2025-08-15T10:58:20+00:00 2024-09-30 135565207 KPMG LLP 60 South Street Boston MA 02111 990 2023-10-01 050258954 Rhode Island Hospital RHOD 4014444000 593 Eddy Street Providence RI 02903 Peter K Markell Treasurer 2025-08-15 true true KRISTIN ANDERSON P01231300 6179881000 2025-08-14 2023 2025-03-06 01:10:19Z John Fernandez 593 Eddy Street Providence RI 02903 2519707892 false X www.rhodeislandhospital.org X 1863 RI As a founding hospital in the Brown University Health system, Rhode Island Hospital (RIH) is committed to its mission: Delivering health with care. 18 14 9833 642 4390095 356787 22502740 38995557 1947305531 2205549824 22321225 61956780 -7190757 -9512970 1984938739 2296989191 1139002 1173873 0 739595418 796027593 0 0 1212937750 1315115274 1953672170 2112316740 31266569 184672451 1459844730 1833203164 619668440 799148540 840176290 1034054624 As a founding hospital in the Brown University Health system, RIH is committed to its mission: Delivering health with care. false false 1692641871 2072246188 Patient Care: RIH is the State's largest hospital, and its only Level I trauma center and verified burn center. It provides a comprehensive range of diagnostic and therapeutic health care services to inpatients and outpatients. RIH has particular expertise in cancer, cardiology, diabetes, emergency medicine, neurosciences, orthopedics, and more. Hasbro Children's Hospital (HCH), RIH's pediatric division, is the region's premier provider of pediatric clinical care. HCH offers a broad spectrum of both routine care and specialty programs not available elsewhere and has the only pediatric emergency department, Level I trauma center, pediatric critical care teams, and 24-hour ambulance in the region. (Continued on Schedule O) 147340233 1173873 21538115 Medical Education: RIH provides the setting for and substantially supports medical education in various clinical training and nursing programs. RIH is designated as the Principal Teaching Hospital of The Warren Alpert Medical School of Brown University. The total cost of direct medical education provided by RIH exceeded the reimbursement received from third-party payors by $125.8 million in fiscal year 2024. (Continued on Schedule O) 86550629 90298185 Research: RIH conducts extensive medical research and is in the forefront of biomedical health care delivery research and among the leaders nationally in the National Institutes of Health programs. RIH also sponsors a significant level of research activities. Federal support accounts for approximately 57% of all externally funded research at Brown Health. Researchers focus on basic research projects and clinical trials which investigate prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac disease, neurological problems, orthopedic advancements, mental health concerns, and brain science. (Continued on Schedule O) 1926532733 true true false false false false true false true true false false true true true false true false false true false false false false false true true true true true true false false false false false false false false false false true false false false true true true true true false true 551 0 true 9833 true true true false false false false false false false false false false false X 18 14 true false false false true true true true true false false true true true true true true true true true true RI X Peter K Markell 4014447914 167 Point Street Providence RI 02903 Alan H Litwin Vice Chair 0.0 0.0 X X 0 0 0 John Fernandez CEO 7.0 43.0 X X 0 2148746 307376 Lawrence A Aubin Sr Chair 2.0 6.0 X X 0 0 0 Peter Capodilupo Vice Chair 0.5 4.5 X X 0 0 0 Angel Taveras Trustee (AS OF 12/12/23) 0.0 1.0 X 0 0 0 Chris Cocks Trustee (AS OF 12/12/23) 0.0 1.0 X 0 0 0 Edward D Feldstein Esq Trustee 0.5 2.5 X 0 0 0 Emanuel Barrows Trustee 1.5 5.5 X 0 0 0 Jane