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RHODE ISLAND HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND HOSPITAL (EIN 05-0258954)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-08-15
IRS object ID
202512279349302451
Schema version
2023v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-08-15T10:58:20+00:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line160 South StreetAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050258954EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Rhode Island HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRHODBusinessNameControlTxt
Phone4014444000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPeter K MarkellPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2025-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKRISTIN ANDERSONPreparerPersonNm
PTINP01231300PTIN
Phone6179881000PhoneNum
Preparation2025-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1John FernandezBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,519,707,892GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.rhodeislandhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1863FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionAs a founding hospital in the Brown University Health system, Rhode Island Hospital (RIH) is committed to its mission: Delivering health with care.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee9833TotalEmployeeCnt
Total Volunteers642TotalVolunteersCnt
Total Gross UBI$4,390,095TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$356,787NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$22,502,740PYContributionsGrantsAmt
CY Contributions Grants$38,995,557CYContributionsGrantsAmt
PY Program Service Revenue$1,947,305,531PYProgramServiceRevenueAmt
CY Program Service Revenue$2,205,549,824CYProgramServiceRevenueAmt
PY Investment Income$22,321,225PYInvestmentIncomeAmt
CY Investment Income$61,956,780CYInvestmentIncomeAmt
PY Other Revenue-$7,190,757PYOtherRevenueAmt
CY Other Revenue-$9,512,970CYOtherRevenueAmt
PY Total Revenue$1,984,938,739PYTotalRevenueAmt
CY Total Revenue$2,296,989,191CYTotalRevenueAmt
PY Grants And Similar Paid$1,139,002PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,173,873CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$739,595,418PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$796,027,593CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,212,937,750PYOtherExpensesAmt
CY Other Expenses$1,315,115,274CYOtherExpensesAmt
PY Total Expenses$1,953,672,170PYTotalExpensesAmt
CY Total Expenses$2,112,316,740CYTotalExpensesAmt
PY Revenues Less Expenses$31,266,569PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$184,672,451CYRevenuesLessExpensesAmt
Total Assets BOY$1,459,844,730TotalAssetsBOYAmt
Total Assets EOY$1,833,203,164TotalAssetsEOYAmt
Total Liabilities BOY$619,668,440TotalLiabilitiesBOYAmt
Total Liabilities EOY$799,148,540TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$840,176,290NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,034,054,624NetAssetsOrFundBalancesEOYAmt
MissionAs a founding hospital in the Brown University Health system, RIH is committed to its mission: Delivering health with care.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,692,641,871ExpenseAmt
Revenue$2,072,246,188RevenueAmt
DescPatient Care: RIH is the State's largest hospital, and its only Level I trauma center and verified burn center. It provides a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients. RIH has particular expertise in cancer, cardiology, diabetes, emergency medicine, neurosciences, orthopedics, and more. Hasbro Children's Hospital (HCH), RIH's pediatric division, is the region's premier provider of pediatric clinical care. HCH offers a broad spectrum of both routine care and specialty programs not available elsewhere and has the only pediatric emergency department, Level I trauma center, pediatric critical care teams, and 24-hour ambulance in the region. (Continued on Schedule O)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$147,340,233ExpenseAmt
Grant$1,173,873GrantAmt
Revenue$21,538,115RevenueAmt
DescMedical Education: RIH provides the setting for and substantially supports medical education in various clinical training and nursing programs. RIH is designated as the Principal Teaching Hospital of The Warren Alpert Medical School of Brown University. The total cost of direct medical education provided by RIH exceeded the reimbursement received from third-party payors by $125.8 million in fiscal year 2024. (Continued on Schedule O)Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$86,550,629ExpenseAmt
Revenue$90,298,185RevenueAmt
DescResearch: RIH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in the National Institutes of Health programs. RIH also sponsors a significant level of research activities. Federal support accounts for approximately 57% of all externally funded research at Brown Health. Researchers focus on basic research projects and clinical trials which investigate prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac disease, neurological problems, orthopedic advancements, mental health concerns, and brain science. (Continued on Schedule O)Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,926,532,733TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document551IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee9833EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Peter K MarkellBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4014447914PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1167 Point StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Alan H Litwin
Vice Chair0.00.0Yes (X)Yes (X)$0$0$0
John Fernandez
CEO7.043.0Yes (X)Yes (X)$0$2,148,746$307,376
Lawrence A Aubin Sr
Chair2.06.0Yes (X)Yes (X)$0$0$0
Peter Capodilupo
Vice Chair0.54.5Yes (X)Yes (X)$0$0$0
Angel Taveras
Trustee (AS OF 12/12/23)0.01.0Yes (X)$0$0$0
Chris Cocks
Trustee (AS OF 12/12/23)0.01.0Yes (X)$0$0$0
Edward D Feldstein Esq
Trustee0.52.5Yes (X)$0$0$0
Emanuel Barrows
Trustee1.55.5Yes (X)$0$0$0
Jane Williams
Trustee (Thru 12/23)7.025.0Yes (X)$0$0$0
Janet Robinson
Trustee (AS OF 12/12/23)0.00.0Yes (X)$0$0$0
Lawrence B Sadwin
Trustee3.014.0Yes (X)$0$0$0
Martha B Mainiero MD
Trustee0.53.5Yes (X)$0$0$0
Michael L Hanna
Trustee1.07.6Yes (X)$0$0$0
Paula McNamara
Trustee (AS OF 12/12/23)5.012.0Yes (X)$0$0$0
Phillip Kydd
Trustee1.05.5Yes (X)$0$0$0
Roger N Begin
Trustee2.010.5Yes (X)$0$0$0
Sarah T Dowling JD LLM
Trustee3.010.0Yes (X)$0$0$0
Shivan Subramaniam
Trustee1.04.5Yes (X)$0$0$0
Steven Pare
Trustee (Thru 12/23)5.016.0Yes (X)$0$0$0
Ziya L Gokaslan MD
Trustee0.043.0Yes (X)$0$1,656,599$52,686
Eva Greenwood
Treasurer0.539.5Yes (X)$0$649,185$87,891
G Dean Roye MD
Interim Pres.11/23-6/2455.02.0Yes (X)$850,449$0$147,891
Paul J Adler
Secretary5.035.0Yes (X)$0$926,856$151,085
Peter K Markell
EVP & CFO5.055.0Yes (X)$0$1,193,642$18,928
Sarah Frost
President and Chief of Hospital Operations (As of 6/24)50.00.0Yes (X)$0$0$0
Cynthia H Danner
Chief Nursing Officer40.00.0$520,461$0$19,474Yes (X)
Michael Dawson
VP of Finance40.00.0$345,173$0$65,800Yes (X)
Nicholas P Dominick
SVP of Service Lines40.00.0$0$523,234$99,888Yes (X)
Christine Collins
SVP Pharmacy40.00.0$411,919$0$92,163Yes (X)
Eric Klein Phd
Physician40.00.0$399,477$0$43,013Yes (X)
Jessica L Smith MD
Physician40.00.0$398,338$0$21,808Yes (X)
Sean Deoni
Physician40.00.0$885,000$0$0Yes (X)
Tracey L Wallace
SVP Clinical Svcs40.020.0$366,891$0$67,293Yes (X)
G Alan Kurose MD
Fmr. Trustee0.050.0$0$593,347$11,416Yes (X)
Saul N Weingart MD
Fmr. President0.00.0$0$937,729$359,560Yes (X)
Timothy J Babineau
Fmr. Trustee0.00.0$0$2,343,283$1,336,393Yes (X)
Todd A Conklin CPA
Fmr. Key Employee0.00$116,826$0$3,532Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,294,534TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$10,972,621TotReportableCompRltdOrgAmt
Total Other Compensation$2,886,197TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1026IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Brown Medicine
110 Elm Street 2nd FlProvidenceRI02903Medical Services$39,482,099
Brown Surgical Associates
PO Box 16149RumfordRI02916Medical Services$14,143,639
AMN Healthcare Inc
2735 Collection CenterChicagoIL606930027Contract Labor$13,903,958
Brown Emergency Medicine
125 Whipple St 3rd FlProvidenceRI02908Medical Services$9,672,990
Brown Neurology
110 Elm St 1st FlProvidenceRI02903Medical Services$8,255,341
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K102CntrctRcvdGreaterThan100KCnt
Related Organizations$14,525,210RelatedOrganizationsAmt
Government Grants$23,477,711GovernmentGrantsAmt
All Other Contributions$992,636AllOtherContributionsAmt
Noncash Contributions$59,507NoncashContributionsAmt
Total Contributions$38,995,557TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Revenue900099$1,843,655,618$1,841,202,180$2,453,438
Brown Health Pharmacy446110$263,032,564$263,041,803-$9,239
Direct Rev from Research900099$90,298,185$90,298,185
Rental531120$7,123,064$7,123,064
Temp Restricted (SPF's)900099$1,440,393$1,347,803$92,590

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,205,549,824TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,070,101TotalRevenueColumnAmt
Exclusion$21,070,101ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,969,425TotalRevenueColumnAmt
Exclusion$1,969,425ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,592,157RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,180,982RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,411,175RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,411,175TotalRevenueColumnAmt
Exclusion$1,411,175ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$259,367,473SecuritiesAmt
Other$87,500OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$220,511,220SecuritiesAmt
Other$26,499OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$38,856,253SecuritiesAmt
Other$61,001OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,917,254TotalRevenueColumnAmt
Exclusion$38,917,254ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria Revenue722210$6,051,024$6,051,024
Linen Services812300$1,885,833$1,884,537$1,296
SALE OF HEAT, LIGHT AND POWER, GASES900999$1,552,734$1,552,734

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$20,413,736TotalRevenueColumnAmt
Related Or Exempt Func Income-$20,815,085RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$299,276UnrelatedBusinessRevenueAmt
Exclusion$102,073ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$10,924,145OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,296,989,191TotalRevenueColumnAmt
Related Or Exempt Func Income$2,184,082,487RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,390,095UnrelatedBusinessRevenueAmt
Exclusion$69,521,052ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,138,873TotalAmt
Program Services$1,138,873ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$35,000TotalAmt
Program Services$35,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,757,124TotalAmt
Management And General$1,757,124ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,417,647TotalAmt
Program Services$19,800ProgramServicesAmt
Management And General$1,397,847ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$611,839,195TotalAmt
Program Services$611,598,485ProgramServicesAmt
Management And General$240,710ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$33,659,604TotalAmt
Program Services$33,659,604ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$104,210,734TotalAmt
Program Services$95,767,085ProgramServicesAmt
Management And General$8,443,649ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$43,143,289TotalAmt
Program Services$42,936,913ProgramServicesAmt
Management And General$206,376ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,784,758TotalAmt
Management And General$1,784,758ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$208,736,939TotalAmt
Program Services$208,736,939ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$197,885TotalAmt
Program Services$197,885ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$33,372,742TotalAmt
Program Services$33,187,875ProgramServicesAmt
Management And General$184,867ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,501,330TotalAmt
Program Services$30,501,330ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,677,784TotalAmt
Program Services$1,672,982ProgramServicesAmt
Management And General$4,802ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,814,691TotalAmt
Program Services$2,481,705ProgramServicesAmt
Management And General$332,986ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$13,824,249TotalAmt
Program Services$13,824,249ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$59,618,103TotalAmt
Program Services$54,499,578ProgramServicesAmt
Management And General$5,118,525ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,322,527TotalAmt
Program Services$28,322,527ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical & Surgical Supplies$576,720,990$576,720,702$288
Purch Svs & Equip Contracts$221,688,120$56,237,575$165,450,545
Provision for Bad Debts$54,523,569$54,523,569
License Fee$45,602,054$45,602,054

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$35,729,533TotalAmt
Program Services$34,868,003ProgramServicesAmt
Management And General$861,530ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,112,316,740TotalAmt
Program Services$1,926,532,733ProgramServicesAmt
Management And General$185,784,007ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$353,930BOYAmt
EOY$656,458EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$43,998,077BOYAmt
EOY$102,161,607EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,010,479BOYAmt
EOY$14,142,675EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$180,136,217BOYAmt
EOY$191,772,821EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$36,641,204BOYAmt
EOY$39,654,777EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,964,339BOYAmt
EOY$4,342,367EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,191,676,007LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$706,942,235LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$476,393,068BOYAmt
EOY$484,733,772EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$353,489,958BOYAmt
EOY$635,247,284EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$58,184,694BOYAmt
EOY$41,020,086EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$293,672,764BOYAmt
EOY$319,471,317EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,459,844,730BOYAmt
EOY$1,833,203,164EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$132,770,929BOYAmt
EOY$130,488,597EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$348,032BOYAmt
EOY$367,081EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$137,394,352BOYAmt
EOY$332,492,871EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$147,750,000BOYAmt
EOY$147,750,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$13,088,938BOYAmt
EOY$11,469,688EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$188,316,189BOYAmt
EOY$176,580,303EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$619,668,440BOYAmt
EOY$799,148,540EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$420,824,437BOYAmt
EOY$569,146,942EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$419,351,853BOYAmt
EOY$464,907,682EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$840,176,290BOYAmt
EOY$1,034,054,624EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,459,844,730BOYAmt
EOY$1,833,203,164EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$184,672,451ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$42,834,903NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$33,629,020OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd
Public Support CY1700PublicSupportCY170Pct

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$0PublicSupportTotal509Amt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$76,305AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets SalefalseSolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$463,288,111BeginningYearBalanceAmt
Contributions$82,296,737ContributionsAmt
Investment Earnings Or Losses$36,982,884InvestmentEarningsOrLossesAmt
Other Expenditures$106,883,655OtherExpendituresAmt
End Year Balance$475,684,077EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.388BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.0697PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.5422TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$786,737,577OtherCostOrOtherBasisAmt
Depreciation$496,274,351DepreciationAmt
Book Value$290,463,226BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$343,365,328OtherCostOrOtherBasisAmt
Depreciation$210,667,884DepreciationAmt
Book Value$132,697,444BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,439,105OtherCostOrOtherBasisAmt
Book Value$26,439,105BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$484,733,772TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
Deferred Financing Costs$2,964,793
Intercompany Receivables$9,941,713
Interest in Net Assets of RIH Foundation$75,929,902
Other Non-Current Assets$335,752
Other Receivables$71,283,200
Right-of-Use Assets,Net Operating Leases$23,816,781
OUTSIDE TRUSTS$16,625,292
DUE FROM ENDOWMENT POOL$118,573,884
FieldValueIRS element (for citing)
Total Book Value Other Assets$319,471,317TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Accrued Interest Payable$3,725,758
Accrued Pension Liability$33,646,000
Arbitrage 2024 Bond$1,490,167
Health Care Benefit Self-insurance$7,364,146
Operating Lease Liabilities$23,816,781
Other Liabilities$68,552,591
Post-retirement Benefit Liability$3,876,400
Third-party Payor Settlements$34,108,460
FieldValueIRS element (for citing)
Total Liability$176,580,303TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part III, Line 4 Collections of art - description of collectionsRhode Island Hospital's (RIH) collection of artwork consists of paintings, photographs, etchings, silkscreens, watercolors, charcoals, and lithographs. The works of art are displayed throughout the RIH campus for the viewing pleasure of patients, visitors, and employees.
