THE MIRIAM HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: THE MIRIAM HOSPITAL (EIN 05-0258905)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-17
IRS object ID: 202642309349300104
Schema version: 2024v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
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	2026-08-17T15:51:21-07:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	050258905	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE MIRIAM HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MIRI	BusinessNameControlTxt
Phone	4017932500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	164 Summit Avenue	AddressLine1Txt
City	Providence	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02906	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Kevin Bickerstaff	PersonNm
Person Title	Director of Finance	PersonTitleTxt
Phone	4014447035	PhoneNum
Signature	2026-08-17	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John Fernandez	PrincipalOfficerNm

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)
Gross Receipts	$880,827,175	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.miriamhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1926	FormationYr
Legal Domicile State	RI	LegalDomicileStateCd
Activity Or Mission	As a founding hospital in the Brown University Health system, The Miriam Hospital (TMH) is committed to its mission: Delivering health with care.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	4283	TotalEmployeeCnt
Total Volunteers	250	TotalVolunteersCnt
Total Gross UBI	$3,097,083	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$114,352	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,087,083	PYContributionsGrantsAmt
CY Contributions Grants	$16,669,718	CYContributionsGrantsAmt
PY Program Service Revenue	$695,247,024	PYProgramServiceRevenueAmt
CY Program Service Revenue	$727,629,930	CYProgramServiceRevenueAmt
PY Investment Income	$28,765,082	PYInvestmentIncomeAmt
CY Investment Income	$37,171,375	CYInvestmentIncomeAmt
PY Other Revenue	$24,723,455	PYOtherRevenueAmt
CY Other Revenue	$35,518,141	CYOtherRevenueAmt
PY Total Revenue	$755,822,644	PYTotalRevenueAmt
CY Total Revenue	$816,989,164	CYTotalRevenueAmt
PY Grants And Similar Paid	$204,430	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$269,102	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$311,463,090	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$311,612,625	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$411,022,850	PYOtherExpensesAmt
CY Other Expenses	$411,636,633	CYOtherExpensesAmt
PY Total Expenses	$722,690,370	PYTotalExpensesAmt
CY Total Expenses	$723,518,360	CYTotalExpensesAmt
PY Revenues Less Expenses	$33,132,274	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$93,470,804	CYRevenuesLessExpensesAmt
Total Assets BOY	$800,046,092	TotalAssetsBOYAmt
Total Assets EOY	$1,066,262,318	TotalAssetsEOYAmt
Total Liabilities BOY	$297,813,505	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$459,782,774	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$502,232,587	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$606,479,544	NetAssetsOrFundBalancesEOYAmt
Mission	As a founding hospital in the Brown University Health system, TMH is committed to its mission: Delivering health with care.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$533,762,908	ExpenseAmt
Grant	$269,102	GrantAmt
Revenue	$695,132,096	RevenueAmt
Desc	Patient Care: TMH offers expertise in cardiology, oncology, orthopedics, men's health, and minimally invasive surgery, and is home to the State's first Joint Commission- certified Stroke Center and robotic surgery program. Services and programs provided by TMH also include anesthesiology; general medicine; general surgery; psychiatry; emergency medicine; cardiovascular care; orthopedics; dermatology; nuclear cardiology; radiology; laboratory; renal dialysis; urology; gastroenterology; endocrinology; gynecology; nephrology; neurology; and ophthalmology. TMH is licensed to operate 247 acute care beds by the Rhode Island Department of Health. Notable medical accomplishments of TMH include performance of Rhode Island's first lung operation, first kidney transplant, and first aortic balloon valvuloplasty (a procedure to clear blocked heart valves). In 2025, TMH discharged 16,687 inpatients, logged more than 73,000 visits in its Emergency Department, and performed 12,378 inpatient and outpatient surgical procedures. Services provided in 2025 represent 69,832 inpatient days and more than 130,000 clinic visits. TMH is staffed by 1,298 privileged physicians, approximately 92 full-time house staff (medical school graduates), and a nursing staff of 927. In total, TMH employs more than 3,500 people. TMH is a major teaching affiliate of The Warren Alpert Medical School of Brown University, providing clinical rotations for residents. TMH provides full charity care for individuals at or below twice the federal poverty level, with a sliding scale for individuals up to three times the poverty level, as set by the Department of Health and Human Services. In addition, a substantial discount consistent with Medicare program reimbursement is offered to all other uninsured patients. TMH determines the costs associated with providing charity care by aggregating the applicable direct and indirect costs, including compensation and benefits, supplies, and other operating expenses, based on data from its costing system. The total cost, excluding medical education and research, incurred by TMH to provide charity care amounted to $14,176,405 in fiscal 2025. Charges forgone, based on established rates, amounted to $37,514,988. TMH substantially subsidized various health services including the following programs: adult psychiatry, tuberculosis, and certain other specialty services at a net cost of $4,997,246 in fiscal year 2025. TMH also provides numerous other services to the community for which charges are not generated. These services include certain emergency services, community health screenings for cardiac health, prostate cancer and other diseases, smoking cessation, immunization and nutrition programs, diabetes education, community health training programs, patient advocacy, foreign language translation, physician referral services, and charitable contributions. The net cost of these services amounted to $277,492 in fiscal year 2025. TMH subsidizes the cost of treating patients who receive government assistance where reimbursement is below cost. Medicaid is a means-tested health insurance program, jointly funded by state and federal governments. States administer the program and set rules for eligibility, benefits, and provider payments within broad federal guidelines. The program provides health care coverage to low-income children and families, pregnant women, long-term unemployed adults, seniors, and persons with disabilities. Eligibility is determined by a variety of factors, which include income relative to the federal poverty line, age and immigration status, and assets. TMH offers expertise in total joint replacement, minimally invasive and robotic surgery, and bariatric surgery, among many other specialties. The Leonard and Adele R. Decof Family Comprehensive Cancer Center at TMH brings together world-renowned physicians and a team of specialists from TMH, Rhode Island Hospital (RIH), and Newport Hospital (NH), forming a multidisciplinary team whose level of knowledge and experience are unparalleled in the State of Rhode Island. TMH, as a part of the Brown University Health Cancer Institute, provides state-of-the-art care for patients with cancer. Award-Winning Care: Through the years, TMH has received numerous distinctions and awards. TMH is one of an elite group of hospitals nationwide and internationally to achieve Magnet designation for nursing excellence six times from the American Nurses Credentialing Center (ANCC), with a current designation through 2025. This is the highest nursing credential, earned after an extensive application process is conducted every four years, in a hospital where nurses participate at all levels of care, making clinical and systems decisions to improve patient outcomes and experience. The Magnet Model promotes the critical role of nurses in achieving improved empirical outcomes through transformational leadership, structural empowerment, exemplary professional practice and new knowledge, innovations and improvements. A Magnet designated hospitals must possess high level nurse-to-patient ratios above non-magnet hospitals and demonstrate improved patient outcomes with superb nursing care for retaining this credential. TMH earned the "Top Hospital in Rhode Island" designation from US News & World Report for the 14th year in a row in its 2025 to 2026 report on the best hospitals in the country. The Miriam also ranked as the Top Hospital in the Providence metro area, which includes Providence, Pawtucket, Rhode Island, Fall River, Massachusetts, and New Bedford, Massachusetts. Additionally, US News & World Report awarded TMH a "high performing," rating for treatment of 8 conditions and adult specialty areas including hip and knee replacements, hip fractures, back surgery spinal fusion, colon cancer surgery, heart attack, stroke, pneumonia and chronic obstructive pulmonary disease. In 2025, TMH made Becker's 2025 list of 100 "Great Hospitals in America". The hospital has been recognized for delivering excellent clinical care, prioritizing patient safety, and driving innovation through research, education and continuous improvement. The Spine Center at TMH has earned an Advanced Certification in Spine Surgery (ACSS) from The Joint Commission, making it the first program in the region to earn an advanced certification, after a rigorous two-day survey by The Joint Commission resulting in "zero findings", making it an accredited Spine Center of Excellence. In 2025, the Total Joint Center at TMH continued to meet the rigorous performance standards of The Joint Commission when it earned its fifth Gold Seal of Approval for Advanced Total Hip and Knee Replacement. The Gold Seal is a symbol of quality that reflects a healthcare organization's commitment to providing safe and quality patient care. This recertification recognizes the ongoing commitment to the highest standards of care and outcomes by all the members of the team at the Total Joint Center. TMH has earned American College of Emergency Physicians (ACEP) Geriatric Emergency Department Accreditation (GEDA). This milestone reflects the ongoing commitment to providing high-quality, compassionate care, particularly for a growing geriatric population. This accreditation reflects The Miriam's implementation of evidence-based best practices in geriatric emergency care including specialized screening tools, careful prescribing to avoid high-risk medications, integration of palliative care and geriatric psychiatry consults, reduction in urinary catheter use, and improved access to transportation and transitional care services including pathways to both short- and long-term rehabilitation. TMH was named one of Avant-Garde Health's Healthcare Research All-Stars for 2025, placing it among the top one percent for orthopedic surgery research hospitals in the nation. Alan Daniels, MD, chief, division of spine surgery, and director, adult spinal deformity service, Rhode Island and The Miriam Hospitals, Eren O. Kuris, MD, spine surgeon, Bassel Diebo, MD, spine and scoliosis surgeon, and Brett D. Owens, MD, division chief, sports medicine were among the 2025 Avant Garde Health's Research All-Stars. The Healthcare Research All-Stars 2025 list recognizes top surgeons and hospitals across 22 specialties, including spine surgery and sports medicine. Top hospitals and surgeons are identified by procedural volumes, peer-reviewed publications, and publication weight. TMH Received Castle Connolly's Top Hospital 2025 award for excellence in cancer care (mastectomy) and gastroenterology and bariatrics (colon surgery). In the spring of 2025, TMH earned a Leapfrog Hospital Safety Grade of "A." The Leapfrog Group is a national nonprofit upholding the standard of patient safety in hospitals and ambulatory surgery centers. TMH received this national distinction for its achievements in prioritizing patient safety by protecting patients from preventable harm and errors.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$57,410,773	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$57,408,292	RevenueAmt