Williams Trustee (Thru 12/23) 7.0 25.0 X 0 0 0 Janet Robinson Trustee (AS OF 12/12/23) 0.0 0.0 X 0 0 0 Lawrence B Sadwin Trustee 3.0 14.0 X 0 0 0 Martha B Mainiero MD Trustee 0.5 3.5 X 0 0 0 Michael L Hanna Trustee 1.0 7.6 X 0 0 0 Paula McNamara Trustee (AS OF 12/12/23) 5.0 12.0 X 0 0 0 Phillip Kydd Trustee 1.0 5.5 X 0 0 0 Roger N Begin Trustee 2.0 10.5 X 0 0 0 Sarah T Dowling JD LLM Trustee 3.0 10.0 X 0 0 0 Shivan Subramaniam Trustee 1.0 4.5 X 0 0 0 Steven Pare Trustee (Thru 12/23) 5.0 16.0 X 0 0 0 Ziya L Gokaslan MD Trustee 0.0 43.0 X 0 1656599 52686 Eva Greenwood Treasurer 0.5 39.5 X 0 649185 87891 G Dean Roye MD Interim Pres.11/23-6/24 55.0 2.0 X 850449 0 147891 Paul J Adler Secretary 5.0 35.0 X 0 926856 151085 Peter K Markell EVP & CFO 5.0 55.0 X 0 1193642 18928 Sarah Frost President and Chief of Hospital Operations (As of 6/24) 50.0 0.0 X 0 0 0 Cynthia H Danner Chief Nursing Officer 40.0 0.0 X 520461 0 19474 Michael Dawson VP of Finance 40.0 0.0 X 345173 0 65800 Nicholas P Dominick SVP of Service Lines 40.0 0.0 X 0 523234 99888 Christine Collins SVP Pharmacy 40.0 0.0 X 411919 0 92163 Eric Klein Phd Physician 40.0 0.0 X 399477 0 43013 Jessica L Smith MD Physician 40.0 0.0 X 398338 0 21808 Sean Deoni Physician 40.0 0.0 X 885000 0 0 Tracey L Wallace SVP Clinical Svcs 40.0 20.0 X 366891 0 67293 G Alan Kurose MD Fmr. Trustee 0.0 50.0 X 0 593347 11416 Saul N Weingart MD Fmr. President 0.0 0.0 X 0 937729 359560 Timothy J Babineau Fmr. Trustee 0.0 0.0 X 0 2343283 1336393 Todd A Conklin CPA Fmr. Key Employee 0.0 0 X 116826 0 3532 4294534 10972621 2886197 1026 true true false Brown Medicine 110 Elm Street 2nd Fl Providence RI 02903 Medical Services 39482099 Brown Surgical Associates PO Box 16149 Rumford RI 02916 Medical Services 14143639 AMN Healthcare Inc 2735 Collection Center Chicago IL 606930027 Contract Labor 13903958 Brown Emergency Medicine 125 Whipple St 3rd Fl Providence RI 02908 Medical Services 9672990 Brown Neurology 110 Elm St 1st Fl Providence RI 02903 Medical Services 8255341 102 14525210 23477711 992636 59507 38995557 Patient Service Revenue 900099 1843655618 1841202180 2453438 Brown Health Pharmacy 446110 263032564 263041803 -9239 Direct Rev from Research 900099 90298185 90298185 Rental 531120 7123064 7123064 Temp Restricted (SPF's) 900099 1440393 1347803 92590 0 0 0 0 2205549824 21070101 21070101 1969425 1969425 3592157 2180982 1411175 0 1411175 1411175 259367473 87500 220511220 26499 38856253 61001 38917254 38917254 Cafeteria Revenue 722210 6051024 6051024 Linen Services 812300 1885833 1884537 1296 SALE OF HEAT, LIGHT AND POWER, GASES 900999 1552734 1552734 -20413736 -20815085 299276 102073 -10924145 2296989191 2184082487 4390095 69521052 1138873 1138873 35000 35000 1757124 1757124 1417647 19800 1397847 611839195 611598485 240710 33659604 33659604 104210734 95767085 8443649 43143289 42936913 206376 1784758 1784758 208736939 208736939 0 0 197885 197885 33372742 33187875 184867 30501330 30501330 1677784 1672982 4802 2814691 2481705 332986 13824249 13824249 59618103 54499578 5118525 28322527 28322527 Medical & Surgical Supplies 576720990 576720702 288 Purch Svs & Equip Contracts 221688120 56237575 165450545 Provision for Bad Debts 54523569 54523569 License Fee 45602054 45602054 35729533 34868003 861530 0 2112316740 1926532733 185784007 0 353930 656458 43998077 102161607 12010479 14142675 180136217 191772821 0 0 36641204 39654777 4964339 4342367 1191676007 706942235 476393068 484733772 353489958 635247284 58184694 41020086 0 293672764 319471317 1459844730 1833203164 132770929 130488597 348032 367081 137394352 332492871 0 147750000 147750000 13088938 11469688 188316189 176580303 619668440 799148540 X 420824437 569146942 419351853 464907682 840176290 1034054624 1459844730 1833203164 X 184672451 42834903 -33629020 X X false true X true true true X 0 0 0 