Schedule D, Part V, Line 4 Intended uses of endowment fundsRIH's endowment funds consist of both donor-restricted endowment funds and funds designated by RIH to function as endowments. RIH's largest permanently restricted endowments support patient care, particularly cardiology, hematology/oncology, and neurology, as well as pediatric care at RIH's pediatric division, Hasbro Children's (HC), research, and charity care. RIH's unrestricted endowment includes designated assets set aside by RIH's Board for future capital improvements, over which the Board retains control and may at its discretion subsequently use for other purposes. Significant temporarily restricted funds held by RIH are used for the purposes of: (1) the care and treatment of children with medical needs; (2) cardiology fellowship educational support; (3) orthopedic research; (4) strategic energy management planning; and (5) building maintenance and improvements.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe 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 §501(c)(3) of the Internal Revenue Code (the Code) and are exempt from Federal income taxes pursuant to §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. Brown Health recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. Brown Health did not recognize the effect of any income tax positions in either 2024 or 2023.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (5 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
East Asia and the Pacific02Program ServicesResearch$183,666
Europe (Including Iceland and Greenland)04Program ServicesResearch$119,261
South America01Program ServicesResearch$22,942
South Asia01Program ServicesResearch$65,279
Sub-Saharan Africa09Program ServicesResearch$138,055
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees17SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee17TotalEmployeeCnt
Subtotal Spent$529,203SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$529,203TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesYes (true)BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3 Method used to account for expenditures on org's financial statementsFormAndLineReferenceDesc
ExplanationEAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-AccrualExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,812,462TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,796,411DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,016,051NetCommunityBenefitExpnsAmt
Total Expense0.0076TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$404,532,705TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$397,495,151DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,037,554NetCommunityBenefitExpnsAmt
Total Expense0.0033TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$433,345,167TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$410,291,562DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,053,605NetCommunityBenefitExpnsAmt
Total Expense0.0109TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$471,955TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$57,553DirectOffsettingRevenueAmt
Net Community Benefit Expns$414,402NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$147,340,233TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,538,115DirectOffsettingRevenueAmt
Net Community Benefit Expns$125,802,118NetCommunityBenefitExpnsAmt
Total Expense0.0596TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,947,016TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,874,686DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,072,330NetCommunityBenefitExpnsAmt
Total Expense0.0071TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,100,343TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$74,715,343DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,385,000NetCommunityBenefitExpnsAmt
Total Expense0.0059TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$351,328TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$351,328NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$296,210,875TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$142,185,697DirectOffsettingRevenueAmt
Net Community Benefit Expns$154,025,178NetCommunityBenefitExpnsAmt
Total Expense0.0729TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$729,556,042TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$552,477,259DirectOffsettingRevenueAmt
Net Community Benefit Expns$177,078,783NetCommunityBenefitExpnsAmt
Total Expense0.0838TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$15,688,694BadDebtExpenseAmt
Bad Debt Expense Attributable$569,688BadDebtExpenseAttributableAmt
Reimbursed By Medicare$221,954,186ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$207,292,539CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$14,661,647MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Rhode Island HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1593 Eddy StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.rhodeislandhospital.orgWebsiteAddressTxt
State LicenseHOS00121StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Rhode Island HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.brownhealth.org/sites/default/files/lifespan-files/documents/lifespan-main/RIH-CHNA-ImplOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.brownhealth.org/sites/default/files/lifespan-files/documents/lifespan-main/RIH-CHNA-ImplStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.0FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.brownhealth.org/site-search?query=financial%20assistance%20policyFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.brownhealth.org/site-search?query=financial%20assistance%20policyFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.brownhealth.org/site-search?query=financial%20assistance%20policyFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3 Facility , 1Facility , 1 - Rhode Island Hospital. Part V, Line 3e- Regarding the significant needs identified in RIH's 9/30/2022 CHNA, those needs have been prioritized in order of significant needs of the community, as determined by a steering committee comprised of the Community Liaisons, RIH liaison, Brown Health Community Health Institute (BHCHI) leadership, RIH leadership, and Brown leadership.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Rhode Island 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 RIH, prioritization of those needs, and identification of resources, facilities, and programs to address the prioritized needs. Both qualitative primary data and secondary quantitative data were gathered to identify the significant health needs of the community. Additionally, the ongoing COVID-19 pandemic has impacted the health concerns of the communities served by RIH as well as the hospital's provision of health services. The primary data sources included community health forums, individual surveys, and key informant interviews. Secondary data sources included national and local publications of state-specific data. 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 Health Forums: Qualitative data was collected through Community Health Forums (CHFs) to solicit input from individuals representing the broad interests and perspectives of the community. Participants in the CHFs included members of the medically underserved, low-income, and minority populations in the RIH service area. Community forums are a standard qualitative social science data collection method, used in community-based or participatory action research. Six CHFs were held between April 5 and May 31, 2022 across the RIH service area. Participants were recruited using social media, electronic newsletter, email, and word of mouth. A mix of in-person and virtual forums were scheduled at easily accessible locations and at various times of the day. In-person RIH forums were held at a federally qualified health center and a local elementary school. At each in-person forum, a full meal was provided, along with childcare and interpretation if requested in advance. All CHF were open to the public and participants were fully engaged throughout the 90-minute discussion. In lieu of the provision of a meal, five $25 grocery store gift cards were raffled off as an appreciation of participation at each virtual forum. A community outreach representative of RIH served as a hospital liaison to help plan and facilitate the CHF. The hospital liaison was a critical link between the BUHHI as the coordinating body, the expertise and resources within the hospital, and the Community Liaisons described below. An important and unique component of the CHF was the involvement of Community Liaisons. Seven people representing the diverse populations served by RIH were hired as consultants to assist with the CHNA but due to varying circumstances in the lives of the community liaisons, only three were able to fulfill the role of a community liaison. These Community Liaisons helped plan the CHF, recruited participants, and co-facilitated the forums. Community Liaisons were chosen through a competitive selection process and completed a 2-hour training prior to leading the CHF. The training included project planning tips, role-playing activities, conflict management tips, and logistical expectations. Community Liaisons were responsible for identifying an accessible community venue for each forum, selecting a food vendor and menu that would be appealing to the target audience, and co-facilitating the discussion at the CHF with their hospital liaison. Each CHF was two hours in duration and followed a similar format that began with a meal, followed by a 90-minute discussion, co-facilitated by RIH and the Community Liaison. The discussion generated consensus on the participants' health concerns, their prioritization of those concerns, and their ideas for how RIH could respond to those concerns. Discussion began with a brief presentation of RIH's 2019 CHNA priorities and examples of activities RIH has performed in response. Participants were invited to share their reactions to what was presented as well as their current health concerns. Virtual forums were 90 minutes in duration and followed the same discussion format as the in-person CHF. The input gathered during the CHFs was assessed qualitatively to extract themes and quantitatively to determine the frequency with which those themes were cited. Community Liaisons also met with the BUHHI and the hospital liaison to debrief the forums and offer their interpretation of the findings to ensure all input was captured and that priorities were appropriately aligned. Hiring, training, and empowering community members to serve as Community Liaisons in the CHNA process enriched the quantity and quality of community input. It also allowed RIH to build relationships with communities that might not otherwise have become aware of or engaged in the needs assessment process. Individual Surveys: To broaden the reach of community input, an online survey was promoted, and paper surveys were distributed and collected by BUHHI staff at community events they attended in June 2022. The surveys addressed the same questions as the CHFs. Sixty-six individual surveys were received for RIH. Key Informant Interviews: Public health and health policy leaders who could inform the 2022 CHNA process and had knowledge, information, or expertise about the community that RIH serves were invited to be interviewed as part of the CHNA. Key informant interviews were conducted with these leaders to supplement the other quantitative and qualitative data collected. Key informants included: * Chief Strategy Officer, Executive Office of Health and Human Services, State of Rhode Island * Director of Policy, Planning and Research, Executive Office of Health and Human Services, State of Rhode Island * Director, Health Equity Institute and Maternal and Child Health, Rhode Island Department of Health * Vice President and Chief Medical Officer, Providence Community Health Centers * Executive Director, Rhode Island Parent Information Network * Director, Community Health Worker Association of Rhode Island * Executive Vice President and Chief Medical Officer, Blue Cross Blue Shield Rhode Island The key informants identified the following statewide health priorities, with the first three named by multiple leaders: * Apply hospital resources to address the social determinants of health, including housing, food, transportation, and employment, among other barriers to care. * Improve access to behavioral health care for children and adults, especially noting access challenges for children and the burden of substance misuse among adults. * Ensure the provision of equitable care with particular attention to ensuring equal access to high quality care for persons regardless of their race, ethnicity, language spoken or disability status. They noted that equitable care also required a workforce representative of the patients and implementation of the principles of anti-racism. * Improve access to primary and specialty care locally. * Grow the healthcare and behavioral health workforces through career pathways, higher reimbursement rates, and increased compensation. * Improve access to community-based services including home-based therapeutic services for children with special needs. * Reduce racial and ethnic disparities in maternal and child health. The interviewed leaders noted several opportunities for hospitals to contribute to efforts to address these goals including: innovate around care delivery models for behavioral health services for adults; invest in systems and technology to facilitate improved care coordination between primary and specialty care, as well as hospital and community-based providers; partner with state and community-based agencies on workforce development pathways for high-demand roles- notably behavioral health providers and community health workers; provide assistance to patients to help them navigate the healthcare system; and sustain access to telemedicine that was made available during the peak of the COVID-19 pandemic.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Rhode Island Hospital. The Miriam Hospital Emma Pendleton Bradley Hospital Newport Hospital