Desc	Research: TMH has 428 research projects with total expenses of $57.4 million in fiscal year 2025 (106 investigators and 179 employees). TMH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in National Institutes of Health programs. TMH also sponsors a significant level of these research activities. Federal support accounts for approximately 41% of all externally funded research at TMH. Researchers focus on clinical trials which investigate prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac disease, and mental health concerns. TMH provided $2,481,000 in support of research activities in fiscal year 2025. TMH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in National Institutes of Health programs. Major areas of research include: Cancer - TMH conducts clinical and behavioral research focusing on the many facets of cancer including prevention, education, and therapeutics, which are supported by the National Cancer Institute, the Cancer and Leukemia Group B, and the National Surgical Adjuvant Breast and Bowel Project. TMH is a participating hospital in the Brown University-sponsored Cancer Oncology Group. HIV/AIDS - The Brown Health/Tufts/Brown Center for AIDS Research (CFAR) is a joint research effort among Brown University and Tufts University and their affiliated hospitals and centers. It is one of 20 centers located at academic medical centers throughout the United States that are part of the national CFAR program of the National Institutes of Health. The program emphasizes the importance of interdisciplinary collaboration, especially between basic and clinical investigators, and also encourages training and mentoring of young investigators as well as an inclusion of women and minorities. As part of the CFAR, division researchers engage in clinical, basic, and translational research designed to improve the prevention and treatment of HIV/AIDS, with a major focus on women, racial and ethnic minorities, and individuals with substance abuse problems. At TMH, research focuses on the treatment and prevention of HIV infections, especially in hard-to-reach populations, both in the U.S. and abroad. There are international sites located in Cambodia, India, Kenya, Indonesia, The Philippines, and South Africa. TMH's TB Clinic performs research in the area of co-infections of HIV and tuberculosis. The Centers for Behavioral and Preventive Medicine aims to improve health through behavioral change and the integration of behavioral and biomedical science using clinical, community, and laboratory-based research. The Centers' research bridges biomedical, sociobehavioral, and population/public health scientific disciplines. Faculty members are committed to both basic research on discovering the mechanisms underlying behavioral factors in health and illness (e.g., examining the stress response among children and adolescents, neuroimaging of AIDS, and other medical conditions), and to applied research on the translation of these discoveries for clinical and community health improvement. Programs range from those that focus on primary prevention (e.g., promoting smoking cessation, preventing weight gain, increasing physical activity, and HIV/AIDS prevention) to improving the effectiveness of treatment and enhancing quality of life in populations such as cancer survivors and patients enrolled in cardiac rehabilitation programs.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$28,484,125	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$6,611,331	RevenueAmt
Desc	Medical Education: TMH provides the setting for and substantially supports medical education in various clinical training and nursing programs. TMH is designated as a major teaching affiliate of The Warren Alpert Medical School of Brown University. The total cost of direct medical education provided by TMH exceeded the reimbursement received from third-party payors by $21.9 million in fiscal year 2025. TMH provides the setting for and substantially supports medical education in various clinical training and nursing programs. The total cost of medical education provided by TMH exceeded the reimbursement received from third-party payors by $21,872,794 in 2025. In 1969, TMH and certain other Rhode Island hospitals entered into an affiliation agreement to participate jointly in various clinical training programs and research activities with Brown Medical School, renamed The Warren Alpert Medical School of Brown University (Brown). The goals of the partnership are to facilitate the expansion of joint educational and research programs to enable competition both clinically and academically. TMH participates in Brown programs in anesthesiology, internal medicine and medicine subspecialties, general surgery and surgical subspecialties, psychiatry, emergency medicine and emergency medicine subspecialties, orthopedics and orthopedic subspecialties, and dermatology. TMH provides stipends to residents and physician fellows while in training. In addition, TMH is a participating clinical training site for residents from other programs in anesthesiology, family medicine, internal medicine, emergency medicine, hematology/oncology, obstetrics/gynecology (OB/Gyn) and OB/Gyn subspecialties, dermatology, dermatopathology and pediatric pathology, otolaryngology, pediatric dentistry, podiatry, psychiatry and its subspecialties of forensic psychiatry, consult liaison psychiatry and geriatric psychiatry, orthopedics, rheumatology, and radiation oncology. Various departments and specialties at TMH serve as clinical sites for the physician assistant schools of Johnson & Wales University, Bryant University, and the Massachusetts College of Pharmacy. In addition, Behavioral Medicine at TMH, in collaboration with Brown, sponsors research and clinical psychology training programs for interns, postdoctoral fellows, and faculty trainees. With respect to nursing education, TMH has developed educational affiliations with the University of Rhode Island College of Nursing; Community College of Rhode Island (CCRI); Salve Regina University; Boston College; Yale University; Regis College; Simmons College; the University of Massachusetts campuses at Dartmouth, Boston, Amherst, and Worcester; Framingham State University; the University of Connecticut; The New England Institute of Technology; Northeastern University; Drexel University; Walden University; Georgetown University School of Nursing and Health Studies; Duke University School of Nursing; and the University of Pennsylvania, as well as other Schools of Nursing, pursuant to which their nursing students obtain clinical training and experience at TMH. TMH does not receive any compensation from the various schools for providing a clinical setting for the student nurse training. The Brown 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 the Hospital, as well as other outpatient sites. TMH sponsors training programs for a variety of allied health care professionals, including required clinical and fieldwork experiences in physical, speech, and occupational therapy, which are provided to university students in each discipline through contracts with the various universities. TMH acts as a clinical training site for students from CCRI in its vascular and cardiology ultrasound programs and provides training experiences for both phlebotomy students and physical therapy assistant students. TMH serves as a clinical training site for students from The Nuclear Medicine Institute of the University of Findlay (Ohio) and has educational affiliations with the respiratory programs at both CCRI and The New England Institute of Technology. TMH's EEG Department provides clinical training to neurodiagnostic technology students from Laboure College (Massachusetts). TMH has clinical affiliations/student clinical training programs for pharmacy students provided through contracts with various colleges and universities. Most of the pharmacy students attend the University of Rhode Island, Massachusetts College of Pharmacy and Health Sciences, and Northeastern University. TMH has clinical social work student contracts with Rhode Island College, Boston University, Boston College, Smith College, Simmons College, and Bridgewater State University.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$619,657,806	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (1)	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	206	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4283	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	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 (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Peter K Markell	PersonNm
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 (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
John Fernandez
Trustee	3	70	Yes (X)	$0	$1,651,362	$365,361
Ziya L Gokaslan MD
Trustee	0.5	45	Yes (X)	$0	$1,671,733	$46,216
Peter K Markell
Treasurer	0.5	59.5		$0	$1,464,555	$40,760	Yes (X)
Timothy J Babineau MD
Former Trustee	0	0		$0	$1,335,765	$0		Yes (X)
Paul J Adler
Secretary	2	48		$0	$879,367	$149,013	Yes (X)
Maria Ducharme
President	38	12		$0	$694,877	$135,722	Yes (X)
Vanzetta V James DNP
Fmr CNO	0	0		$367,313	$0	$327,587		Yes (X)
Eva Greenwood
Fmr Treasurer	0	60		$0	$539,491	$116,060		Yes (X)
Mark Deitch MD
CMO	40	0		$486,975	$0	$105,793			Yes (X)
Janine Lairmore
VP- Cardiovascular Institute	40	0		$401,315	$0	$98,099				Yes (X)
Laura R Stroud
Director Center of Behavior	40	0		$341,381	$0	$54,795				Yes (X)
Rena Wing
Senior Researcher	40	0		$347,492	$0	$45,999				Yes (X)
Wenliang Song
Research Scientist	40	0		$289,932	$0	$45,313				Yes (X)
Jill Underwood
Registered Nurse	40	0		$264,705	$0	$25,716				Yes (X)
Lawrence A Aubin Sr
Chairperson	0.5	9.75	Yes (X)	$0	$0	$0	Yes (X)
Emanuel Barrows
Trustee	0.5	6.5	Yes (X)	$0	$0	$0
Roger N Begin CFP
Trustee	2	11	Yes (X)	$0	$0	$0
Bernard Buonanno
Trustee	0.5	2.5	Yes (X)	$0	$0	$0
Peter Capodilupo
Vice Chair thru 12/24	0.5	2.5	Yes (X)	$0	$0	$0	Yes (X)
Chris Cocks
Trustee	0.5	2.5	Yes (X)	$0	$0	$0
Sarah T Dowling
Trustee thru 12/24	0.5	2.5	Yes (X)	$0	$0	$0
Edward D Feldstein
Trustee thru 12/24	0.5	1.6	Yes (X)	$0	$0	$0
Michael L Hanna
Trustee	0.5	1.75	Yes (X)	$0	$0	$0
Mukesh Jain
Trustee	0.5	2.5	Yes (X)	$0	$0	$0
Phillip Kydd
Trustee thru 12/24	0.2	2.8	Yes (X)	$0	$0	$0
Alan H Litwin
Vice Chair	2	8.5	Yes (X)	$0	$0	$0	Yes (X)
Martha Mainiero MD
Trustee	0.5	3.6	Yes (X)	$0	$0	$0
Paula McNamara
Trustee	0.5	2.5	Yes (X)	$0	$0	$0
Samuel Mencoff
Trustee	1	19	Yes (X)	$0	$0	$0
Christina Paxson
Trustee	0.5	2.5	Yes (X)	$0	$0	$0
Janet Robinson
Trustee	0.5	2.5	Yes (X)	$0	$0	$0
Lawrence B Sadwin
Trustee thru 12/24	1	12	Yes (X)	$0	$0	$0
Shivan Subramaniam
Trustee	0.25	5.25	Yes (X)	$0	$0	$0
Angel Tavares
Trustee	0.5	2.5	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,499,113	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,237,150	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,556,434	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	550	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	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	Providence	RI	02903	Medical Services	$9,507,698
Brown Surgical Associates Inc
2 Dudley Street Ste 470	Providence	RI	02905	Medical Services	$4,182,088
Brown Emergency Medicine
125 Whipple Street	Providence	RI	02908	Medical Services	$2,825,662
O'Grady Peyton International USA Inc
12400 High Bluff Drive	San Diego	CA	92130	Contracted Labor	$2,360,153
AMN Healthcare Inc
2735 Collection Center Drive	Chicago	IL	60693	Contracted Labor	$2,296,827

