2023-08-15T15:54:58-05:00 2022-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2021-10-01 050389803 UNIVERSITY SURGICAL ASSOCIATES INC UNIV 4014539623 75 NEWMAN AVENUE PO BOX 16149 RUMFORD RI 02916 WILLIAM CIOFFI MD PRESIDENT 4014539623 2023-08-15 1 WILLIAM CIOFFI MD 999009999 SANDY ROSS P01399337 4012742001 2023-08-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z BROWN SURGICAL ASSOCIATES INC WILLIAM CIOFFI MD 75 NEWMAN AVENUE PO BOX 16149 RUMFORD RI 02916 51024528 0 X WWW.USASURG.ORG X 1980 RI UNIVERSITY SURGICAL ASSOCIATES, INC. IS A NONPROFIT CORPORATION FOUNDED TO PROVIDE DIAGNOSIS AND TREATMENT OF DISORDERS FOR PATIENTS OF RHODE ISLAND HOSPITAL AND OTHERS REQUIRING SURGERY, TO CONDUCT RESEARCH IN THE FIELD OF SURGERY, AND TO TEACH PHYSICIANS, MEDICAL STUDENTS AND OTHER HEALTH CARE PERSONNEL IN THE FIELD OF SURGERY. 9 0 275 0 196947 0 2515644 619002 36790118 42001363 3646730 1189556 -22464 -32062 42930028 43777859 27500 17527 0 0 38001871 38444243 0 0 0 7665317 8410892 45694688 46872662 -2764660 -3094803 57102663 42732079 24674313 18631708 32428350 24100371 X UNIVERSITY SURGICAL ASSOCIATES, INC. IS A NONPROFIT CORPORATION FOUNDED TO PROVIDE DIAGNOSIS AND TREATMENT OF DISORDERS FOR PATIENTS OF RHODE ISLAND HOSPITAL AND OTHERS REQUIRING SURGERY, TO CONDUCT RESEARCH IN THE FIELD OF SURGERY, AND TO TEACH PHYSICIANS, MEDICAL STUDENTS AND OTHER HEALTH CARE PERSONNEL IN THE FIELD OF SURGERY. 0 0 39418199 17527 41772354 PROVIDES DIAGNOSIS AND TREATMENT OF DISORDERS AND SURGERY FOR PATIENTS AS WELL AS RESEARCH IN SURGERY AND RELATED FIELDS, AND PROVIDES INSTRUCTION IN SURGERY AND RELATED FIELDS. 39418199 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 48 0 1 275 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 RI X AMY HICKEY 4014539623 75 NEWMAN AVENUE RUMFORD RI 02916 WILLIAM CIOFFI MD PRESIDENT 40.00 X X 616735 0 90428 STEPHEN MIGLIORI MD VICE PRESIDENT/TREASURER 40.00 X X 476953 0 62589 JEFFREY SLAIBY MD SECRETARY 40.00 X X 457161 0 114359 DAVID CLOUTIER MD TRUSTEE 40.00 X 411400 0 103896 DAVID HARRINGTON MD TRUSTEE 40.00 X 495242 0 81461 STEPHANIE LUECKEL MD TRUSTEE 40.00 X 374593 0 98836 FRANCOIS LUKS MD TRUSTEE 40.00 X 483557 0 108390 MATTHEW VREES MD TRUSTEE 40.00 X 357377 0 68036 CHARU TANEJA MD TRUSTEE 40.00 X 304272 0 114097 MATT UUSTAL EXECUTIVE DIRECTOR 40.00 X 247947 0 69608 ABBAS ABBAS MD PHYSICIAN 40.00 X 530822 0 52932 SUBHASHINI AYLOO MD PHYSICIAN 40.00 X 474186 0 98285 PETER MAZZAGLIA MD PHYSICIAN 40.00 X 503406 0 96140 PAUL MORRISSEY MD PHYSICIAN 40.00 X 423935 0 116810 THOMAS MINER MD PHYSICIAN 40.00 X 411348 0 80539 6568934 0 1356406 83 0 1 0 ECLINICALWORKS LLC P O BOX 847950 BOSTON MA 02284 HEALTHCARE IT WORKS 122371 1 