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Rhode Island Hospital. RIH's Community Health Needs Assessment issued for the fiscal year ended September 30, 2022 identified six significant health issue areas requiring a further implementation strategy. Those significant health issue areas include: (1) improve access to healthcare services; (2) increase access to mental and behavioral health services; (3) address social determinants of health; (4) assist with navigating hospital and community services; (5) provide community-based health education; and (6) assist with chronic disease management. The implementation strategy to address those significant health needs outlined between October 1, 2022 - September 30, 2025 is available at: https://www.brownhealth.org/sites/default/files/2023-04/2022-RIH-CHNA-Implementation-Plan.pdf During the fiscal year ended September 30, 2024, RIH implemented specific actions listed below in order to address the significant community health needs outlined in its CHNA dated September 30, 2022. ACCESS TO CARE: - During the fiscal year ended September 30, 202, The Brown University Health Patient Experience Committee formed to improve patience experience through improved communication between providers, patients and caregivers. An NRC platform was selected, RIH Patient Experience Teams were formed to track metrics as well as develop improvement plans, and two key performance indicators were selected: Net Promoter Score and Average Days to Close Alerts. Additionally, a system-wide Ambulatory Committee was created with a plan to establish quality metrics in FY24 to optimize flow of the emergency department, which will lead to an improved patient experience and reduce the number of patients who leave without being seen. Additionally, it will increase referrals to appropriate follow-up care. -Roundtrip, a cloud-based application, continues to provide access to reliable, free or discounted transportation to medical appointments. -Community Health Workers (CHW) were hired in RIH ED, RIH Social Work, and RIH Care Continuum, resulting in a total of 21 CHW positions at RIH. - LifeChart alert built for a community health referral. Process designed and tested by Brown Health Medical Group Primary Care. -BUHCHI continued to offer free skin cancer screenings. In FY24, six(6) Skin Check Screenings were held, serving 385 people. - In partnership with the Brown University Health Community Health Institute (BUHCHI), RIH continues to offer community-based biometric screenings and flu clinics for low-income and uninsured residents. In FY24, offered 170 blood pressure and glucose screenings serving 2,383 people, and 417 flu vaccinations during 30 free clinic events. - Kaizen event to improve collection of Real data held 1/24/2024, resulting in an action plan developed to address Data Analytics & EHR, Marketing & Communications, and Registration & Training. Director of Patient Registration and Revenue Cycle position was created to lead this work. Andreene Smith was hired in this role and started 7/22/2024. - Hospital Operations led effort to create a PowerBI dashboard to track key metrics in real time. Median door to doctor wait time decreased from 119 minutes to 93 minutes, active care time increased from 201 to 243 minutes, and disposition to departure was stable (29 to 30 minutes) between 9/23 and 9/24. Net promoter score is now tracked monthly in PowerBI dashboard. The Pt Exp Team will be pushing clinic level trend reports to Ambulatory executive leadership starting in October 2024. MENTAL AND BEHAVIORAL HEALTH: -RIH collaborates with John Hopkins University, RI Dept.of Ed. and municipal school districts to offer Mental Health First Aid (MHFA) in English and Spanish. Bradley MHFA team taught 32 classes: 18 Adult MHFA, 11 Youth MHFA, and 3 Teen MHFA. A total of 421 MHFAs were trained: 289 in Adult, 39 youth were trained in teen. 93 school staff were trained in Youth. All classes provided in English due to the inability to recruit a certified, Spanish-speaking instructor. -Addiction Care Today (ACT) clinic opened at RIH in March of 2024 to provide urgent substance use disorder treatment, including medications, on a walk-in basis. ACT clinic began with part time hours and advertised services with community partners, especially those that serve disparately affected populations. The clinic accepts all patients, no matter what substances they use and whether their goal is to stop drug use, decrease use or to use more safely. Since opening, ACT has provided care to pregnant women, adolescents, patients who are unhoused, patients who have moved from out of state and patients who do not meet requirements for other addiction treatment programs in the state. -The Brown University Health Transitions and Recovery Clinic at RIH recruited Dr. Hong, MD, a new provider to increase access for patients transitioning from prison. Center for Health and Justice Transformation awarded the medical discharge planning contract from the RI Department of Corrections. Contract will begin October 2024. -Brown University Health researchers contribute to statewide initiatives to reduce opioid overdose and fatality rates through research aimed at understanding the mechanisms underlying opioid use disorder, and the development of innovative solutions. The VP of Community Health & Equity continued to serve as Chair of the statewide Opioid Settlement Advisory Committee. Drs. Jody Rich and Tracy Greene continue to lead the Center of Biomedical Research Excellence on Opioids and Overdose (COBRE) at RIH, the first of its kind center in the nation to focus on collaboratively addressing the opioid epidemic. Brown Health leads the nation in correctional health research; we host multiple NIH-funded grants, including the largest NIH R25 educational research program dedicated to this topic: the "Collaborative Justice-Involved Research and Training Program on Substance Use and HIV at Brown University Health". - Through participation on the Governor's Overdose Task Force and Opioid Settlement Advisory Committee, $10.3 million of family- and community-based strategies that address social drivers of health, prevention, harm reduction, treatment, and recovery were funded in FY24. SOCIAL DETERMINANTS OF HEALTH: -BUHCHI's Connect for Health program worked to expand social needs screening and navigation assistance to serve key service lines including BUHCHI, CVI and Psychiatry. Connect for Health accepts referrals from Hearts at Home (CVI), and primary care (adult, adolescent, pediatric, and medicine pediatrics) opening a total of 5,319 cases in FY24. One of the greatest social needs identified is improved food security among patients. Through Hope's Harvest, a program of Farm Fresh RI, free, fresh produce from local farms is distributed at HCH monthly. A total of 600 families were provided with 6,300 pounds of fresh produce over a 12-week period as part of Veggie Rx. In FY24, 720 people participated in food demonstrations, Food is Medicine, and A Taste of African Heritage food & nutrition programs. -There were 2,843 visits to RIH employee food pantry during FY24. Community Health Institute also opened its food pantry to employees, however, most employees in need visited the hospital food pantry. - RIH contracted with Crossroads RI for five(5) medical respite beds and partnered with the RI Executive Office of Health and Human Services and other healthcare partners to contract for seven(7) medical respite beds at Hallworth House. Medical respite care is crucial is reducing length of stay and readmissions among patients experiencing homelessness. -Hospital committee established to assess care transitions and develop a plan to facilitate discharges and led effort to create a PowerBI dashboard to track monthly long length of stay discharges and in-house count. Both were moderately stable in FY24 with a total ranging from 75 to 112 patients. Center for Health and Justice Transformation developed a training series- "Beyond Screen and Refer: Addressing the Social Needs of Your Patients" that launched in FY23 and is available as continuing education. Office of Belonging and Equity is working with GME to plan a live and on-demand training menu.
Schedule H, Part V, Section B, Line 11 Facility , 2Facility , 2 - Rhode Island Hospital. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why (continued) COMMUNITY-BASED HEALTH EDUCATION: -Twelve(12) BUHI Ambassador workshops were delivered to 314 participants on topics generated by community partners. Topics included: Financial Assistance, Skin Care, Substance Abuse Disorder, Identifying and Responding to Bullying, Certified Perinatal Workforce, Results of 2023 High School YRBS, Menopause, Tackling Misinformation in Your Community, Take a Stand for Posture, Food as Medicine, Nutrition & Mental Health, and Center for Health & Justice Transformation. Eight(8) additional conferences and workshops on topics requested by the community delivered to 307 participants. -Ten(10) hands-only CPR classes were held with 157 participants trained. - Three (3) workshops were held to deliver community education on Stroke, Opioid, Narcan, Adderall Education, Gun Violence Prevention, Driving Safety, and Sexual Assault Prevention, serving 127 people. - Adult psychiatry hired a community Health Worker to facilitate patient connections to community-based, family, and patient supports. Gateway Healthcare, a partner entity within Brown University Health, was certified as a Community-based Behavioral Health Center (CCBHC). -Four(4) of the year-long DPP cohorts were launched in FY23 that continued into FY24. Three(3) additional DPP cohorts launched in FY24. A total of 78 adults participated in a DPP program in FY24. Medicare DPP Supplier certification planned for FY25. -Five(5) Tar Wars tobacco-free education sessions held. 236 students served. - Twenty-nine (29) Safe Sitter classes held for 259 students to provide training on safe and responsible babysitting and how to prevent unintentional injuries among children. CHRONIC DISEASE MANAGEMENT: - WomanCare breast and cervical screening programs held on 1/20/2024 with 23 women screened and on 9/7/2024 with 46 women screened. -CVI and Connect for Health program partnered to refer up to five patients at a time from the Hearts at Home program for social needs supports. The desired outcome is to assess social determinants of health among patients in the Heart Failure Clinic and consider the provision of medically tailored meals to food insecure patients. Nurses refer patients to Mom's Meals, paid for by CMS, does disease-specific diets for patients. Cardiac Rehab offered Dean Ornish weight loss program and their own smoking cessation program. - CVI launched Enhanced Referrals in FY24 to streamline referrals from primary care providers, ensuring referrals reach the department and are acted on timely.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - Rhode Island Hospital. An abbreviated version of RIH's Financial Assistance Policy is posted in various admitting and outpatient areas of RIH. Additionally, registration personnel refer uninsured and/or low-income patients to Patient Financial Counselors to discuss the policy and/or answer any questions they might have.
