HCH EVERY DAY, GIVING THEIR TIME, ENERGY, AND ENTHUSIASM. THEY ARE ABLE TO LEARN, MEET OTHER DEDICATED VOLUNTEERS, BETTER UNDERSTAND THE HEALTHCARE ENVIRONMENT, AND GAIN PERSONAL SATISFACTION KNOWING THEY ARE MAKING A DIFFERENCE TO PATIENTS, FAMILIES, AND VISITORS ALIKE. VOLUNTEER OPPORTUNITIES ARE AVAILABLE TO BOTH TEENS AND ADULTS IN A WIDE VARIETY OF AREAS INCLUDING: AMBASSADORS, ART ACTIVITIES, BOOK CART, CANINE ASSISTED THERAPY, COMFORT CART FOR FAMILIES, DIAGNOSTIC IMAGING, EMERGENCY DEPARTMENT, EMPLOYEE SNACK CART, ENDOSCOPY, FOOD PANTRY, GERIATRIC CHAMPIONS, HAND MASSAGE, INFECTION CONTROL, MUSIC ACTIVITIES, OFFICE SUPPORT, ONCOLOGY, OUTPATIENT CLINICS, PATIENT AND GUEST SERVICES, PEDIATRIC PARTIAL DAY PROGRAM, PEDIATRIC PRE-OP AND POST-OP, PEDIATRIC PLAYROOMS, PICU, PT/OT, AND RECOVERY ROOM. VOLUNTEERS INCLUDE COLLEGE AND HIGH SCHOOL STUDENTS, RETIREES, WORKING PROFESSIONALS, INDIVIDUALS CONSIDERING A CAREER CHANGE OR RETURNING TO THE WORK FORCE, AND INDIVIDUALS WITH A SPECIAL SKILL OR TALENT.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BROWN UNIVERSITY HEALTH PHARMACY LLC
593 EDDY STREET	PROVIDENCE	RI	02903	461697290	PHARMACEUTICAL SALES	RI	$139,012,905	$39,366,110	RHODE ISLAND HOSPITAL
RADIOSURGERY CENTER OF RHODE ISLAND LLC
593 EDDY STREET	PROVIDENCE	RI	02903	262171671	RADIOSURGERY	RI	$6,909,735	$2,977,095	RHODE ISLAND HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ALC DBA HSR
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050442015	HOUSING FOR ELDERLY AND MENTALLY ILL	RI	501(C)(3)	10	GATEWAY HEALTHCARE INC	false
BAYBERRY COURTS INC
15 LASALLE SQUARE	PROVIDENCE	RI	02903	204590384	HOUSING FOR ELDERLY AND MENTALLY ILL	RI	501(C)(3)	10	GATEWAY HEALTHCARE INC	false
BRADLEY HOSPITAL FOUNDATION
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050500688	PHILANTHROPIC ACTIVITIES	RI	501(C)(3)	7	BROWN UNIVERSITY HEALTH	false
BROWN HEALTH MEDICAL GROUP
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050389801	PHYSICIAN HEALTH CARE SERVICES	RI	501(C)(3)	10	BROWN UNIVERSITY HEALTH	false
BROWN HEALTH MEDICAL GROUP OF MASSACHUSETTS INC
15 LASALLE SQUARE	PROVIDENCE	RI	02903	331237732	PHYSICIAN HEALTH CARE SERVICES	MA	501(C)(3)	10	BROWN UNIVERSITY HEALTH	false
BROWN HEALTH MEDICAL GROUP PRIMARY CARE
15 LASALLE SQUARE	PROVIDENCE	RI	02903	844944884	PHYSICIAN HEALTH CARE SERVICES	RI	501(C)(3)	10	BROWN UNIVERSITY HEALTH	false
BROWN UNIVERSITY HEALTH
15 LASALLE SQUARE	PROVIDENCE	RI	02903	222861978	HOLDING COMPANY/MGMNT SERVICES	RI	501(C)(3)	TYPE II	NA	false
BROWN UNIVERSITY HEALTH FOUNDATION
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050493219	PHILANTHROPIC ACTIVITIES	RI	501(C)(3)	7	BROWN UNIVERSITY HEALTH	false
BROWN HEALTH OF MASSACHUSETTS INC