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	33	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$9,281,386	RelatedOrganizationsAmt
Government Grants	$7,372,504	GovernmentGrantsAmt
All Other Contributions	$15,828	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$16,669,718	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Program Service Revenue	622110	$670,430,073	$670,430,073	$0	$0
Direct Revenue from Research	541710	$57,408,292	$57,408,292	$0	$0
Special Purpose Funds	900099	-$208,435	-$208,435	$0	$0

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	$727,629,930	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,824,464	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$9,824,464	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,707,568	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,808,299	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$899,269	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$899,269	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$899,269	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$89,376,623	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$62,029,712	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$27,346,911	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,346,911	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$27,346,911	ExclusionAmt

Field	Value	IRS element (for citing)
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Joint Program Revenue	900099	$18,783,330	$18,783,330	$0	$0
Indirect Revenue from Grants	900099	$5,098,011	$5,098,011	$0	$0
Lab Revenue	621500	$3,050,548	$0	$3,050,548	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,686,983	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,640,448	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$46,535	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$34,618,872	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$816,989,164	TotalRevenueColumnAmt
Related Or Exempt Func Income	$759,151,719	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,097,083	UnrelatedBusinessRevenueAmt
Exclusion	$38,070,644	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$269,102	TotalAmt
Program Services	$269,102	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$899,196	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$899,196	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$245,095,917	TotalAmt
Program Services	$242,457,505	ProgramServicesAmt
Management And General	$2,638,412	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,855,575	TotalAmt
Program Services	$11,779,389	ProgramServicesAmt
Management And General	$76,186	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,726,292	TotalAmt
Program Services	$36,403,329	ProgramServicesAmt
Management And General	$322,963	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,035,645	TotalAmt
Program Services	$16,852,259	ProgramServicesAmt
Management And General	$183,386	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