FieldValueIRS element (for citing)
Facility33FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
Brown University Health Cancer Institute Prgm of RIH at
164 Summit AvenueProvidenceRI02906Comprehensive Cancer Center Physician Visits, Infusion Therapy
Brown University Health Cancer Institute Prgm of RIH
1454 South County TrailEast GreenwichRI02818Comprehensive Cancer Center Physician Visits, Infusion Therapy
Brown University Health Cancer Institute
701 George Washington Highway Ste 1LincolnRI02865Comprehensive Cancer Center Physician Visits, Infusion Therapy01
Brown Health Cancer Institute Prgm of RIH at Newport Ho
11 Friendship StreetNewportRI02840Comprehensive Cancer Center Physician Visits, Infusion Therapy
RIH Rheumatology Infusion Center
407 East Avenue Suite 250PawtucketRI02860Infusion Services
East Providence Infusion Center
375 Wampanoag Trail Suite 101AEast ProvidenceRI02915Infusion Services
Dialysis Center of RIH
22 Baker StreetProvidenceRI02905Hemodialysis, Home Peritoneal Dialysis, Home Hemodialysis
RIH Norman Prince Spine Institute
690 Eddy StreetProvidenceRI02903Comprehensive, multidisciplinary care for spine patients
RIH Center for Wound Care and Hyperbaric Medicine
950 Warren Avenue Suite 103East ProvidenceRI02914Wound Care and Hyperbaric Medicine
Dialysis Center of RIH
950 Warren AvenueEast ProvidenceRI02914Hemodialysis
RIH Hasbro Children's Outpatient Rehab Center
765 Allens Avenue 2nd Floor Suite 2ProvidenceRI02905Children's Physical and Occupational Therapy00
RIH Center for Primary Care and Specialty Medicine
245 Chapman Street Suite 300ProvidenceRI02905Primary Care and Specialty Medical Services
Radiosurgery Center of RI LLC
593 Eddy StreetProvidenceRI02903Radiosurgery Services
RIH Pediatric Heart Center
1 Hoppin StreetProvidenceRI02903Outpatient Pediatric Cardiology Services
RIH Outpatient Rehabilitation Services
765 Allens Avenue 1st Floor Suite 1ProvidenceRI02905Adult Physical and Occupational Therapy02
Children's Neurology & Development Clinic
335R Prairie Avenue Suite 2BProvidenceRI02905Pediatric Services
Medicine Pediatrics
245 Chapman Street Suite 100ProvidenceRI02905Primary Care Medicine
Brown University Health Research Center
1 Hoppin Street CORO BuildingProvidenceRI02903Study, Design, Analysis, Medical & Regulatory Oversight Research
RIH Pediatric and Adolescent Health Care Center
1 Hoppin Street Suite 3055ProvidenceRI02903Outpatient Adolescent Services
RIH Sleep Disorders Center
70 Catamore BoulevardEast ProvidenceRI02914Outpatient Professional and Technical Evaluation of Sleep Disorders
RIH Outpatient Specialty Svcs Pedi Endocrinology
111 Plain Street 3rd FloorProvidenceRI02903Pediatric Endocrinology Services
Brown University Health Recovery Center
200 Corliss Street Suite 1ProvidenceRI02904Treatment of Opioid and Related Drug Addictions
Pediatric Multi-Discipline Clinic & Rehab Satellite
1454 South County Trail 1st FloorEast GreenwichRI02818Pediatric Specialties & Physical Therapy inclusive of Psychiatry
Rhode Island Hospital East Greenwich Lab
1454 South County TrailEast GreenwichRI02818Clinical Core Laboratory Testing
Ctr Innovative Neurotechnology for Neural Repair
117 Chapman Street Suite 100ProvidenceRI02905Physical Therapy
General Internal Medicine Research Group
111 Plain StreetProvidenceRI02903Behavioral Research Studies
Pediatric and Adult Medicine
900 Warren Avenue 2nd floorEast ProvidenceRI02914Pediatric and Adult Specialty Services
RIH Molecular Laboratory
167 Point Street CORO East 3rd FlooProvidenceRI02903Clinical Laboratory Testing - Molecular Diagnosticsr
RIH Rehabilitation Services Hand Therapy
235 Plain Street Suite 203ProvidenceRI02903Occupational Therapy
Audiology and Speech-Language Pathology Services
115 Georgia AvenueProvidenceRI02905Speech-Language Pathology and Audiology Services
RI Dept of Human Genetics and Genetics Clinic
111 Plain Street 2nd FloorProvidenceRI02903Human Genetics
Brown University Health Sleep Disorders Ctr-East Greenwi
1407 South County Trail Suite 430East GreenwichRI02818Outpatient Professional and Technical Evaluation of Sleep Disorders
West River Infusion
148 West River Street Suite 2BProvidenceRI02904Infusion Services

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)Rhode Island Hospital (RIH) uses a dual system for determining financial aid eligibility: federal poverty guidelines and an asset test. The financial screening process at RIH is intended to define probable eligibility for public assistance (Medicaid or Community Free Service ("CFS")) for those patients who do not have the means to pay for hospital services rendered, as follows: 1. Upon patient indication of an inability to pay required monies, the patient is offered the financial screening option to determine eligibility for public assistance (Medicaid, CFS). 2. The application for CFS is completed and includes information relative to income, expense, and other available resources, and requires proof of such information which may include: - most recently filed Federal income tax return and W-2 form(s) - copies of most recent savings and/or checking account statements - two most recently received payroll check stubs - copy of rent receipts for the last six months for proof of residency - copy of utility bills for the last month for proof of residency 3. If the patient's financial situation falls within the guidelines for eligibility for Medicaid, RIte Care, or CFS, or if the patient has a long-term disability, the appropriate application process is completed. (Assistance to complete such applications is available from the Patient Financial Advocates (PFA) Office at RIH.) 4. Uninsured patients receive a discount equal to the discount received by Medicare beneficiaries on RIH charges using the prospective method. Under Section 501(r)(5), the maximum amounts that can be charged to Financial Assistance Policy (FAP)-eligible individuals for emergency or other medically necessary care are the amounts generally billed to individuals who have Medicare insurance covering such care. In no case was there a situation where an uninsured patient paid more than amounts reimbursed from Medicare. 5. Eligibility for CFS above the discount is provided for those applicants whose family gross income is at or below twice the Federal Poverty Guidelines, with a sliding scale for individuals up to three times the poverty level in effect at the time of application. Full charity care applicants with assets worth more than $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 same charity care discount as provided by the Medicare program. 6. For patients who qualify for less than 100% of the financial assistance program, a payment schedule is determined and agreed upon (discussed further below). Payment arrangements are established prior to service for non-urgent care. 7. In any case, the final results of the financial screening are recorded in the comments section of RIH's billing system. Requests for Payment Arrangements: Patient Financial Advocates (PFA) will qualify patients that are receiving non-urgent, medically indicated procedures prior to services. The PFA will request 75% to 100% of estimated discounted charges if the balance is under $5,000 and 50% to 100% of estimated discounted charges if the estimated bill equals or exceeds $5,000. For elective or non-urgent cases, the policy requires financial clearance prior to services or an exception from the Medical Director based on the clinical circumstances if the patient cannot meet the above payment agreement. Patients who do not qualify for total or partial CFS, but who have difficulty in paying their bills after services are rendered, may request enrollment in a payment plan. Eligibility for the payment plan includes the following guidelines: 1. Immediate payment in full will result in financial hardship to the patient or the patient's family. 2. Deposit of one-half of the estimated total bill is requested prior to admission. 3. The minimum monthly payment of $50.00. 4. The maximum length of the payment plan is twenty-four months. The Customer Service staff will set up the payment plan using the above guidelines as well as complete the necessary information on the "Payment Agreement" form and mail to the patient for signature. Account documentation will be done online. The pre-collect agency will be sent a copy of the payment agreement and all forms will be scanned into the PFS Optical Imaging System.
Schedule H, Part I, Line 6a Part I, Line 6a - Related Organization Community Benefit ReportThe community benefit report for all Brown Health affiliated hospitals (Rhode Island Hospital (RIH), The Miriam Hospital (TMH), Emma Pendleton Bradley Hospital (EPBH), and Newport Hospital (NH)) is maintained by Brown Health and included in Brown Healths's annual report. The annual report for the year ended September 30, 2024 is available at the following link. https://www.brownhealth.org/sites/default/files/2025-07/Annual-Report-2024_250709.pdf
Schedule H, Part I, Line 7f Part I, Line 7, Column F - Explanation of Bad Debt ExpenseThe 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 $54,523,569.
Schedule H, Part VIDuring a review of the hospital's section 501(r) compliance in FY24, it was discovered that the hospital's Financial Assistance Policy (FAP) and Billing and Collection Policy (collectively the "Policies") required clarification or correction. Although the FAP included a list of providers of emergency and medically necessary care in the hospital, listing which providers were and which providers were not covered by the FAP, the list had not been timely updated. The provider list has since been updated on a quarterly basis. Additionally, neither the FAP, nor a separate policy, specifically required the hospital to provide care for emergency medical conditions to individuals regardless of their eligibility under the FAP and prohibited the hospital from engaging in actions that discourage individuals from seeking emergency medical care. The FAP has been updated to include this language. Finally, although the Policies had been approved and adopted by the CFO, the CFO had not yet been delegated such authority from the Board. On August 5, 2025, the Board approved and adopted the Policies and delegated authority to the CFO to revise and amend the Policies from time to time as deemed appropriate or prudent. The hospital also determined that it had not been taking adequate steps to widely publicize its FAP in a manner reasonably calculated to reach those members of the community served by the hospital who are most likely to require financial assistance. The hospital has taken the following steps to more clearly align its efforts to publicize its FAP with the examples in the 501(r) regulations: (i) distributing copies of the plain language summary of its FAP and its FAP application form to referring staff physicians and to the community health centers serving its community, (ii) distributing copies of these documents to the local health department and to public agencies, including the Rhode Island Executive Office of Health and Human Services and the Rhode Island Department of Health, and nonprofit organizations in its community that address the health issues and other needs of low-income populations, including Blackstone Valley, Esperanza/Hope Clinic, and (iii) including verbiage in patient statements that inform readers that the hospital offers financial assistance and that people having trouble paying their hospital bills may be eligible for financial assistance. It was further discovered that the hospital's 2022 Community Health Needs Assessment ("CHNA") did not identify and describe resources potentially available to address the community's significant health needs and did not report either a description of how the hospital solicited and took into account written comments on its prior CHNA report and implementation strategy, or if the hospital solicited but did not receive written comments, the efforts the hospital undertook to solicit input. At the time that these deficiencies were discovered, the 2025 CHNA was in progress. Accordingly, the hospital determined it was most reasonable and appropriate to address these deficiencies by including such information in the 2025 CHNA. On May 13, 2025, the Board adopted a 501(r) Compliance Policy setting forth the hospital's commitment to ensuring ongoing overall compliance with the requirements of section 501(r). This policy requires that the hospital regularly review its policies and procedures to (1) ensure that the Hospitals' community health needs assessments and implementation strategies satisfy the requirements of section 501(r)(3) of the Internal Revenue Code and section 1.501(r)-3 of the regulations and (2) that the Hospitals' financial assistance policies, financial assistance applications, plain language summaries, and billing and collection policies, as well as the Hospitals' practices and procedures in connection with promoting its financial assistance policy, billing patients and engaging in collections activities, satisfy the requirements of sections 501(r)(4)-(6) of the Internal Revenue Code and sections 1.501(r)-4, -5 and -6 of the regulations.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceRIH's costing methodology used to calculate the amounts reported in Part I, Line 7 is as follows: a) Financial assistance at cost- involves utilization of a ratio derived from dividing patient costs, as defined, by patient charges, as defined, and applying that percentage to total charity care charges. Patient costs reported in the cost accounting system are calculated based on Medicare principles of reimbursement by reducing total operating expenses (as calculated by Form 990 requirements) by items such as bad debt expense, the cost of medical education, internally funded research, subsidized health services, community services, charitable contributions, and other operating revenue. Patient costs are then divided by patient charges to determine a ratio of cost to charges (RCC). This RCC is applied as the costing methodology for determining charity care expense. b) Medicaid- Medicaid expense is determined at cost as calculated by RIH's cost accounting system. The system uses historical costing methods applied to all patient segments based on various patient demographics and utilizations. These costing standards exclude bad debt, charity care, and the Medicaid portion of costs of health professions education, which are reported on other areas of Line 7. These expenses include Medicaid provider taxes. Direct offsetting revenue is reported as amounts received from Medicaid, as well as other payments which include reimbursement under Federal "Upper Payment Limit" (UPL) and "Disproportionate Share Hospital" (DSH) programs. e) Community health improvement services and community benefit operations- Community benefit operations expense is recorded as direct expenses incurred as reported by RIH's Community Health Services Department. Revenue received for these services is reported as direct offsetting revenue. f) Health professions education- Health professions education expenses represent direct costs related to amounts associated with resident and intern programs utilized at RIH. These costs are determined by reporting actual direct costs taken from the Medicare cost report. Direct offsetting revenue is reported as any direct Medicare reimbursements received for such services provided, as reported in the RIH's Medicare cost report. g) Subsidized health services- Subsidized health services' community benefit expense is determined by RIH's cost accounting system. These subsidized health services are recorded at cost in RIH's cost accounting system for all qualified subsidized health service divisions. This expense is adjusted to remove all related Graduate Medical Education (GME) expenses, as well as bad debt, Medicaid, and charity costs already reported in the applicable sections of Line 7. Net patient service revenue is recorded as amounts received from various payer types related to these services. Revenue associated with Medicare GME and Medicaid is excluded from the amount disclosed for subsidized health services. h) Research- RIH conducts extensive medical research focused on the prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac disease, neurological problems, orthopedic advancements, and mental health concerns. For all internal and external research conducted, the costs associated with these activities are calculated by combining the direct and indirect costs as reported within RIH's cost accounting system. Revenue received for these services is reported as direct offsetting revenue. i) Cash and in-kind contributions for community benefit- Expenses for cash and in-kind community benefit contributions are incurred by RIH, including an allocation of contributions made by Brown Health on RIH's behalf.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountThe amount reported as bad debt expense is determined by applying the ratio of cost to charges (RCC) to the total charges written off to bad debt. The RCC rate is determined using data from the Hospital's cost accounting system and is adjusted for medical education, internally funded research, subsidized health services, community services, and charitable contributions. Discounts and payments are applied to patient accounts before such account balances are transferred to bad debt.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyAccounts pending transfer to bad debt are reviewed by RIH's Patient Financial Advocate staff to determine qualification for financial assistance under RIH's policy. Accounts with insufficient information to determine eligibility are assigned a separate identifying code. These accounts are ultimately transferred to bad debt if the appropriate qualifying documentation is not received. The amount reported on Schedule H, Part III, Section A, Line 3 represents the account balances at charge written off to bad debt from the pending code, which are in turn converted to cost by applying the RCC rate as identified in Schedule H, Part III, Section A, Line 2.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteDue to the adoption of ASU No. 2014-09 in 2019 - Revenue From Contracts With Customers (Topic 606), bad debt expense is no longer reported in the audited financial statements as a separate line item, but rather is treated as a price concession. RIH's adoption of the ASU did not materially change the timing or amount of revenue recognized. However, the ASU requires that patient service revenue be presented in the statement of operations and changes in net assets at the transaction price, i.e., net of any provision for bad debts.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceRIH 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 bad debts. RIH 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. RIH 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 by Medicare. * 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. * If the third-party carrier denies in writing any responsibility for payment, arrangements regarding an extended payment plan are discussed with the patient. * 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 V, Section B, Line 16a FAP website- Rhode Island Hospital: Line 16a URL: www.brownhealth.org/site-search?query=financial%20assistance%20policy;