15 LASALLE SQUARE	PROVIDENCE	RI	02903	043408517	HOLDING COMPANY	MA	501(C)(3)	TYPE II	BROWN UNIVERSITY HEALTH	false
CAPITAL CITY COMMUNITY CENTERS INC
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050259090	DAYCARE SERVICES	RI	501(C)(3)	7	GATEWAY HEALTHCARE INC	false
EMMA PENDLETON BRADLEY HOSPITAL
1011 VETERANS MEMORIAL PARKWAY	EAST PROVIDENCE	RI	02914	050258806	PEDIATRIC PSYCHIATRIC HEALTH CARE SVCS	RI	501(C)(3)	3	BROWN UNIVERSITY HEALTH	false
FAMILIES REACHING INTO EACH NEW DAY
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050504841	BEREAVEMENT SERVICES FOR CHILDREN	RI	501(C)(3)	7	GATEWAY HEALTHCARE INC	false
GATEWAY HEALTHCARE INC
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050309043	SUBSTANCE ABUSE & PSYCH HEALTH CARE SVCS	RI	501(C)(3)	10	BROWN UNIVERSITY HEALTH	false
HOSPITAL PROPERTIES
15 LASALLE SQUARE	PROVIDENCE	RI	02903	222869743	PROPERTY MANAGEMENT	RI	501(C)(4)		BROWN UNIVERSITY HEALTH	false
JM APARTMENTS INC
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050435537	HOUSING FOR ELDERLY AND MENTALLY ILL	RI	501(C)(3)	10	GATEWAY HEALTHCARE INC	false
LJR CORPORATION
15 LASALLE SQUARE	PROVIDENCE	RI	02903	030508346	HOUSING FOR ELDERLY AND MENTALLY ILL	RI	501(C)(3)	10	GATEWAY HEALTHCARE INC	false
MILL RIVER COMMUNITY HOUSING CORPORATION
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050427152	HOUSING FOR ELDERLY AND MENTALLY ILL	RI	501(C)(3)	10	GATEWAY HEALTHCARE INC	false
MORTON HOSPITAL
88 WASHINGTON STREET	TAUNTON	MA	02780	994836263	HEALTH CARE SERVICES	MA	501(C)(3)	3	BROWN UNIVERSITY HEALTH	false
NEWPORT HEALTH CARE CORPORATION
11 FRIENDSHIP STREET	NEWPORT	RI	02840	222535537	HOLDING COMPANY/MGMNT SERVICES	RI	501(C)(3)	7	BROWN UNIVERSITY HEALTH	false
NEWPORT HEALTH PROPERTY MANAGEMENT
11 FRIENDSHIP STREET	NEWPORT	RI	02840	222335539	PROPERTY MANAGEMENT	RI	501(C)(3)	TYPE I	NEWPORT HEALTH CARE CORPORATION	false
NEWPORT HOSPITAL
11 FRIENDSHIP STREET	NEWPORT	RI	02840	050258914	HEALTH CARE SERVICES	RI	501(C)(3)	3	BROWN UNIVERSITY HEALTH	false
NEWPORT HOSPITAL FOUNDATION INC
11 FRIENDSHIP STREET	NEWPORT	RI	02840	222535533	PHILANTHROPIC ACTIVITIES	RI	501(C)(3)	7	BROWN UNIVERSITY HEALTH	false
NHCC MEDICAL ASSOCIATES INC
11 FRIENDSHIP STREET	NEWPORT	RI	02840	050472268	HEALTH CARE SERVICES	RI	501(C)(3)	10	BROWN UNIVERSITY HEALTH	false
OBED APARTMENTS INC
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050422771	HOUSING FOR ELDERLY AND MENTALLY ILL	RI	501(C)(3)	10	GATEWAY HEALTHCARE INC	false
PATHWAYS INC
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050393004	HOUSING FOR ELDERLY AND MENTALLY ILL	RI	501(C)(3)	10	GATEWAY HEALTHCARE INC	false
RHODE ISLAND HOSPITAL FOUNDATION
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050468736	PHILANTHROPIC ACTIVITIES	RI	501(C)(3)	7	BROWN UNIVERSITY HEALTH	false
RIH VENTURES