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

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$458,133	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$458,133	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,942,518	TotalAmt
Program Services	$28,849,173	ProgramServicesAmt
Management And General	$93,345	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$47,457	TotalAmt
Program Services	$47,457	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,533,956	TotalAmt
Program Services	$3,350,420	ProgramServicesAmt
Management And General	$183,536	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,478,738	TotalAmt
Program Services	$14,478,738	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$418,198	TotalAmt
Program Services	$416,856	ProgramServicesAmt
Management And General	$1,342	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$964,017	TotalAmt
Program Services	$958,698	ProgramServicesAmt
Management And General	$5,319	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,713,183	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,713,183	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,038,570	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$24,038,570	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,530,798	TotalAmt
Program Services	$6,530,798	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical & Surgical Supplies	$89,752,450	$17,704,060	$72,048,390	$0
Purchased Services and Equipment Contracts	$86,163,505	$86,162,531	$974	$0
License Fee	$63,136,912	$63,136,912	$0	$0
Provision for Bad Debt	$24,860,001	$24,860,001	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$65,598,197	TotalAmt
Program Services	$65,400,578	ProgramServicesAmt
Management And General	$197,619	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$723,518,360	TotalAmt
Program Services	$619,657,806	ProgramServicesAmt
Management And General	$103,860,554	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$295,010	BOYAmt
EOY	$302,086	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$18,172,422	BOYAmt
EOY	$4,768,453	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,992,823	BOYAmt
EOY	$7,182,366	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$53,193,910	BOYAmt
EOY	$60,136,446	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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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	$7,482,268	BOYAmt
EOY	$6,555,291	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$47,435,807	BOYAmt
EOY	$251,261,485	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$419,754,339	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$243,154,606	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$165,358,998	BOYAmt
EOY	$176,599,733	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$176,882,471	BOYAmt
EOY	$213,625,022	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$233,306,839	BOYAmt
EOY	$239,170,097	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$95,925,544	BOYAmt
EOY	$106,661,339	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$800,046,092	BOYAmt
EOY	$1,066,262,318	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$63,103,901	BOYAmt
EOY	$54,679,548	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$17,465	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,488,297	BOYAmt
EOY	$38,268,917	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$157,850,000	BOYAmt
EOY	$157,850,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,353,842	BOYAmt
EOY	$208,984,309	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$297,813,505	BOYAmt
EOY	$459,782,774	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	$405,172,822	BOYAmt
EOY	$476,380,465	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$97,059,765	BOYAmt
EOY	$130,099,079	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$502,232,587	BOYAmt
EOY	$606,479,544	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$800,046,092	BOYAmt
EOY	$1,066,262,318	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$93,470,804	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,017,079	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$5,759,074	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$410,189,310	BeginningYearBalanceAmt
Contributions	$79,773,677	ContributionsAmt
Investment Earnings Or Losses	$41,730,321	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$78,898,189	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$452,795,119	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$267,125,223	BeginningYearBalanceAmt
Contributions	$177,110,435	ContributionsAmt
Investment Earnings Or Losses	$44,708,426	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$78,754,774	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$410,189,310	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$268,275,493	BeginningYearBalanceAmt
Contributions	$62,653,282	ContributionsAmt
Investment Earnings Or Losses	$22,867,528	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$86,671,080	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$267,125,223	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$295,359,050	BeginningYearBalanceAmt
Contributions	$66,302,197	ContributionsAmt
Investment Earnings Or Losses	-$34,132,762	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$59,252,992	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$268,275,493	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$218,566,531	BeginningYearBalanceAmt
Contributions	$94,109,929	ContributionsAmt
Investment Earnings Or Losses	$45,013,085	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$62,330,495	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$295,359,050	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.8453	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.1547	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$3,683,785	OtherCostOrOtherBasisAmt
Book Value	$3,683,785	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$247,294,258	OtherCostOrOtherBasisAmt
Depreciation	$161,016,357	DepreciationAmt
Book Value	$86,277,901	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$147,951,084	OtherCostOrOtherBasisAmt
Depreciation	$82,138,249	DepreciationAmt
Book Value	$65,812,835	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$20,825,212	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$20,825,212	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$176,599,733	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Cash Equivalents	$120,265,829	F
Interest in Brown Investment Pool	$61,505,220	F
Collective Investment Funds and Limited Partnerships	$54,369,978	F
Marketable Alternatives	$3,029,070	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$239,170,097	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Interest in TMH Foundation	$92,726,561
Right-of-Use Assets, Operating Leases	$12,487,945
Deferred Financing Costs	$1,220,114
Other Assets	$226,719

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$106,661,339	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Due to Affiliates	$184,231,990
Non-current Operating Lease Liabilities	$12,077,222
Third-party Payor Liabilities	$5,355,917
Healthcare Benefit Self-Insurance Liabilities	$3,451,377
Non-current Arbitrage Bond Liabilities	$2,479,528
Accrued Pension Liability	$960,200
Other Liabilities	$286,375
Post-retirement Benefit Liability	$141,700

Field	Value	IRS element (for citing)
Total Liability	$208,984,309	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$801,325,671	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$5,017,079	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$5,759,073	OtherRevenueAmt
Revenue Not Reported	$10,776,152	RevenueNotReportedAmt
Revenue Subtotal	$790,549,519	RevenueSubtotalAmt
Investment Expenses Not Incld	$458,133	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$25,981,512	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$26,439,645	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$816,989,164	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$697,078,714	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$1,808,299	OtherExpensesIncludedAmt
Expenses Not Reported	$1,808,299	ExpensesNotReportedAmt
Expenses Subtotal	$695,270,415	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$458,133	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$27,789,812	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$28,247,945	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$723,518,360	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4	TMH's unrestricted endowment consists of designated assets set aside by TMH's Board for future capital improvements, over which the Board retains control and may at its discretion subsequently use for other purposes. The largest temporarily restricted funds held by TMH are used to support: (1) recruitment for the Director of the Weight Control & Diabetes Center; (2) clinical care, research, and education to develop treatment for pelvic floor disorders; (3) general hospital programs; (4) support of Cardiology labs and programs; (5) the Surgery Department's educational and investigational functions; (6) operational support to the Women's Cardiac Program and physical space; (7) expand the Mobile Integrated Healthcare (MIH) program at TMH; (8) student loan repayment and tuition assistance in Nursing; (9) the Department of Psychiatry's operations, education, research, and capital needs; (10) general support to community populations in need; (11) neuroscience research; (12) Medical Staff Association needs; (13) growth and enhancement for metastatic cancer clinical research trials; (14)multidisciplinary program support for diagnosing and evaluating of lung modules; (15) TMH's staff and patient wellness program, including supplies and equipment, wellness training, development, and educational workshops.
Schedule D, Part X, Line 2	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 and substantially all its affiliates are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes pursuant to Section 501(a) of the Code. Brown Health MSO, Inc., Lifespan Risk Services, Inc.(d/b/a Brown University Health Risk Services), and VNA Technicare, Inc. (d/b/a Brown Health Home Medical) are taxable corporations. TMH 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. TMH did not recognize the effect of any income tax positions in either 2025 or 2024.
Schedule D, Part XI, Line 2d	Inter-affiliate net asset transfer- $1.480,779. Change in funded status of pension & post-retirement: $1,951,228. Joint Venture loss: ($13.116.557). Increase in net assets of TMH Foundation: $15,443,623.
Schedule D, Part XI, Line 4b	Provision for bad debts- contractuals: $23,316,470. Misc. non-operating gains & losses: $4,471,289. Interest expense on line-of-credit: $2,052. Rental expenses:($1,808,299).
Schedule D, Part XII, Line 2d	Rental Expenses: $1,808,299.
Schedule D, Part XII, Line 4b	Provision for bad debts- contractuals: $23,316,470. Misc. non-operating gains & losses: $4,471,289. Interest expense on line-of-credit: $2,053.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (5 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Sub-Saharan Africa	5	Program Services	Research	$252,733
Europe (including Iceland and Greenland)	3	Program Services	Research	$6,785
East Asia and the Pacific	1	Program Services	Research	$1,837
Middle East and North Africa	1	Program Services	Research	$1,800
Central America and the Caribbean	2	Program Services	Research	$1,074