Schedule H, Part V, Section B, Line 16b FAP Application website- Rhode Island Hospital: Line 16b URL: www.brownhealth.org/site-search?query=financial%20assistance%20policy;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- Rhode Island Hospital: Line 16c URL: www.brownhealth.org/site-search?query=financial%20assistance%20policy;
Schedule H, Part VI, Line 2 Needs assessmentBrown Health's Office of Strategic Planning and Analysis performs population-based studies for RIH regarding the need for inpatient medical and surgical services for both adults and children and a wide range of outpatient services including: primary care office visits, specialty care, emergency services, imaging, ambulatory surgery, and specific high technology services such as radiation therapy and bone marrow transplantation. A population-based study examines the growth and changes in the population, the resources in the community, and the changing prevalence of diseases. In addition to this approach, Brown Health Strategic Planning also examines experience with wait times, the level of staffing, and the changing standards of care. All of this information is used to assess the demand for additional services to provide access to high quality care. In addition to population approaches to assessing and estimating need, all specialties and services monitor demand at the service-specific level by considering changing patterns of care and methods of treatment for the specific medical problem, wait times for visits/queues, and community resources. The service leadership then goes through a review process to add staff, expanded hours, and/or new subcomponents to round out core services on an as-needed basis. At times, expansion requires more space, equipment, and staff, but often accommodation of community demand is achieved through expanded hours. Facilities are added as needed to accommodate these expansions, but most often minor renovations of existing locations with better, more modern layouts and equipment allow for greater patient access. The Rhode Island State Certificate of Need program requires a focused study of need for all projects over $5.25 million, which is an important part of the program development process across Brown Health. Based on a broad understanding of community health needs, RIH provides a wide range of services to both its primary and secondary areas. Brown Health and its hospital affiliates monitor health trends in Rhode Island in an effort to identify areas of unmet demands regarding clinical services. Previous examples of addressing this unmet demand include RIH adding a biplane neurointerventional radiology suite, equipped with the latest technology and staff 24/7 and located less than 100 steps from the ambulance bays of RIH's Andrew F. Anderson Emergency Center. No other emergency department in the world has this stroke surgery suite within it. Two new minimally invasive treatments are offered at RIH's Comprehensive Spine Center: balloon kyphoplasty, for treatment of vertebral compression fractures, and indirect spinal decompression with an interspinous spacer device, to decompress spinal stenosis and relieve symptoms of neurogenic claudication, including pain or pressure when standing or walking. Additionally, RIH's pediatric division, Hasbro Children's, is the State's only facility dedicated to pediatric care. RIH has continued its pioneering work on treatments for inoperable tumors as well as radiofrequency ablation. Also of note is Hasbro's Medical/Psychiatric Program. This program is expressly designed for children and adolescents with challenging mental health and medical conditions who require hospitalization. A collaboration with Emma Pendleton Bradley Hospital, it is the only program in the region created to meet the complex needs of these children. In June 2022, Hasbro completed its $41 million renovation of its 6th floor unit renovation, caring for children ages 6 to 18, who are treated in a secure 16-bed unit located on the 6th floor of Hasbro Children's. This renovation was achieved through money raised as part of the "Every Child, Every Day" campaign. The unit was designed with input from both pediatrics and psychiatry to provide the very best care for children with psychiatric and medical illness. The safe, comfortable environment offers both private and semi-private rooms and areas for family, group, and milieu therapy.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceRIH has multilingual signage in its main lobby and waiting areas which provides information on financial aid contacts. The Registration Department meets with patients at the outset of care to discuss eligibility for assistance. The Registration staff provides interested patients with a "Welcome" booklet which includes information on patient rights and responsibilities. The signage and booklets contain a telephone number which connects patients with Registration staff who can answer any additional questions that may arise after the patient has left RIH. Assistance eligibility is also summarized on RIH's website. As part of RIH's inpatient intake process, RIH provides a summary of its financial assistance policy, along with all assistance applications and the Patient Financial Services contact number, to all self-pay patients. The same process is also used for patients seen during the outpatient discharge process. Attempts are made to contact patients prior to their visit to screen for financial assistance and to inform them what documents are required for their financial assistance determination or to set up an appointment to see a "Patient Financial Advocate" (PFA) prior to service. PFAs discuss with patients the various government programs that might be available to them for financial assistance. PFAs also offer assistance with the financial application process and/or understanding the qualification factors for Medicaid, the Affordable Care Act, Medicare, Social Security Disability, the Supplemental Nutrition Assistance Program (SNAP), and Rhode Island Temporary Disability Insurance and Unemployment. This is done for both inpatient and outpatient services.
Schedule H, Part VI, Line 4 Community informationRhode Island Hospital, located in Providence, Rhode Island, is a 719-bed nonprofit general acute care teaching hospital with university affiliation providing a comprehensive range of diagnostic and therapeutic services for the acute care of patients principally from Rhode Island and southeastern Massachusetts. As a complement to its role in service and education, RIH actively supports research. RIH is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and participates as a provider primarily in Medicare, Blue Cross, and Medicaid programs. RIH is also a member of the formerly-named Voluntary Hospitals of America, Inc., which has partnered with UHC Alliance Newco, Inc. to become Vizient, Inc., the largest member-owned health care company in the United States. In 1969, RIH and certain other Rhode Island hospitals entered into an affiliation agreement to participate jointly in various clinical training programs and research activities with The Warren Alpert Medical School of Brown University (Brown). In 2010, Brown named RIH its Principal Teaching Hospital. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. RIH currently sponsors graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring hospital-approved residency and fellowship programs. With respect to nursing education, RIH has developed educational affiliations with a number of accredited colleges and universities. RIH does not receive any compensation from the various schools for providing a clinical setting for the student nurse training. RIH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in the National Institutes of Health programs. Part VI, Line 4 - Community Building Activities RIH substantially subsidizes various health services including the following programs: dental, Alzheimer's, and the Center for Special Children, as well as certain other specialty services. RIH 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.
Schedule H, Part VI, Line 5 Promotion of community healthRIH is governed by a Board of Trustees, which is composed of leaders of the local community elected by Brown University Health. RIH's purpose is to be staffed, equipped, and ready to serve the hospital needs of the community and its people from all walks of life. RIH works collaboratively with physicians, its employees, other health care organizations, and the community to create a measurably healthier community through the provision of high quality, cost-effective, customer-focused health care services in an environment that promotes patient safety. RIH monitors the healthcare needs of its service area to ensure alignment of its resources with its mission. RIH measures the results of the programs and services it provides based on the value added to the community as well as the financial health of each program and its impact on RIH. RIH is organized and operated for the benefit of the community it serves.
Schedule H, Part VI, Line 6 Affiliated health care systemBrown 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 18,000 people. The Brown Health system has approximately 4,100 physicians on the medical staffs of its affiliated hospitals, operates 1,165 licensed beds in four hospital complexes, and in 2024 generated approximately $3.5 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, 2024, Brown University Health employed approximately 1,300 full-time and part-time personnel, most of whom are located in Providence, Rhode Island. Brown University Health provides support services to its affiliates, such as information services, risk management, legal, communications and public affairs, fundraising, facility development, strategic planning, internal audit/compliance, human resources, finance, payor contracting, and investment management, for which each affiliate is charged a fee equivalent to the estimated costs incurred by Brown Health in providing these services. CORPORATE AUTHORITY AND ROLE Brown University Health has no members and is governed by its Board of Directors. The Board has responsibility for planning, directing, and establishing policies intended to assure the development and delivery of quality health services, professional education, and biomedical research on an integrated, cost-effective basis. The Board's powers include the power to set accounting policies for its affiliates, approve all managed care agreements, negotiate, develop, and approve affiliations with other institutions for educational and research purposes, and approve human resource plans, executive compensation, and benefits for system affiliates. The bylaws of RIH confer certain reserved powers on Brown Health to provide it with the means of effective oversight, coordination, and support of the system. Powers specifically reserved to Brown Health as sole member of RIH include: to approve the amendment of the Articles of Incorporation and Bylaws and other Charter documents; to develop and approve strategic plans; to approve capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness. For a complete listing of affiliated members of Brown Health's integrated healthcare delivery system, please refer to Schedule R.
Schedule H, Part VI, Line 7 State filing of community benefit reportRI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Brown UniversityBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line145 Prospect StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02912ZIPCd
FieldValueIRS element (for citing)
Recipient EIN050258809RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$1,132,873CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGeneral SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEducational AssistanceGrantTypeTxt
Recipient10RecipientCnt
Cash Grant$35,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationRhode Island Hospital is committed to community programs and provides support to various charitable organizations in Rhode Island and southeastern Massachusetts. 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 the Hospital. Individual scholarships are awarded annually to applicants by a joint decision making body comprised of both IBT (International Brotherhood of Teamsters) and RIH representatives. Payments are made directly to qualified educational institutions on behalf of scholarship recipients.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John Fernandez
CEO$0$1,208,249$0$858,333$0$82,164$0$280,199$0$27,177$0$2,456,122$0$0
Ziya L Gokaslan MD
Trustee$0$1,511,075$0$138,000$0$7,524$0$19,800$0$32,886$0$1,709,285$0$0
Timothy J Babineau
Fmr. Trustee$0$0$0$0$0$2,343,283$0$1,336,393$0$0$0$3,679,676$0$2,343,283
Saul N Weingart MD
Fmr. President$0$385,768$0$0$0$551,961$0$333,093$0$26,467$0$1,297,289$0$0
G Alan Kurose MD
Fmr. Trustee$0$426,299$0$0$0$167,048$0$1,065$0$10,351$0$604,763$0$0
Todd A Conklin CPA
Fmr. Key Employee$0$0$0$0$116,826$0$0$0$3,532$0$120,358$0$0$0
Peter K Markell
EVP & CFO$0$883,350$0$186,333$0$123,959$0$0$0$18,928$0$1,212,570$0$0
Paul J Adler
Secretary$0$641,242$0$158,116$0$127,498$0$121,810$0$29,275$0$1,077,941$0$86,031
G Dean Roye MD
Interim Pres.11/23-6/24$590,477$0$155,455$0$104,517$0$114,934$0$32,957$0$998,340$0$72,959$0
Eva Greenwood
Treasurer$0$450,817$0$165,150$0$33,218$0$66,165$0$21,726$0$737,076$0$0
Nicholas P Dominick
SVP of Service Lines$0$378,195$0$66,240$0$78,799$0$78,416$0$21,472$0$623,122$0$0
Cynthia H Danner
Chief Nursing Officer$374,561$0$62,612$0$83,288$0$17,304$0$2,170$0$539,935$0$0$0
Michael Dawson
VP of Finance$280,128$0$38,038$0$27,007$0$44,761$0$21,039$0$410,973$0$0$0
Sean Deoni
Physician$0$0$0$0$885,000$0$0$0$0$0$885,000$0$0$0
Christine Collins
SVP Pharmacy$300,594$0$51,770$0$59,555$0$61,664$0$30,499$0$504,082$0$0$0
Eric Klein Phd
Physician$378,354$0$15,380$0$5,743$0$17,746$0$25,267$0$442,490$0$0$0
Tracey L Wallace
SVP Clinical Svcs$286,441$0$38,929$0$41,521$0$46,208$0$21,085$0$434,184$0$0$0
Jessica L Smith MD
Physician$374,428$0$22,500$0$1,410$0$5,279$0$16,529$0$420,146$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsTax Indemnification and Grossed Up Payments: The Brown Health Executive Long Term Disability program provides financial protection to designated Brown Health physicians and executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after-tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed up to cover the total cost of the benefit as provided in the Brown Health Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii).