593 EDDY STREET	PROVIDENCE	RI	02903	050448686	PARKING FACILITIES/PHLEBOTOMY SERVICES	RI	501(C)(3)	10	BROWN UNIVERSITY HEALTH	false
SAINT ANNE'S HOSPITAL
795 MIDDLE STREET	FALL RIVER	MA	02721	994841947	HEALTH CARE SERVICES	MA	501(C)(3)	3	BROWN UNIVERSITY HEALTH	false
SHORE COURTS INC
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050504003	HOUSING FOR ELDERLY AND MENTALLY ILL	RI	501(C)(3)	10	GATEWAY HEALTHCARE INC	false
THE AUTISM PROJECT
1516 ATWOOD AVENUE	JOHNSTON	RI	02919	050512037	SERVICES FOR CHILDREN WITH AUTISM	RI	501(C)(3)	9	GATEWAY HEALTHCARE INC	false
THE BRADLEY SCHOOLS
140 BROADWAY	PROVIDENCE	RI	02903	464910847	EDUCATIONAL SERVICES	RI	501(C)(3)	2	EMMA PENDLETON BRADLEY HOSPITAL	false
THE MIRIAM HOSPITAL
164 SUMMIT AVENUE	PROVIDENCE	RI	02906	050258905	HEALTH CARE SERVICES	RI	501(C)(3)	3	BROWN UNIVERSITY HEALTH	false
THE MIRIAM HOSPITAL FOUNDATION
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050377502	PHILANTHROPIC ACTIVITIES	RI	501(C)(3)	7	BROWN UNIVERSITY HEALTH	false
TLR REALTY
15 LASALLE SQUARE	PROVIDENCE	RI	02903	043742771	HOUSING FOR ELDERLY AND MENTALLY ILL	RI	501(C)(3)	10	GATEWAY HEALTHCARE INC	false
WENTWORTH CORPORATION
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050488520	HOUSING FOR ELDERLY AND MENTALLY ILL	RI	501(C)(3)	10	GATEWAY HEALTHCARE INC	false
WESTERLY COURTS INC
15 LASALLE SQUARE	PROVIDENCE	RI	02903	611439766	HOUSING FOR ELDERLY AND MENTALLY ILL	RI	501(C)(3)	10	GATEWAY HEALTHCARE INC	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BROWN UNIVERSITY HEALTH ALLIANCE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15 LASALLE SQUARE	AddressLine1Txt
City	PROVIDENCE	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02903	ZIPCd

Field	Value	IRS element (for citing)
EIN	812732225	EIN
Primary Activities	ACO	PrimaryActivitiesTxt
Legal Domicile State	RI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
BROWN UNIVERSITY HEALTH MSO INC
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050508717	MGMNT SVCS	RI	BROWN UNIV HEALTH	C CORPORATION	$0	$0	0	false
BROWN UNIVERSITY HEALTH RISK SERVICES
15 LASALLE SQUARE	PROVIDENCE	RI	02903	050459767	RISK MGMNT	RI	BROWN UNIV HEALTH	C CORPORATION	$0	$0	0	false
VNA TECHNICARE INC (DBA BROWN HEALTH HOME MEDICAL)
200 CORLISS STREET	PROVIDENCE	RI	02904	050472710	DME SALES	RI	THE MIRIAM HOSPITAL	C CORPORATION	$0	$0	0	false
CHARITABLE TRUST (1)
					PHILANTHROPY	RI	NA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HOSPITAL PROPERTIES
S	$100,176	ACCRUAL
HOSPITAL PROPERTIES
K	$919,482	ACCRUAL

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP	FormAndLineReferenceDesc
Explanation	NAME, ADDRESS, AND EIN OF RELATED ORGANIZATION: BROWN UNIVERSITY HEALTH ALLIANCE, LLC EIN: 81-2732225 15 LASALLE SQUARE PROVIDENCE, RI 02903	ExplanationTxt