Field	Value	IRS element (for citing)
Total Office	0	TotalOfficeCnt
Total Employee	12	TotalEmployeeCnt
Total Spent	$264,229	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 2	FormAndLineReferenceDesc
Explanation	When a foreign institution is the subrecipient of an award received by a Brown Health affiliate, the following procedures are adhered to: A subrecipient agreement is prepared and executed between the foreign institution and the Brown Health affiliate. The agreement describes the funding source, terms and conditions of the award, statement of work, payment method, and audit process. The foreign institution prepares an invoice to the Brown Health affiliate for expenses incurred under the agreement. Once received, the invoice is reviewed and approved by both the principal investigator at the Brown Health affiliate and the responsible research administrator in the Brown Health Office of Research Administration. Check requests and wire transfer forms are prepared by the principal investigator, approved by the responsible research administrator, and forwarded to the Brown Health Finance Department, where payment is processed to the foreign institution. Additionally, when the award is a federal award, a questionnaire is completed by the appropriate subrecipient official supplying information about the foreign institution's financial system and method of accounting for the award. A request is also made for the institution's audited financial statements. When a foreign individual is not associated with an institution, a Professional Services Agreement (PSA) is executed and the individual sends an invoice to the Brown Health affiliate principal investigator associated with the project or sponsored agreement that states the number of hours, dates of services, work performed, expense reimbursement request, and compensation amount. The same approval and payment process is used as described above. Expenditures related to foreign activities are recorded on the accrual basis of accounting.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$17,918,671	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,742,266	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,176,405	NetCommunityBenefitExpnsAmt
Total Expense	0.0203	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

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	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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	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	$17,918,671	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,742,266	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,176,405	NetCommunityBenefitExpnsAmt
Total Expense	0.0203	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$361,668	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,176	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$277,492	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$28,484,125	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,611,331	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,872,794	NetCommunityBenefitExpnsAmt
Total Expense	0.0313	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$11,332,427	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,335,182	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,997,245	NetCommunityBenefitExpnsAmt
Total Expense	0.0072	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$63,774	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,293	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,481	NetCommunityBenefitExpnsAmt
Total Expense	0.00	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$155,204	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$155,204	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$40,397,198	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,091,982	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,305,216	NetCommunityBenefitExpnsAmt
Total Expense	0.0391	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$58,315,869	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,834,248	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,481,621	NetCommunityBenefitExpnsAmt
Total Expense	0.0594	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,043,466	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,214	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$92,456,518	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$97,846,031	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,389,513	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	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	The Miriam Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	164 Summit Avenue	AddressLine1Txt
City	Providence	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02906	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.miriamhospital.org	WebsiteAddressTxt
State License	HOS00122	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
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	The Miriam Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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
Other	Yes (X)	OtherInd
CHNA Conducted	25	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.brownhealth.org/sites/default/files/2025-10/Brown-University-Health-The-Miriam-Hospital-	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.brownhealth.org/sites/default/files/2026-06/2026-2028_TMH_BUH_CHNA-CHIP_IS.pdf	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300	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 (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	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 (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://brownhealth-corporate.policystat.com/policy/token_access/404f8d95-a8e9-4104-9cfe-4ad1b8fff8b	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.brownhealth.org/sites/default/files/2026-05/Brown-University-Health-Financial-Assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://brownhealth-corporate.policystat.com/policy/token_access/e4da701f-e2a0-472a-b2d0-d2c426ca603	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 (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	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 (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 2-The Miriam Hospital	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 TMH'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 V, Section B, Line 3-The Miriam Hospital	The CHNA process involved the integration of information from a range of data sources to identify the significant health needs of the community served by The Miriam Hospital, prioritize those needs, and identify the resources, facilities, and programs to address them. In order to identify the significant health needs of this community, primary quantitative and qualitative data and secondary quantitative data were collected. Regarding the significant needs that were identified in TMH's 9/30/2025 CHNA, they have been prioritized in order of significant needs of the community, as determined by a steering committee comprised of the Community Liaisons, TMH liaison, Brown Health Community Health Institute (BUHHI) leadership, TMH leadership, and Brown Health leadership.
Schedule H, Part V, Section B, Line 5-The Miriam Hospital	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. Based on the CHNA findings, Brown University Health and Saint Anne's Hospital will focus on the following priority areas, addressing underlying Social Drivers of Health and the needs of distinct population groups as cross-cutting strategies: 1. Access to Care 2. Behavioral Health 3. Chronic Diseases 4. Maternal and Child Health 5. Older Adult Health and Wellbeing 6. Social Drivers of Health 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-The Miriam Hospital	Facility: Rhode Island Hospital Emma Pendleton Bradley Hospital Newport Hospital
Schedule H, Part V, Section B, Line 11-The Miriam Hospital	TMH's Community Health Needs Assessment issued for the fiscal year ended September 30, 2025 identified five significant health issue areas requiring a further implementation strategy. Those significant health issue areas include: (1) access to care and services; (2) behavioral health; (3)chronic disease prevention and mmanagement;(4) maternal and child health; and 5) older adult health and wellbeing. The implementation strategy to address those significant health needs outlined between October 1, 2025 - September 30, 2028 is available at: https://www.brownhealth.org/sites/default/files/2026-06/2026-2028_TMH_BUH_CHNA-CHIP_IS.pdf
Schedule H, Part V, Section B, Line 16j-The Miriam Hospital	An abbreviated version of TMH's Financial Assistance Policy is posted in various admitting and outpatient areas of TMH. 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	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Cardiovascular Institute
950 Warren Avenue	East Providence	RI	02914	Outpatient Cardiac Clinic
TMH Immunology Research Center
14 Third St and 11 Fourth St	Providence	RI	02906	Outpatient Counseling
Cardiovascular Institute
1454 South County Trail Suite 2000	East Greenwich	RI	02818	Outpatient Cardiac Clinic
Cardiovascular Institute
208 Collyer St Stes 100 and 102	Providence	RI	02904	Outpatient Cardiac Clinic
Women's Medicine Collaborative
146 West River St 2nd Fl Ste 11	Providence	RI	02904	Comprehensive Women's Outpatient Clinic
TMH Diagnostic Imaging Center
195 Collyer Street Suite 101	Providence	RI	02904	Outpatient Radiology
TMH Cardiac Rehab-Pulmonary Rehab
208 Collyer Street 2nd Flr	Providence	RI	02904	Outpatient Cardiac Clinic
TMH Weight Control and Diabetes Research
196 Richmond Street	Providence	RI	02903	Outpatient Research & Education
Intensive Cardiac Rehab Program
1454 South County Trail Suite 1100	East Greenwich	RI	02818	Outpatient Cardiac Clinic
TMH Outpatient Rehabilitation
195 Collyer Street	Providence	RI	02904	Outpatient PT, OT, and Speech Rehab
Men's Health & Infectious Disease
180 Corliss St Stes C-E-F	Providence	RI	02904	Comprehensive Men's Outpatient Clinic
TMH Laboratory
1 Commerce Street	Lincoln	RI	02865	Phlebotomy Lab
Blackstone Valley Community Health Cente
1000 Broad Street	Central Falls	RI	02863	Outpatient Rehab Clinic
Adult and Pediatric Rehabilitation Service
1 Commerce Street 2nd Floor	Lincoln	RI	02865	Outpatient Rehab Clinic
Women's and Men's Health Pelvic Rehab
148 West River Street Suite 1D	Providence	RI	02904	Outpatient Rehabilitation Services
TMH Laboratory
1180 Hope Street Basement Floor	Bristol	RI	02809	Phlebotomy Lab
RISE TB Clinic
14 Third Street	Providence	RI	02906	TB Clinic
TMH Laboratory
400 Bald Hill Road	Warwick	RI	02886	Phlebotomy Lab
East Providence Imaging
375 Wampanoag Trail Suite 101B	Riverside	RI	02915	Outpatient Diagnostic Imaging
TMH Pre-admission Test Center
208 Collyer Street Third Floor	Providence	RI	02904	Outpatient Pre-admission Assessment & Education
Brown University Health Medical Imaging
900 Warren Avenue Suite 100	East Providence	RI	02914	Outpatient Radiology