606769 12233 619002 MEDICAL SERVICES 621110 21712932 21712932 CONTRACT REVENUE 621110 14637891 14637891 TEACHING AND ADMINISTRATION 621110 4615481 4615481 OTHER CONTRACT REVENUE 621110 781175 552166 229009 RESEARCH GRANT 621110 253884 253884 42001363 543347 543347 7892878 7242521 4148 650357 -4148 646209 646209 LOSS ON EQUITY INVESTMENT 621110 -32062 -32062 -32062 43777859 41772354 196947 1189556 17527 17527 4596516 4142445 454071 26038451 22334994 3703457 2656892 2281968 374924 3511680 3027810 483870 1640704 1417076 223628 16448 16448 102790 102790 143937 143937 2159595 689702 1469893 105121 105121 495773 408029 87744 197264 160336 36928 1715649 1544062 171587 51349 51349 19606 2079 17527 33949 33949 227520 218419 9101 1459856 1445103 14753 SURGICAL SUPPLIES 765328 765328 ACADEMIC ASSESSMENT 684232 684232 LICENSES AND DUES 232475 227740 4735 46872662 39418199 7454463 0 2438910 528412 246818 1043162 5789675 6141908 107200 185862 2145962 1709913 451966 436049 43989819 31692520 146256 182744 3932019 2521422 57102663 42732079 4063669 3280367 50000 405755 150000 150000 20004889 15201341 24674313 18631708 X 31986176 23734171 442174 366200 32428350 24100371 57102663 42732079 -3094803 -5233176 0 X 0 1 X 1 0 X X X 1 RHODE ISLAND HOSPITAL 050258954 3 1 0 4615500 1 0 4615500 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 X 1 1 SECTION E, LINE 2A UNIVERSITY SURGICAL ASSOCIATES SERVES AS THE SURGERY DEPARTMENT FOR THE LIFESPAN GROUP OF HOSPITALS AND THEREFORE, ENABLES THE HOSPITALS TO OFFER A SURGICAL RESIDENCY PROGRAM. SECTION E, LINE 2B BUT FOR THE AVAILABILITY OF UNIVERSITY SURGICAL ASSOCIATES TO SERVE AS THE SURGERY DEPARTMENT, THE LIFESPAN GROUP OF HOSPITALS WOULD HAVE TO HIRE SURGEONS TO PERFORM THESE DUTIES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 414979 -69081 500 345398 342642 72837 500 414979 318834 15 23793 342642 274799 6527 -37508 318834 249908 27060 177 1992 274799 0.39809 0.60191 0 0 513129 299675 213454 1617627 1410238 207389 15206 15206 436049 RIGHT OF USE ASSETS 2339559 DEPOSITS 20957 INVESTMENT - EQUITY METHOD 125308 INVESTMENT RESEARCH FOUNDATION 35598 2521422 DEFERRED COMPENSATION LIABILITY 12850449 OPERATING LEASE LIABILITIES 2061068 FINANCING LEASE LIABILITIES 289824 15201341 X 38400746 -5233176 -5233176 43633922 143937 143937 43777859 46728725 0 46728725 143937 143937 46872662 PART V, LINE 4: W. R. THOMPSON LECTURESHIP ENDOWMENT IS USED TO ACCOUNT FOR FUNDS SET ASIDE TO ESTABLISH THE W. R. THOMPSON LECTURESHIP IN ESOPHAGASTRIC SURGERY. THE INTEREST EARNED ON THE CORPUS MAY BE USED FOR ANNUAL LECTURESHIP. THE PRINCIPAL MAY NOT BE INVADED; AS A RESULT, THIS FUND IS CONSIDERED AN ENDOWMENT FUND. DR. SHOAIB SHEIKH SURGICAL ENDOWMENT WAS