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationCompensation of the RIH President is determined by the Compensation Committee of Brown University Health. This committee's determination process utilizes a combination of an independent compensation consultant, written employment contracts, and compensation studies/surveys, along with approval by the Brown Health Board of Directors.
Schedule J, Part I, Line 4a Severance or change-of-control paymentLine 4a: The following individuals received severance and/or change of control payments during the calendar year ending December 31, 2023: Timothy J. Babineau, MD, former trustee: $1,336,393. Sean Deoni, highest compensated: $885,000 Todd A. Conklin, former Key Employee: $116,826. Saul N. Weingart, former officer: $385,347
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planLine 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 2023 and such amounts are included in deferred compensation on Schedule J, Part II, Column C: Paul J. Adler - $102,010. Christine M. Collins - $47,417. Michael Dawson - $31,831 Nicholas P. Dominick - $60,899. Eva Greenwood - $66,165. G. Alan Kurose, MD - $1,065. G. Dean Roye, MD - $95,134. Tracey L. Wallace - $32,751. John Fernandez - $280,199 In 2023, the following individuals became vested in and were paid a 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 - $86,031. Timothy J. Babineau, MD - $340,264. Christine M. Collins - $30,737. Cynthia H. Danner - $52,489. Michael Dawson - $16,991. Nicholas P. Dominick - $51,955. Peter K. Markell - $105,000. G. Dean Roye, MD - $72,959. Tracey L. Wallace - $29,275. Saul N. Weingart, MD - $76,292. 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 Non-fixed paymentsCertain 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
RIHEBC Series 2016
A521300173762244FP12016-08-11$227,078,594Refund 1996, 2006, 2009 BondsfalsefalseYes (true)
RIHEBC Series 2024
B521300173762244MJ72024-02-14$209,673,418Capital ImprovementsfalsefalseYes (true)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$84,452,830$227,078,594$1,671,247$225,407,3472016Yes (true)Yes (true)Yes (true)Yes (true)
B$211,642,843$1,682,287falsefalsefalseYes (true)$23,629,371$186,331,185

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.0falsefalseYes (true)
BfalsefalsefalsefalseYes (true)0.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetInd
AfalseYes (true)falsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalseYes (true)Yes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column (f) Column AThe bond proceeds listed in line 3A & 3B differ from the bond issue price disclosed per IRS Form 8038 due to the fact that RIH is part of the on behalf of the Brown Health Obligated Group (BHOG), which consists of Rhode Island Hospital, The Miriam Hospital, Emma Pendleton Bradley Hospital, Rhode Island Hospital Foundation, and The Miriam Hospital Foundation as previously mentioned in Part I, line A(f). Of the $308,112,067 disclosed in Form 8038 for the RIHEBC Series 2016 Bonds, RIH was allocated $227,078,594 of the total issuance proceeds in line 3A. The difference between the Form 8038 of $308,112,067 and the amounts reported on this Schedule K of $209,673,418 is reported on the Form 990, Schedule K of other hospitals.
Schedule K, Part II, Line 3 COLUMN BTHE 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 K, Part III, Line 3d COLUMN ABOND COUNSEL REVIEWED THE VARIOUS CONTRACTS IN THE YEAR OF ISSUANCE FOR THE DEBT-FINANCED PROPERTY RELATED TO THE 2016 BONDS. SINCE THAT TIME, PER THE ORGANIZATION'S "POST-ISSUANCE TAX-COMPLIANCE PROCEDURES, THE ORGANIZATION'S FINANCE DEPARTMENT MONITORS THESE TYPES OF ARRANGEMENTS TO DETERMINE IF ANY PRIVATE BUSINESS USE EXISTS. BOND COUNSEL IS AVAILABLE FOR ASSISTANCE IN MAKING DETERMINATIONS WHEN QUESTIONS OR UNCERTAINTY ARISES.
Schedule K, Part IV, Line 2b COLUMN ARIHEBC SERIES 2016 bonds met a spending exception to the rebate requirement.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Toy donation1$33,537Cost
Yes (X)Furniture and decor1$25,970Cost
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Schedule M, Part I, Column (b):FormAndLineReferenceDesc
ExplanationRIH records non-cash contributions based on the number of individual contributions made during the tax year rather than the number of items received.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 6Volunteers support and contribute to the mission of RIH and HCH every day, giving their time, energy, and enthusiasm. They are able to learn, meet other dedicated volunteers, better understand the healthcare environment, and gain personal satisfaction knowing they are making a difference to patients, families, and visitors alike. Volunteer opportunities are available to both teens and adults in a wide variety of areas including: ambassadors, art activities, book cart, canine assisted therapy, comfort cart for families, diagnostic imaging, emergency department, employee snack cart, endoscopy, food pantry, geriatric champions, hand massage, infection control, music activities, office support, oncology, outpatient clinics, patient and guest services, pediatric partial day program, pediatric pre-op and post-op, pediatric playrooms, PICU, PT/OT, and recovery room. Volunteers include college and high school students, retirees, working professionals, individuals considering a career change or returning to the work force, and individuals with a special skill or talent.
Form 990, Part III, Line 4aRIH is a 719-bed, nonprofit general acute care teaching hospital with university affiliation, the largest hospital in the State of Rhode Island (the State) providing a comprehensive range of diagnostic and therapeutic services to patients. RIH has particular expertise in cardiology, including the State's only open heart surgery program; oncology; neurosciences; orthopedics; organ transplantation; pediatrics; psychiatry; and diabetes. RIH is the only Level I Trauma Center for southeastern New England, providing expert staff and equipment in emergency situations 24 hours a day. It is the Principal Teaching Hospital of The Warren Alpert Medical School of Brown University and the largest and most comprehensive of the Brown affiliated hospitals. RIH's pediatric division, HCH, is the State's premier pediatric facility with the area's only pediatric intensive care unit, pediatric oncology and cardiac programs, pediatric imaging center, and separate emergency and operating suites designated for pediatric patients. RIH has earned worldwide recognition for its family-centered environment and expert staff. It is the founding partner of Brown Health, a comprehensive health system providing accessible, high-value services to the people of Rhode Island and southeastern New England. RIH employs/contracts approximately 7,500 employees and is nationally and internationally recognized as a research and academic medical center. In 2024, RIH discharged 33,520 inpatients with total inpatient days of 207,436, treated 138,542 patients in its emergency departments, performed 24,016 inpatient and outpatient surgical procedures, and cared for 331,384 patients in outpatient clinics. RIH is the designated Level I Trauma Center for the State of Rhode Island and southeastern New England, with a state-of-the-art emergency department (ED) and a dedicated pediatric ED. RIH's adult ED includes a radiology unit comprised of CT scanners as well as ultrasound and x-ray machines; an all-inclusive chest pain center; a critical care unit for the most seriously injured and ill; and private treatment rooms. RIH offers imaging with PET/CT technology for cancer staging, while cardiac MRI and 64-slice cardiac CT scanners provide powerful tools for evaluating heart disease and function. The Anne C. Pappas Center for Breast Imaging has earned the Breast Imaging Center of Excellence designation by the American College of Radiology. In the area of cancer services, RIH has pioneered image-guided tumor ablation, shrinking or eliminating tumors by destroying them with heat (microwave ablation and radiofrequency ablation) or by freezing them (cryoablation). In addition, radiation oncology services include a linear accelerator for image-guided radiotherapy and stereotactic radiosurgery, as well as electronic brachytherapy for early-stage breast cancer patients, which reduces average treatment times from eight weeks to five days. In the area of surgical oncology, RIH is the only hospital in Rhode Island and one of only a few hospitals in New England to offer hyperthermic intraperitoneal chemoperfusion (HIPEC) for patients with advanced cancer of the abdomen. In the sphere of neurosurgery, RIH features one of the first gamma knife surgical centers in the United States, which offers intracranial stereotactic radiosurgery for the non-invasive treatment of brain lesions previously inaccessible or unsuccessfully treated by conventional therapies. Special services and programs provided by RIH include the Brown University Health Cancer Institute; the Brown Health Cardiovascular Institute, which provides cardiac catheterization, balloon angioplasty, and open heart surgery; The Comprehensive Stroke Center; The Norman Prince Spine Institute; critical care services; microvascular surgery; nuclear cardiology; radiology; laboratory; renal dialysis; computed tomography; orthopedics, including minimally invasive carpal tunnel surgery and cartilage transplants for knee defects; magnetic resonance imaging (MRI); and dental care. HCH's specialties include cardiology, orthopedics, hematology & oncology, and medicine/psychiatry. HCH also has the area's only center for pediatric imaging, as well as the area's only pediatric intensive care unit, pediatric oncology and outpatient cardiac programs, pediatric emergency department, and pediatric surgical unit. It operates specialty clinics treating children ranging in age from newborn to 18 years. Services and programs include adolescent medicine, the Asthma and Allergy Center, the Children's Neurodevelopment Center, the Child Life Program, the Child Protection Program, dermatology, gastroenterology, infectious disease, the Injury Prevention Center, the Kidney Transplant Center, nephrology, neurosurgery, nutrition, the Partial Hospitalization Program, surgery, plastic surgery, primary care clinic, rehabilitation services, the Sickle Cell Clinic, and urology. HCH was the first hospital in Rhode Island to offer minimally invasive pediatric urologic surgeries. A wide range of adult, adolescent, and child behavioral health services and research programs are also provided, including: psychiatry emergency services for adults, adolescents, and children; psychiatry consultation liaison services; correctional psychiatry program; inpatient and geriatric psychiatry programs; mood disorders program; gambling treatment program; anxiety disorders program; body dysmorphic disorder program; behavioral sleep medicine program; substance abuse treatment program; neuropsychiatric services; adult and pediatric neuropsychology services; adult and pediatric partial hospitalization programs; family research program; and the Bradley Hasbro Children's Research Center. Additional special services, facilities, and programs furnished by RIH include: the endovascular hybrid operating room suite (the only one of its kind in Rhode Island, the suite's design provides vascular surgeons with the flexibility to perform minimally invasive procedures and traditional open surgeries simultaneously with limited anesthesia); adult and pediatric kidney and pancreas transplant center; Alzheimer's disease and memory disorders center; an adult and pediatric hemostasis and thrombosis center; an adult and pediatric diabetes and endocrinology center; colorectal care center; and the transfusion-free medicine and surgery program, one of only two such formalized programs in New England. RIH also holds designation or certification as: a bariatric surgery center of excellence; adult and pediatric burn center; breast imaging center of excellence; comprehensive stroke center; knee and hip replacement, and treatment of complex and rare cancers. One of the impacts of the Affordable Care Act is the transformation of American health care systems to integrated health care delivery systems, with patients at the center of all activity. To that end, RIH, along with the other Brown Health affiliates, has worked hard to expand beyond its campus to broaden the services it provides, investing in a new electronic health record system in 2015, and partnering with new physician groups. One of RIH's major strategic goals is to provide care in settings that are more patient-focused and cost-effective, thus ensuring better continuity of care. Since 2011, RIH has opened ambulatory care centers in areas throughout Rhode Island, addressing a common barrier to care. By locating services, testing, and treatment in such a manner, RIH enables patients to access services when and where they need them, often in their own communities. The result is often earlier diagnosis, better adherence to treatment regimens, more cost-effective care and, eventually, better outcomes and a better patient experience. To address barriers for those who are treated and discharged from RIH, Brown University Health Pharmacy, LLC (LRX), the sole member of which is RIH, was opened in May 2013 on the RIH campus to provide pharmaceutical services. LRX now operates five locations and is available to the public and offers convenient, fast, and professional service with easy refill options during the day or night via phone. LRX also offers free home delivery and appointment or walk-in flu and COVID vaccinations, as well as pneumonia and shingles vaccinations for adults. LRX pharmacists interact with physicians to provide comprehensive and safe care. Physicians can electronically transmit prescriptions to LRX, greatly reducing wait times. LRX pharmacists also work with physicians and insurance companies to find the least expensive, fully effective medications to best manage a patient's health. LRX enables patients to leave the hospital with the prescriptions they need, thereby reducing anxiety, enhancing recovery, and reducing the likelihood of readmission. LRX especially benefits patients for whom a lack of transportation is a major barrier by providing access to pharmaceutical drugs onsite at RIH.