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	The Miriam Hospital (TMH) uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test. The financial screening process at TMH 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 TMH.) 4. Uninsured patients receive a discount equal to the discount received by Medicare beneficiaries on TMH 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 $9,400 for an individual (or $14,100 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 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 either case, the final results of the financial screening are recorded in the comments section of TMH's billing system. Requests for Payment Arrangements: Patient Financial Advocates (PFAs) will qualify patients that are receiving non-urgent, medically indicated procedures prior to services. The PFAs 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	The community benefit report for all Brown University Health affiliated hospitals (The Miriam Hospital (TMH), Rhode Island Hospital (RIH), Emma Pendleton Bradley Hospital (EPBH), and Newport Hospital (NH)) is maintained by Brown Health and included in Brown Health's annual report. The annual report for the year ended September 30, 2025 is available at the following link. https://www.brownhealth.org/sites/default/files/2025-07/Annual-Report-2024_250709.pdf
Schedule H, Part I, Line 7	TMH'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 TMH'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 TMH'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 TMH. 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 TMH's Medicare cost report. g) Subsidized health services- Subsidized health services' community benefit expense is determined by TMH's cost accounting system. These subsidized health services are recorded at cost in TMH'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- TMH 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 TMH'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 TMH, including an allocation of contributions made by Brown University Health on TMH's behalf.
Schedule H, Part I, Line 7, Column f	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 $24,860,001.
Schedule H, Part III, Section A, Line 4	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. TMH'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, Section B, Line 8	The Medicare shortfall for fiscal year 2025 was not treated as a community benefit. The source of the Medicare allowable costs reported on Part III, Section B, Line 6 is the Medicare cost report, Form 2552-10.
Schedule H, Part III, Section C, Line 9b	TMH does not bill for the excess of charges over agreed upon reimbursement amounts from third-party payors. Rather, such differences are recorded as a reduction of revenue through contractual adjustments. Collection efforts are focused on copayments, deductibles and amounts denied by insurers. After all collection attempts are exhausted, any remaining balances, including any copayments and deductibles, are written off as a bad debt. TMH classifies its bad debts as uncompensated care. This does not apply to Medicaid, however, as there are no associated copayments or deductibles for this payor. TMH generally does not require collateral or other security in extending credit to patients; however, it routinely obtains assignment of patients' benefits payable under their health insurance programs, plans, or policies. Uninsured patients are offered Community Free Service and/or payment plan options. Brown Health's Patient Financial Services Department (PFS) has the responsibility for communicating and administering collection policies and procedures to all patient accounts. PFS engages the services of various pre-collect agencies as necessary. The following are highlights of the overall collection effort: * If a patient presents for admission who is not insured, staff assists the family with a Medicaid application. * If the patient is ineligible for Medicaid, a financial screening is performed to determine status of qualification for charity care. All patients without medical insurance receive at a minimum a self-pay discount calculated using the Prospective Method of amounts generally billed. * If the patient does not qualify for charity care, PFS or the pre-collect agency attempts at least four contacts with the responsible party within the first 120 days. * At 120 days, if there is no payment activity or no hold placed on the account, the account is transferred to the appropriate collection agency.
Schedule H, Part VI, Line 2	Brown Health's Office of Strategic Planning and Analysis performs population-based studies for TMH regarding the need for inpatient medical and surgical services 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. 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, TMH provides a wide range of services to both its primary and secondary service areas. Brown Health and its hospital affiliates monitor health trends in Rhode Island in an effort to identify areas of unmet demand regarding clinical services.
Schedule H, Part VI, Line 3	TMH 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 TMH. Assistance eligibility is also summarized on TMH's website, http://miriamhospital.org. As part of TMH's inpatient intake process, TMH 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	TMH, located in Providence, Rhode Island, is a 247-bed nonprofit general acute care teaching hospital with university affiliation providing a comprehensive range of diagnostic and therapeutic services (excluding obstetrics) for the acute care of patients principally from Rhode Island and southeastern Massachusetts. As a complement to its role in service and education, the Hospital actively supports research. TMH 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. TMH 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.
Schedule H, Part VI, Line 5	TMH is governed by a Board of Trustees, which is composed of leaders of the local community elected by Brown Health. TMH's purpose is to at all times be operated exclusively as a tax-exempt charitable hospital and, as such, shall dispense medical and surgical aid and care to the sick and disabled of any race, creed, or color in keeping with Jewish ethical aspirations; shall act in a fashion designed to further, improve, and advance the science or art of health care delivery, patient care, and the knowledge, practice, and teaching of medicine and nursing; and assist in the advancement of medical research and investigation and in the improvement of medical teaching facilities and methods. TMH 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. TMH monitors the healthcare needs of its service area to ensure alignment of its resources with its mission. TMH 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 TMH. TMH is organized and operated for the benefit of the community it serves.
Schedule H, Part VI, Line 6	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 19,500 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 Health employed approximately 1,300 full-time and part-time personnel, most of whom are located in Providence, Rhode Island. Brown 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 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 TMH 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 TMH 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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	75 Waterman Street	AddressLine1Txt
City	Providence	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02912	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	050258809	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$269,102	CashGrantAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Purpose Of Grant	Shared Chair Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	TMH is committed to community programs and provides support to various charitable organizations in Rhode Island. Donations are made to organizations recognized by the IRS as being described in IRC Section 501(c). All contributions are approved by management and are made to organizations whose missions and goals align with those of TMH.	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 (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
Trustee	$0	$1,550,583	$0	$0	$0	$100,779	$0	$334,533	$0	$30,828	$0	$2,016,723	$0	$0
Ziya L Gokaslan MD
Trustee	$0	$1,513,096	$0	$144,400	$0	$14,237	$0	$20,700	$0	$25,516	$0	$1,717,949	$0	$0
Peter K Markell
Treasurer	$0	$1,221,588	$0	$242,967	$0	$0	$0	$18,975	$0	$21,785	$0	$1,505,315	$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
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
Maria Ducharme
President	$0	$604,168	$0	$0	$0	$90,709	$0	$105,125	$0	$30,597	$0	$830,599	$0	$67,740
Vanzetta V James DNP
Fmr CNO	$236,145	$0	$0	$0	$131,168	$0	$317,354	$0	$10,233	$0	$694,900	$0	$0	$0
Eva Greenwood
Fmr Treasurer	$0	$516,279	$0	$0	$0	$23,212	$0	$91,782	$0	$24,278	$0	$655,551	$0	$0
Mark Deitch MD
CMO	$446,568	$0	$0	$0	$40,407	$0	$84,029	$0	$21,764	$0	$592,768	$0	$20,780	$0
Janine Lairmore
VP- Cardiovascular Institute	$360,426	$0	$0	$0	$40,889	$0	$67,327	$0	$30,772	$0	$499,414	$0	$28,947	$0
Laura R Stroud
Director Center of Behavior	$338,067	$0	$0	$0	$3,314	$0	$18,576	$0	$36,219	$0	$396,176	$0	$0	$0
Rena Wing
Senior Researcher	$340,076	$0	$0	$0	$7,416	$0	$18,576	$0	$27,423	$0	$393,491	$0	$0	$0
Wenliang Song
Research Scientist	$288,953	$0	$0	$0	$979	$0	$4,182	$0	$41,131	$0	$335,245	$0	$0	$0
Jill Underwood
Registered Nurse	$264,136	$0	$0	$0	$569	$0	$14,330	$0	$11,386	$0	$290,421	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	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	Compensation of the TMH 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 4	Line 4a: The following individual received severance and/or a change of control payment during the calendar year ending December 31, 2024: Timothy J. Babineau, MD, former trustee: $1,335,765. Vanzetta V. James, DNP, CNO through 9/30/2024: $82,085. Line 4b: Brown Health offers a non-qualified supplemental employee retirement plan (SERP) to certain executives. The following individuals were credited with the non-vested amounts indicated during calendar year 2024 and such amounts are included in deferred compensation on Schedule J, Part II, Column C: Paul J. Adler - $106,677. Mark A. Deitch, MD - $69,035. Maria P. Ducharme - $84,425. John Fernandez - $313,833. Eva Greenwood - $73,257. Janine Lairmore - $48,800. In 2024, the following individuals became vested in and were paid a 2021 non-qualified supplemental employee retirement plan (SERP) amount and such amounts are included in Medicare wages, more specifically on Schedule J, Part II, Column B(iii): Paul J. Adler - $89,854. Mark Deitch - $20,780. Maria P. Ducharme - $67,740. Vanzetta V. James, DNP - $41,787. Janine Lairmore - $28,947. Peter K. Markell - $158,521. The portion of the above payments that was reported as deferred compensation in prior years is reflected on Schedule J, Part II, Column F. Participants included in Brown 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 7	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	$57,000,732	Refund 1996, 2006 Bonds	0	0	Yes (1)
RIHEBC Series 2024
B	521300173	762244LW9	2024-02-14	$120,479,012	Capital Improvements	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$3,040,475	$0	$57,000,732	$0	$0	$0	$419,512	$0	$0	$0	$56,581,220	$0	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	$0	$0	$121,610,650	$0	$0	$0	$966,648	$0	$0	$0	$8,138,064	$112,505,938	0	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	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	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	Yes (1)	Yes (1)	0	0	0	0	0	Yes (1)
B	0	0	0	Yes (1)	0	0	0	0	0	0	Yes (1)