ESTABLISHED TO FUND THE DR. SHOAIB SHEIKH SURGICAL AWARD. THE INTEREST EARNED ON THE CORPUS MAY BE USED FOR AN ANNUAL AWARD TO A RESIDENT, INCLUDING A MONETARY SUM AND FUNDING OF EXPENSES TO GO ON A ONE OR TWO WEEK INTERNATIONAL BURN TRIP WITH THE SURGICAL FACULTY, AT THE DISCRETION OF THE PRESIDENT OF UNIVERSITY SURGICAL ASSOCIATES. THE PRINCIPAL MAY NOT BE INVADED; AS A RESULT, THIS FUND IS CONSIDERED AN ENDOWMENT FUND. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS TAX-EXEMPT STATUS AT BOTH THE STATE AND FEDERAL LEVEL. THE ORGANIZATION HAS BEEN CLASSIFIED AS AN ORGANIZATON THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(3). THE ORGANIZATION ANNUALLY FILES IRS FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX-EXEMPT ENTITIES. THESE TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES, AND THE FEDERAL INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE ORGANIZATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS. 1 RHODE ISLAND HOSPITAL FOUNDATION BOX H PROVIDENCE RI 02901 050258954 PUBLIC CHARITY 7000 0 SUPPORT FOR HASBRO GOLF INVITATIONAL, SPONSOR FOR ANNUAL HASBRO HEREOS BALL THE TOMORROW FUND 593 EDDY STREET PROVIDENCE RI 02903 050450569 PUBLIC CHARITY 5000 0 SPONSOSHIP FOR ANNUAL FUNDRAISER 2 PART I, LINE 2: OUR ORGANIZATION IS FREQUENTLY APPROACHED BY OTHER 501(C)(3) ORGANIZATIONS FOR SUPPORT OF VARIOUS PROGRAMS WHICH ARE IN LINE WITH OUR MISSION. WE MAINTAIN A FILE OF SUCH SOLICITATIONS, ALONG WITH THE ACKNOWLEDGEMENTS OF THEIR RECEIPT OF OUR CONTRIBUTIONS, AS WELL AS THEIR CANCELLED CHECKS. X X 0 0 0 0 0 0 0 0 0 WILLIAM CIOFFI MD PRESIDENT 602257 0 0 0 14478 0 59500 0 30928 0 707163 0 0 0 PETER MAZZAGLIA MD PHYSICIAN 500480 0 0 0 2926 0 85500 0 10640 0 599546 0 0 0 FRANCOIS LUKS MD TRUSTEE 476429 0 0 0 7128 0 83000 0 25390 0 591947 0 0 0 ABBAS ABBAS MD PHYSICIAN 528169 0 0 0 2653 0 40000 0 12932 0 583754 0 0 0 DAVID HARRINGTON MD TRUSTEE 470840 0 0 0 24402 0 59500 0 21961 0 576703 0 0 0 SUBHASHINI AYLOO MD PHYSICIAN 473781 0 0 0 405 0 85500 0 12785 0 572471 0 0 0 JEFFREY SLAIBY MD SECRETARY 450429 0 0 0 6732 0 85500 0 28859 0 571520 0 0 0 PAUL MORRISSEY MD PHYSICIAN 417757 0 0 0 6178 0 85500 0 31310 0 540745 0 0 0 STEPHEN MIGLIORI MD VICE PRESIDENT/TREASURER 469942 0 0 0 7011 0 59500 0 3089 0 539542 0 0 0 DAVID CLOUTIER MD TRUSTEE 409996 0 0 0 1404 0 76000 0 27896 0 515296 0 0 0 THOMAS MINER MD PHYSICIAN 399878 0 0 0 11470 0 52000 0 28539 0 491887 0 0 0 STEPHANIE LUECKEL MD TRUSTEE 310347 0 0 0 64246 0 79000 0 19836 0 473429 0 0 0 MATTHEW VREES MD TRUSTEE 357377 0 0 0 0 0 40000 0 28036 0 425413 0 0 0 CHARU TANEJA MD TRUSTEE 302724 0 0 0 1548 0 85500 0 28597 0 418369 0 0 0 MATT UUSTAL EXECUTIVE DIRECTOR 241379 0 0 0 6568 0 46600 0 23008 0 317555 0 0 0 NEW ENGLAND MEDICAL BILLING INC WILLIAM CIOFFI, MD, PRESIDENT OF THE ORGANIZATION, SITS ON THE BOARD 1388754 WILLIAM CIOFFI, MD PRESIDENT OF THE BOARD OWNS 40.54 % OF NEW ENGLAND MEDICAL BILLING (NEMB), WHICH IS AN INDEPENDENT CONTRACTOR OF THE ORGANZIATION. 