Form 990, Part III, Line 4aRIH provides full charity care for individuals at or below twice the federal poverty level, with a sliding scale for individuals based upon the federal poverty level guidelines, as set by the U.S. Department of Health and Human Services. In addition, a substantial discount consistent with Medicare program reimbursement is offered to all other uninsured patients. RIH 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 RIH to provide charity care amounted to $16,016,051 in fiscal year 2024. Charges forgone, based on established rates, amounted to $86,361,000. RIH substantially subsidized various health services including the following programs: dental, Alzheimer's, and the Center for Special Children, as well as certain other specialty services at a net cost of $15,072,330 in fiscal 2024. RIH 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 $414,401 in fiscal year 2024. Featured Awards and Recognition: In 2023, The American Heart Association/American Stroke Association recognized Rhode Island with the "Get with the Guidelines-Stroke Gold Plus award," for their commitment to ensuring stroke patients receive the most appropriate, leading-edge treatment, as quickly as possible, in accordance with nationally recognized, evidence-based guidelines. Rhode Island Hospital was named to the Stroke Honor Roll Elite with Advanced Therapy Achievement Target, and the Type 2 Diabetes Honor Roll. The Pediatric Trauma Center at Hasbro Children's Hospital was reverified as a Level 1 Trauma Center by the American College of Surgeons (ACS) and the Pediatric Burn Center at Hasbro Children's was reverified as a center by the American Burn Association (ABA). Rhode Island Hospital was recognized for excellence in pulmonary care by Healthgrades, citing its superior clinical outcomes in treating chronic obstructive pulmonary disease (COPD) and pneumonia. Hasbro Children's Hospital Rehabilitation Services was designated by Blue Cross & Blue Shield of Rhode Island as an LGBTQ Safe Zone, a certification that indicates that a center can provide quality care that meets the needs of LGBTQ+ patients. The Blue Cross Blue Shield Association named Rhode Island Hospital a Blue Distinction Center for Cancer Care and a Blue Distinction Center + for both Cancer Care and Spine Surgery. This designation recognizes health care facilities across the nation that demonstrate expertise in delivering quality specialty care. In 2023, Rhode Island Hospital's Medical Intensive Care Unity (MICU) received a four-year silver designation of the Beacon Award for Excellence by the American Association for Critical Care Nursing. In 2023-2024, U.S. News & World Report named Rhode Island Hospital a "high performer" in the areas of lung cancer surgery, aortic valve surgery, diabetes care, and stroke treatment. Accreditations: (1) Only Level I Trauma Center in southeastern New England, verified by the American College of Surgeons. (2) Only verified Burn Center in Rhode Island. (3) First hospital in the State awarded advanced certification as a Comprehensive Stroke Center; and (4) Pulmonary Hypertension Center holds the Pulmonary Hypertension Association's Center of Comprehensive Care Accreditation. (5) RIH is accredited by The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the Accreditation Council for Graduate Medical Education for residency and fellowship training, the Accreditation Council for Continuing Medical Education of the Rhode Island Medical Society, the American College of Surgeons' Commission on Cancer, the Joint Review Committees on Educational Programs in Nuclear Medicine Technology and Radiologic Technology, the Commission on Accreditation of Allied Health Education Programs, and the National Accrediting Agency for Clinical Laboratory Sciences.
Form 990, Part III, Line 4bUnder an affiliation agreement with The Warren Alpert Medical School of Brown University (Brown), RIH participates jointly in various clinical training programs and research activities. In 2010, Brown named RIH its Principal Teaching Hospital. The goals of the partnership are to facilitate the expansion of joint educational and research programs in order to compete both clinically and academically. RIH sponsors graduate medical education programs accredited by or under the auspices of the Accreditation Council for Graduate Medical Education (ACGME), while also sponsoring hospital-approved residency and fellowship programs. RIH serves as the principal setting for these clinical training programs, which encompass many disciplines. RIH provides stipends to residents and physician fellows while in training. In 2024, students enrolled in Brown University's undergraduate medical education programs received training at RIH. RIH teaching faculty ensure that the experience for both undergraduate and graduate medical education trainees remains transformative - dramatically changing novice practitioners into physicians able to think, act, and keep their focus on the ultimate goal of providing the best and most appropriate care for patients no matter what the setting or circumstances. RIH is also a participating clinical training site for residents and fellows from other programs. Various departments and specialties at RIH serve as clinical sites for physician assistant schools. In addition, Behavioral Medicine at RIH, in collaboration with Brown, sponsors research and clinical psychology training programs for interns, postdoctoral fellows, and faculty trainees. With respect to nursing education, RIH has developed educational affiliations with various Schools of Nursing, pursuant to which their nursing students obtain clinical training and experience at RIH. RIH does not receive any compensation from the various schools for providing a clinical setting for the student nurse training. The Brown University Health School of Medical Imaging collaborates with Rhode Island College in the following programs: diagnostic medical sonography; nuclear medicine technology; radiography; and magnetic resonance imaging. Students complete educational experiences at RIH, as well as other outpatient sites. RIH also sponsors education programs in computed tomography and mammography. At RIH, clinical affiliations/student clinical training programs are provided through contracts with several colleges and universities in the professional areas of speech-language pathology and audiology, physical therapy, physical therapy assistants, occupational therapy, certified occupational therapy assistants, and child development. RIH has clinical training affiliations in respiratory therapy with New England Institute of Technology and CCRI. In addition, RIH is the host for training programs in histology, cytology, phlebotomy, and medical laboratory science (medical technology) sponsored jointly through the University of Rhode Island, Salve Regina University, and Rhode Island College. These programs allow students to obtain didactic coursework at partner universities and at RIH, and clinical education and experience on site at RIH, resulting in certification for careers in clinical laboratories. RIH also has clinical affiliations/student clinical training programs for pharmacy students provided through contracts with a number of colleges and universities. RIH's Pharmacy Department sponsors a postgraduate year one (PGY1) residency program in pharmacy practice. In addition, RIH's Pharmacy Department co-sponsors second-year postgraduate specialized residency programs in oncology and ambulatory care pharmacy. RIH's pharmacists participate in the education of pharmacy, nursing, and physician assistant students by providing didactic lectures at various universities. In addition, RIH has clinical social work student contracts with various educational facilities.
Form 990, Part III, Line 4cRIH expended $12.3 million in support of research activities in fiscal year 2024. Major areas of research include: Cancer: RIH participates in clinical trials of new therapeutic agents in both adult and pediatric medicine. These trials are supported by National Institutes of Health (NIH) sponsored groups such as Alliance and Childrens' Oncology Group (COG). RIH is a participating hospital in the Brown-sponsored Cancer Oncology Group (BrUCOG). Heart Disease: Research continues in areas of invasive therapy, such as angioplasty, artherectomy, coronary stenting, laser treatment of coronary artery disease, and the reasons for sudden heart failure. Neurological Illness: The Alzheimer's Disease and Memory Disorder Center combines high quality neurological, neuropsychologic, and psychiatric services, thus creating a comprehensive diagnostic and treatment option for patients with memory disorders. Infectious Diseases: RIH's research team has been at the heart of the global COVID-19 response, from being sought after for comment by national media, to being selected as a site for vaccine trials. RIH research is also focused on the treatment and prevention of opioid abuse.
Form 990, Part VI, Line 2 Business or Family Relationship of Officers, Directors, Etc.Nicholas P. Dominick, Senior Vice President of RIH and Paul J. Adler, Brown University Health Secretary, are officers of Brown University Health MSO, Inc.(MSO), a related for-profit organization. Lawrence A. Aubin, Sr., Chairman, and Michael L. Hanna, Trustee, are partners in the same for-profit organization.
Form 990, Part VI, Line 1b*Lawrence A. Aubin, Sr., Chair, and Michael Hanna, Trustee, are owners of New England Real Estate Holding Group, LLC (NEREHG), with which Brown Health has entered into an operating lease of a health care facility. During fiscal year 2024, Brown Health paid rent to NEREHG under the terms of its lease. Terms of the rent expense related to the lease have been established at fair market value.
Form 990, Part VI, Line 6 Classes of members or stockholdersBrown University Health is the sole member of RIH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyThe sole member of RIH is Brown University Health, a non-profit corporation organized and existing under the Rhode Island Nonprofit Corporation Act. Additionally, the bylaws of RIH confer certain reserved powers upon Brown Health to provide it with the means of effective oversight, coordination, and support of the system. Powers reserved to Brown Health include: to elect and remove RIH trustees and to approve the election or removal of certain officers.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersThe RIH 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, Line 11b Review of form 990 by governing bodyThe Form 990 is prepared by the Brown Health Finance Department 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. Once the draft Form 990 is complete, the return is provided with all supporting worksheets to KPMG, which then reviews and the completed from in detail. KPMG provides the Director of Finance with any recommended changes which are reviewed, and if agreed upon, are incorporated into the return. The draft Form 990 is then provided to the Brown Health EVP/CFO for final management review.
Form 990, Part VI, Line 12c Conflict of interest policyBrown University Health has a Conflict of Interest Policy that is applicable to all affiliates, including RIH, 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 the 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 the 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 the 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 the 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 the policy. Failure on the part of any designated person to comply with the 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, Line 15a Process to establish compensation of top management officialThe following applies to Brown Health and all of its affiliates, including RIH: EXECUTIVE COMPENSATION Brown Health's executive compensation philosophy balances appropriate stewardship of resources and the need to be competitive in recruiting and retaining talented individuals. It incorporates market-competitive and performance-related principles, and covers the President and CEO of Brown Health as well as other officers, senior management, and key employees. Brown Health's executive compensation program complies both with law and with contemporary ethical norms, and is administered consistent with the organization's tax-exempt status under Section 501(c)(3) of the Internal Revenue Code (IRC) and the avoidance of transactions subject to intermediate sanctions under Section 4958 of the IRC. Executive compensation is also administered consistent with Brown Health's Corporate Compliance Policy on Excess Benefit Transactions. The Compensation Committee of the Brown University Health Board of Directors (the Committee), comprised of disinterested Brown Health Board members, is responsible for diligent oversight of executive compensation to ensure compliance with IRC requirements. Its duties include: * Approving eligibility for participation in the executive compensation program * Approving changes in compensation for existing executive participants * Approving guidelines, such as salary ranges and contract terms, on appropriate levels of compensation for other key employees * Approving new, and modifying or terminating existing, executive compensation plans including, but not limited to, annual incentive and executive benefit plans * Approving performance objectives associated with Brown Health's annual incentive plan, including measuring points, and using verified actual performance relative to these objectives as a precondition to approving the payment of any awards under the plan * Authorizing periodic performance benchmark studies to be conducted for purposes of assessing Brown Health's performance within the healthcare industry and the degree to which total remuneration levels at Brown Health are generally commensurate with Brown Health performance relative to healthcare industry performance * Conducting an annual performance review of Brown Health's Chief Executive Officer. The Chair of the Committee conducts and documents this review, based on his/her observations and interpretation of feedback from members of the Board of Directors. * Selecting and engaging qualified, independent, third-party compensation valuation consultants that the Committee charges with rendering opinions with respect to the reasonableness and comparability of compensation as well as the comparative organizations against which compensation is assessed, in accordance with relevant sections of the IRC and Brown Health's executive compensation philosophy. Brown Health's Chief Executive Officer works closely with the Committee to make recommendations on the above topics and keep the Committee informed about contemplated compensation changes for executives and other key employees, as well as candidates for these roles. The CEO also provides periodic updates to the Committee regarding Brown Health's performance relative to compensation-related performance objectives. The Committee's deliberations and actions are documented in minutes prepared for each meeting. PROCESS FOR DETERMINING COMPENSATION Valuation of Total Cash and Total Remuneration: No less frequently than annually, the Committee receives and reviews a total cash compensation valuation of all existing executive compensation program participants prepared by its independent compensation consultant. Annually, the Committee also receives and reviews a total remuneration valuation of all existing executive compensation participants. Base Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her assessment of individual performance or other pertinent information, for the Committee's consideration. New Participants in Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, certain members of the Brown Health CEO's leadership team work with the Committee's independent compensation consultant or rely on information previously provided by the consultant to establish a range of reasonable cash compensation within which recruitment is expected to conclude with acceptance of a reasonable compensation offer.