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	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	Yes (1)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule K, Part I, Column a-02/14/2024 120,479,012 RIHEBC Series 2024

The bond proceeds listed in line 3a & 3b differ from the bond issue disclosed per IRS Form 8038 due to the fact that TMH 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, TMH was allocated $57,000,732 of the total issuance proceeds disclosed in line 3a. Of the $332,814,949 disclosed in Form 8038 for the RIHEBC Series 2024 Bonds, TMH was allocated $120,479,012 of the total issuance proceeds disclosed in line 3b.

Schedule K, Part I, Column b-08/11/2016 57,000,732 RIHEBC Series 2016

The total proceeds shown in Part II, Line 3 differs from the issue price shown in Part I(e) due to interest earnings on invested proceeds.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 2	Lawrence A. Aubin, Sr., Chairman, and Michael L. Hanna, Trustee, are partners in the same for-profit organization.
Form 990, Part VI, Section A, Line 6	Brown University Health is the sole member of TMH.
Form 990, Part VI, Section A, Line 7a	The sole member of TMH is Brown University Health, a non-profit corporation organized and existing under the Rhode Island Nonprofit Corporation Act. Additionally, the bylaws of TMH 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: to elect and remove TMH trustees and to approve the election/removal of certain officers.
Form 990, Part VI, Section A, Line 7b	The TMH Board is comprised of the same individuals who serve on the Brown Health Board. 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. Powers reserved to Brown Health, in addition to those noted above, include: to approve amendment of the Articles of Incorporation and Bylaws and other charter documents; to approve strategic plans; to approve investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness.
Form 990, Part VI, Section B, Line 11b	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 Director of Finance. 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 entireform is posted to TMH'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 Director of Finance and 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 is authorized to file the Form 990.
Form 990, Part VI, Section B, Line 12c	Brown University Health has a Conflict of Interest Policy that is applicable to all affiliates, including TMH, and administered by Brown Health's Corporate Compliance Department as follows: Each designated person subject to Brown Health's conflict of interest policy is required to provide Brown Health with an initial disclosure statement and thereafter an annual statement attesting that: (i) the designated person has read and is familiar with this policy, and (ii) 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 contravenes this policy. If, at any time during the course of employment or association, a designated person has reason to believe that an existing or contemplated activity may contravene this policy, the person shall submit a full written description of the activity to the Brown Health Compliance Officer or the Office of the General Counsel to seek a determination as to whether the contemplated activity does or does not contravene this policy. If the activity in question involves either the Chief Executive Officer, the Senior Vice President and General Counsel, or a Trustee, a full written disclosure must be made to, and a determination sought from, the Chairman of the Board of Directors of Brown University Health. Annually, the Brown Health Compliance Officer shall review and report to the Brown Health Executive Corporate Compliance Committee and to the Brown 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, will be grounds for removal from his/her position and/or termination of his/her employment with Brown Health.
Form 990, Part VI, Section B, Line 15	The following applies to Brown Health and all of its affiliates, including TMH: 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, Section C, Line 19	Brown Health and the Brown Health Obligated Group, which consists of TMH, RIH, 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 TMH'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 XI, Line 9	Increase in Interest in TMH Foundation: $5,759,074.
Form 990, Part XII, Line 2b	TMH was included in the Brown Health and Affiliates audited consolidated financial statements as of and for the fiscal year ended September 30, 2025. Included in the amounts reported for TMH include activity of TMH and VNA Technicare, Inc., d/b/a Brown University Health Home Medical. The Brown Health Audit and Compliance Committee assumes responsibility for oversight of the audit of TMH's consolidated financial statements and the selection of Brown Health's independent accountant.