0 THERESA A GRAVES MD EMPLOYEE IS MARRIED TO WILLIAM CIOFFI, MD, PRESIDENT OF THE ORGANIZATION 382216 COMPENSATION: THERESA A. GRAVES, MD, IS EMPLOYED BY UNIVERSITY SURGICAL ASSOCIATES, INC. 0 FORM 990, PART VI, SECTION A, LINE 2 WILLIAM CIOFFI, MD.,PRESIDENT OF THE BOARD AND THERESA GRAVES, MD., HIGHEST PAID EMPLOYEE ARE MARRIED. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE PRESIDENT OF THE BOARD AND PRESENTED TO THE TRUSTEES FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY AND DISCUSSED WITH THE PRESIDENT, MEMBERS OF THE BOARD OF TRUSTEES, AND SENIOR MANAGEMENT. THE DOCUMENTATION INCLUDES A DETAILED EXPLANATION OF THE POLICY AND THE ACTIONS TO BE TAKEN IF A CONFLICT SHOULD ARISE. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION MAINTAINS SALARY RANGES FOR ALL EMPLOYEES, WHICH IS UPDATED AND APPROVED BY THE BOARD OF TRUSTEES ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 OF THE ORGANIZATION IS MADE AVAILABLE UPON REQUEST AND TO THE PUBLIC ON GUIDESTAR. THE CONFLICT OF INTEREST POLICY WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. BROWN PHYSICIANS INC 110 ELM ST 2ND FLOOR PROVIDENCE RI 02903 821858635 EDUCATIONAL SERVICES RI 501(C)(3) LINE 12A, I 0 BROWN DERMATOLOGY 593 EDDY STREET APC-10 PROVIDENCE RI 02903 812847155 EDUCATIONAL SERVICES RI 501(C)(3) LINE 4 BROWN PHYSICIANS INC 0 BROWN EMERGENCY MEDICINE 125 WHIPPLE ST 3RD FLOOR PROVIDENCE RI 02908 050486254 EDUCATIONAL SERVICES RI 501(C)(3) LINE 3 BROWN PHYSICIANS INC 0 BROWN MEDICINE 110 ELM ST 2ND FLOOR PROVIDENCE RI 02903 050450410 EDUCATIONAL SERVICES RI 501(C)(3) LINE 4 BROWN PHYSICIANS INC 0 BROWN UROLOGY INC 75 NEWMAN AVENUE 2ND FLOOR PROVIDENCE RI 02916 821512459 EDUCATIONAL SERVICES RI 501(C)(3) LINE 3 BROWN PHYSICIANS INC 0 BROWN NEUROLOGY 593 EDDY STREET APC-5 PROVIDENCE RI 02903 050448314 EDUCATIONAL SERVICES RI 501(C)(3) LINE 12A, I BROWN PHYSICIANS INC 0 RHODE ISLAND HOSPITAL 593 EDDY STREET APC-10 PROVIDENCE RI 02903 050258954 HOSPITAL SERVICES RI 501(C)(3) LINE 3 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 0 BROWN PHYSICIANS INC J 109216 COST BROWN UROLOGY L 116973 COST BROWN UNIVERSITY D 175800 COST BROWN PHYSICIANS INC D 229188 COST BROWN PHYSICIANS INC Q 354616 COST BROWN PHYSICIANS INC E 394461 COST BROWN PHYSICIANS INC M 442330 COST BROWN UROLOGY D 654518 COST BROWN UNIVERSITY P 684232 COST BROWN PHYSICIANS INC P 3560930 COST RHODE ISLAND HOSPITAL L 4615500 COST