Form 990, Part VI, Line 19 Required documents available to the publicBrown Health and the Brown Health Obligated Group, which consists of RIH, The Miriam Hospital, Emma Pendleton Bradley Hospital, Rhode Island Hospital Foundation, and The Miriam Hospital Foundation, currently make their annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification, LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Brown Health's financial information to repositories and investors alike. In addition, copies of RIH's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Brown Health EVP/CFO, either in person or by mail.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue- Total Revenue: -20413736, Related or Exempt Function Revenue: -20815085, Unrelated Business Revenue: 299276, Revenue Excluded from Tax Under Sections 512, 513, or 514: 102073;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesChange in funded status of pension and other postretirement. - 10955769; Increase in Interest in Net Assets of RIHF - 5447162; Joint Venture Equity Transfer - -49801583; Net asset Transfer HOSPITAL PROPERTIES INC AND RHODE ISLAND HOSPITAL VENTURES - -230368;
Form 990, Part XII, Line 2c Change of oversight process or selection processRIH was included in the Brown University Health and Affiliates audited consolidated financial statements as of and for the fiscal year ended September 30, 2024. Included in the amounts reported for RIH include activity of RIH, RIH Ventures, Radiosurgery Center of Rhode Island, LLC, and Brown University Health Pharmacy, LLC. The Brown Health Audit and Compliance Committee assumes responsibility for oversight of the audit of Brown Health's consolidated financial statements and the selection of Brown Health's independent accountant.
Form 990, Part VII - Compensation ExplanationPaul J. Adler Paul J. Adler, Brown Health Secretary, is also Senior Vice President and General Counsel of Brown University Health and various other affiliates. As a full-time employee he devotes 40+ hours per week to these organizations. His compensation is paid by Brown University Health. John Fernandez John Fernandez serves as President of Brown Health and Affiliates, devoting 40+ hours per week to the combined organizations. As part of his responsibilities, he provides administrative oversight to all of Brown Health's affiliated organizations disclosed in Schedule R. Mr. Fernandez's compensation was paid by Brown Health during calendar year 2023. Sarah Frost Sarah Frost became the EVP & Chief of Hospital Operations of Brown Health and Affiliates and President of RIH in June 2024. Ms. Frost serves as a full-time employee devoting 40+ hours per week to the combined organizations. Ms. Frost did not receive compensation during calendar year 2023. Ziya L. Gokaslan, MD Ziya L. Gokaslan, MD, Trustee, is also the Neurosurgeon-in-Chief at Rhode Island Hospital and The Miriam Hospital. As a full-time employee he devotes 40+ hours per week to the Neurosurgery service-line. His compensation is paid by Brown Health Medical Group. Eva Greenwood Eva Greenwood serves as Treasurer of Brown Health and Affiliates, devoting 40+ hours per week to the combined organizations. As part of her responsibilities, she provides financial oversight to all of Brown Health's affiliated organizations disclosed in Schedule R. Ms. Greenwood's compensation was paid by Brown Health during calendar year 2023. Peter K. Markell Peter K. Markell serves as EVP/CFO of Brown Health and Affiliates, devoting 40+ hours per week to the combined organizations. As part of his responsibilities, he provides financial oversight to all of Brown Health's affiliated organizations disclosed in Schedule R. Mr. Markell's compensation was paid by Brown Health during calendar year 2023. G. Dean Roye, MD G. Dean Roye, SVP and Chief Medical Officer at Rhode Island Hospital, served as Interim President of Rhode Island Hospital and Affiliates until June 2024. As a full-time employee he devotes 40+ hours per week to the organization. His compensation was paid by Rhode Island Hospital. Timothy J. Babineau Timothy J. Babineau, MD, was the President & CEO of Brown Health as well as other affiliates thru June 1, 2022. As a full-time employee he devoted 40+ hours per week to these organizations. His compensation was paid by Brown Health. Todd A. Conklin, CPA Todd A. Conklin served as EVP & Chief Operating Officer of Rhode Island Hospital until April 6, 2022. As a full-time employee he devoted 40+ hours per week to this organization. Mr. Conklin's compensation was paid by Brown Health. G. Alan Kurose, MD G. Alan Kurose, Trustee thru November 9, 2021, served as Chairperson of Brown Health Group Primary Care (formerly Coastal Medical Physicians, Inc.) which joined the Brown Health health system effective April 25, 2021, thru July 31, 2023. Dr. Kurose also acted as Brown Health's Senior Vice President for Primary Care and Population Health at Brown Health. As a full-time employee he devoted 40+ hours per week to these organizations. His compensation was paid by Brown Health Group Primary Care during calendar year 2023. Saul N. Weingart, MD Saul N. Weingart, MD served as President of RIH from January 1, 2021 through April 12, 2023. The calendar year 2023 compensation reported in this return is reflective of amounts earned in that role. His compensation was paid by Brown Health.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Brown University Health Pharmacy LLC
593 Eddy StreetProvidenceRI02903461697290Pharmaceutical SalesRI$116,421,670$31,942,886Rhode Island Hospital
Radiosurgery Center of Rhode Island LLC
593 Eddy StreetProvidenceRI02903262171671RadiosurgeryRI$6,562,395$3,408,566Rhode Island Hospital

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALC dba HSR
1 Virginia Avenue Suite 200ProvidenceRI02905050442015Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Bayberry Courts Inc
1 Virginia Avenue Suite 200ProvidenceRI02905204590384Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Bradley Hospital Foundation
167 Point StreetProvidenceRI02903050500688Philanthropic ActivitiesRI501(c)(3)7Brown University Healthfalse
Brown Neurology Inc
593 Eddy Street APC5ProvidenceRI02903050448314Medical CareRI501(c)(3)Type IINAfalse
Capital City Community Centers Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050259090Daycare ServicesRI501(c)(3)7Gateway Healthcare Incfalse
Brown Health Medical Group Primary Care
10 Davol SquareProvidenceRI02903844944884Physician Health Care ServicesRI501(c)(3)10Brown University Healthfalse
Emma Pendleton Bradley Hospital
1011 Veterans Memorial ParkwayEast ProvidenceRI02914050258806Pediatric Psychiatric Health Care SvcsRI501(c)(3)3Brown University Healthfalse
Families Reaching Into Each New Day
1 Virginia Avenue Suite 200ProvidenceRI02905050504841Bereavement Services for ChildrenRI501(c)(3)7Gateway Healthcare Incfalse
Gateway Healthcare Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050309043Substance Abuse & Psych Health Care SvcsRI501(c)(3)10Brown University Healthfalse
Hospital Properties
167 Point StreetProvidenceRI02903222869743Property ManagementRI501(c)(4)Brown University Healthfalse
JM Apartments Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050435537Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Brown University Health
167 Point StreetProvidenceRI02903222861978Holding Company/Mgmnt ServicesRI501(c)(3)Type IINAfalse
Brown University Health Foundation
167 Point StreetProvidenceRI02903050493219Philanthropic ActivitiesRI501(c)(3)7Brown University Healthfalse
Brown Health of Massachusetts Inc
45 Baker Street 2nd FloorProvidenceRI02905043408517Holding CompanyMA501(c)(3)Type IBrown University Healthfalse
Brown Health Medical Group
167 Point StreetProvidenceRI02903050389801Physician Health Care ServicesRI501(c)(3)10Brown University Healthfalse
The Bradley Schools
140 BroadwayProvidenceRI02903464910847Educational ServicesRI501(c)(3)2Emma Pendleton Bradley Hospitalfalse
LJR Corporation
1 Virginia Avenue Suite 200ProvidenceRI02905030508346Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Mill River Community Housing Corporation
1 Virginia Avenue Suite 200ProvidenceRI02905050427152Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Newport Health Care Corporation
11 Friendship StreetNewportRI02840222535537Holding Company/Mgmnt ServicesRI501(c)(3)7Brown University Healthfalse
Newport Health Property Management
11 Friendship StreetNewportRI02840222335539Property ManagementRI501(c)(3)Type INewport Health Care Corporationfalse
Newport Hospital
11 Friendship StreetNewportRI02840050258914Health Care ServicesRI501(c)(3)3Brown University Healthfalse
Newport Hospital Foundation Inc
11 Friendship StreetNewportRI02840222535533Philanthropic ActivitiesRI501(c)(3)7Brown University Healthfalse
NHCC Medical Associates Inc
11 Friendship StreetNewportRI02840050472268Health Care ServicesRI501(c)(3)10Brown University Healthfalse
Obed Apartments inc
1 Virginia Avenue Suite 200ProvidenceRI02905050422771Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Pathways Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050393004Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Rhode Island Hospital Foundation
167 Point StreetProvidenceRI02903050468736Philanthropic ActivitiesRI501(c)(3)7Brown University Healthfalse
RIH Ventures
593 Eddy StreetProvidenceRI02903050448686Parking Facilities/Phleb otomy ServicesRI501(c)(3)10Brown University Healthfalse
RI Sound Enterprises Insurance Co
980130364Offshore Insurance CaptiveBrown University Healthfalse65 Front StreetHamiltonBDHM12BD
Shore Courts Inc
1 Virginia Avenue Suite 200ProvidenceRI02905050504003Housing for Elderly and Mentall IllRI501(c)(3)10Gateway Healthcare Incfalse
The Autism Project
1516 Atwood AvenueJohnstonRI02919050512037Services for Children with AutismRI501(c)(3)9Gateway Healthcare Incfalse
The Miriam Hospital
164 Summit AvenueProvidenceRI02906050258905Health Care ServicesRI501(c)(3)3Brown University Healthfalse
The Miriam Hospital Foundation
167 Point StreetProvidenceRI02903050377502Philanthropic ActivitiesRI501(c)(3)7Brown University Healthfalse
TLR Realty
1 Virginia Avenue Suite 200ProvidenceRI02905043742771Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Wentworth Corporation
1 Virginia Avenue Suite 200ProvidenceRI02905050488520Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse
Westerly Courts Inc
1 Virginia Avenue Suite 200ProvidenceRI02905611439766Housing for Elderly and Mentally IllRI501(c)(3)10Gateway Healthcare Incfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Brown University Health Alliance LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1167 Point StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
EIN812732225EIN
Primary ActivitiesAccount. Care Org.PrimaryActivitiesTxt
Legal Domicile StateRILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndEINEINEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
CHARITABLE REMINDER TRUST (1)
PO Box 830269DallasTX75283PhilanthropyRINAfalse
Brown University Health MSO I
167 Point StreetProvidenceRI02903Mgmnt SvcsRIBrown Univ Healthfalse050508717C Corporation$0$0
Brown University Health Risk S
167 Point StreetProvidenceRI02903Risk MgmntRIBrown Univ Healthfalse050459767C Corporation$0$0
VNA Technicare Inc (dba Brown University Health Home Medical)
200 Corliss StreetProvidenceRI02904DME SalesRIThe Miriam Hospitalfalse050472710C Corporation$0$0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Hospital Properties
S$63,811accrual
Hospital Properties
K$821,250accrual