Schedule R IRS990ScheduleR

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	Direct Controlling NADirectControllingNACd
Alternative Living Concepts Inc
15 LaSalle Square	Providence	RI	02903	050442015	Housing for Elderly and Mentally Ill	RI	3	10	Gateway Healthcare Inc	0
Bayberry Courts Inc
15 LaSalle Square	Providence	RI	02903	204590384	Housing for Elderly and Mentally Ill	RI	3	10	Gateway Healthcare Inc	0
Bradley Hospital Foundation
15 LaSalle Square	Providence	RI	02903	050500688	Philanthropic Activities	RI	3	7	Brown University Health	0
Brown Health Medical Group
15 LaSalle Square	Providence	RI	02903	050389801	Physician Health Care Services	RI	3	10	Brown University Health	0
Brown Health Medical Group of Massachusetts Inc
15 LaSalle Square	Providence	RI	02903	331237732	Physician Health Care Services	MA	3	10	Brown University Health	0
Brown Health Medical Group Primary Care
15 LaSalle Square	Providence	RI	02903	844944884	Physician Health Care Services	RI	3	10	Brown University Health	0
Brown University Health
15 LaSalle Square	Providence	RI	02903	222861978	Holding Company/Mgmnt Svcs	RI	3	13		0	N/A
Brown University Health Foundation
15 LaSalle Square	Providence	RI	02903	050493219	Philanthropic Activities	RI	3	7	Brown University Health	0
Brown University Health Massachusetts
15 LaSalle Square	Providence	RI	02903	043408517	Holding Company	RI	3	13	Brown University Health	0
Capital City Community Centers Inc
15 LaSalle Square	Providence	RI	02903	050259090	Daycare Services	RI	3	7	Gateway Healthcare Inc	0
Emma Pendleton Bradley Hospital
1011 Veterans Memorial Parkeay	East Providence	RI	02915	050258806	Pediatric Psychiatric Health Care Svcs.	RI	3	3	Brown University Health	0
Families Reaching Into Each New Day Inc
15 LaSalle Square	Providence	RI	02903	050504841	Bereavement Services for Children	RI	3	7	Gateway Healthcare Inc	0
Gateway Healthcare Inc
15 LaSalle Square	Providence	RI	02903	050309043	Subst. Abuse & Pysch. Health Care Svcs.	RI	3	10	Brown University Health	0
Hospital Properties Inc
15 LaSalle Square	Providence	RI	02903	222869743	Property Management	RI	4		Brown University Health	0
JM Apartments Inc
15 LaSalle Square	Providence	RI	02903	050435537	Housing for Elderly and Mentally Ill	RI	3	10	Gateway Healthcare Inc	0
LJR Corporation
15 LaSalle Square	Providence	RI	02903	030508346	Housing for Elderly and Mentally Ill	RI	3	10	Gateway Healthcare Inc	0
Mill River Community Housing Corporation
15 LaSalle Square	Providence	RI	02903	050427152	Housing for Elderly and Mentally Ill	RI	3	10	Gateway Healthcare Inc	0
Morton Hospital
88 Washington Street	Taunton	MA	02780	994836263	Health Care Services	MA	3	3	Brown University Health	0
Newport Health Care Corporation
11 Friendship Street	Newport	RI	02840	222535537	Holding Company/Mgmnt Svcs	RI	3	7	Brown University Health	0
Newport Health Property Management
11 Friendship Street	Newport	RI	02840	222335539	Property Management	RI	3	12	Newport Health Care Corporation	0
Newport Hospital
11 Friendship Street	Newport	RI	02840	050258914	Health Care Services	RI	3	3	Brown University Health	0
Newport Hospital Foundation Inc
11 Friendship Street	Newport	RI	02840	222535533	Philanthropic Activities	RI	3	7	Brown University Health	0
NHCC Medical Associates Inc
11 Friendship Street	Newport	RI	02840	050472268	Health Care Services	RI	3	10	Brown University Health	0
Obed Apartments
15 LaSalle Square	Providence	RI	02903	050422771	Housing for Elderly and Mentally Ill	RI	3	10	Gateway Healthcare Inc	0
Pathways Inc
15 LaSalle Square	Providence	RI	02903	050393004	Housing for Elderly and Mentally Ill	RI	3	10	Gateway Healthcare Inc	0
Rhode Island Hospital
593 Eddy Street	Providence	RI	02903	050258954	Health Care Services	RI	3	3	Brown University Health	0
Rhode Island Hospital Foundation
15 LaSalle Square	Providence	RI	02903	050468736	Philanthropic Activities	RI	3	7	Brown University Health	0
RIH Ventures
593 Eddy Street	Providence	RI	02903	050448686	Parking Facilities/Phlebotomy Svcs	RI	3	10	Brown University Health	0
Saint Annes Hospital
795 Middle Street	Fall River	MA	02721	994841947	Health Care Services	MA	3	3	Brown University Health	0
Shore Courts
15 LaSalle Square	Providence	RI	02903	050504003	Housing for Elderly and Mentally Ill	RI	3	10	Gateway Healthcare Inc	0
The Autism Project
1516 Atwood Avenue	Johnston	RI	02919	050512037	Services for Children with Autism	RI	3	10	Gateway Healthcare Inc	0
The Bradley Schools
140 Broadway	Providence	RI	02903	464910847	Educational Services	RI	3	2	Emma Pendleton Bradley Hospital	0
The Miriam Hospital Foundation
15 LaSalle Square	Providence	RI	02903	050377502	Philanthropic Activities	RI	3	7	Brown University Health	0
TLR Realty
15 LaSalle Square	Providence	RI	02903	043742771	Housing for Elderly and Mentally Ill	RI	3	10	Gateway Healthcare Inc	0
Wentworth Corporation
15 LaSalle Square	Providence	RI	02903	050488520	Housing for Elderly and Mentally Ill	RI	3	10	Gateway Healthcare Inc	0
Westerly Courts Inc
15 LaSalle Square	Providence	RI	02903	611439766	Housing for Elderly and Mentally Ill	RI	3	10	Gateway Healthcare Inc	0

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	Accountable Care Organization	PrimaryActivitiesTxt
Legal Domicile State	RI	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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
15 LaSalle Square	Providence	RI	02903	050508717	Management Services	RI	Brown University Health	C	$0	$0	0	0
Brown University Health Risk Services
15 LaSalle Square	Providence	RI	02903	050459767	Risk Management	RI	Brown University Health	C	$0	$0	0	0
Brown University Health Home Medical
200 Corliss Street	Providence	RI	02904	050472710	DME Sales	RI	The Miriam Hospital	C	$0	$0	0	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Brown University Health Home Medical
p	$3,418,390	Cash
Brown University Health Home Medical
q	$1,353,663	Cash