0 0 0 0 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 76305 X false 573959401 122487024 102923166 179015771 620353820 532724063 127087720 50052523 135904905 573959401 722992773 98490852 -79688422 209071140 532724063 475684077 302153870 107027228 161872402 722992773 463288111 82296737 36982884 106883655 475684077 0.388 0.0697 0.5422 true true true 35133997 35133997 786737577 496274351 290463226 343365328 210667884 132697444 26439105 26439105 484733772 Deferred Financing Costs 2964793 Intercompany Receivables 9941713 Interest in Net Assets of RIH Foundation 75929902 Other Non-Current Assets 335752 Other Receivables 71283200 Right-of-Use Assets,Net Operating Leases 23816781 OUTSIDE TRUSTS 16625292 DUE FROM ENDOWMENT POOL 118573884 319471317 Accrued Interest Payable 3725758 Accrued Pension Liability 33646000 Arbitrage 2024 Bond 1490167 Health Care Benefit Self-insurance 7364146 Operating Lease Liabilities 23816781 Other Liabilities 68552591 Post-retirement Benefit Liability 3876400 Third-party Payor Settlements 34108460 176580303 X Schedule D, Part III, Line 4 Collections of art - description of collections Rhode Island Hospital's (RIH) collection of artwork consists of paintings, photographs, etchings, silkscreens, watercolors, charcoals, and lithographs. The works of art are displayed throughout the RIH campus for the viewing pleasure of patients, visitors, and employees. Schedule D, Part V, Line 4 Intended uses of endowment funds RIH's endowment funds consist of both donor-restricted endowment funds and funds designated by RIH to function as endowments. RIH's largest permanently restricted endowments support patient care, particularly cardiology, hematology/oncology, and neurology, as well as pediatric care at RIH's pediatric division, Hasbro Children's (HC), research, and charity care. RIH's unrestricted endowment includes designated assets set aside by RIH's Board for future capital improvements, over which the Board retains control and may at its discretion subsequently use for other purposes. Significant temporarily restricted funds held by RIH are used for the purposes of: (1) the care and treatment of children with medical needs; (2) cardiology fellowship educational support; (3) orthopedic research; (4) strategic energy management planning; and (5) building maintenance and improvements. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The organization is included in the consolidated financial statements of Brown University Health System which includes the following footnote regarding uncertain tax positions: Brown Health 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. East Asia and the Pacific 0 2 Program Services Research 183666 Europe (Including Iceland and Greenland) 0 4 Program Services Research 119261 South America 0 1 Program Services Research 22942 South Asia 0 1 Program Services Research 65279 Sub-Saharan Africa 0 9 Program Services Research 138055 0 17 0 0 0 17 529203 0 529203 false false false false false true Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual true true true X true X true true true false true true 28812462 12796411 16016051 0.0076 404532705 397495151 7037554 0.0033 0 0.0 0 0 433345167 410291562 23053605 0.0109 471955 57553 414402 0.0002 147340233 21538115 125802118 0.0596 60947016 45874686 15072330 0.0071 87100343 74715343 12385000 0.0059 351328 351328 0.0002 0 0 296210875 142185697 154025178 0.0729 0 0 729556042 552477259 177078783 0.0838 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 15688694 569688 221954186 207292539 14661647 X true true 1 1 Rhode Island Hospital 593 Eddy Street Providence RI 02903 www.rhodeislandhospital.org HOS00121 X X X X X X Rhode Island Hospital 1 false false true X X X X X X X X X X 22 true true false true X https://www.brownhealth.org/sites/default/files/lifespan-files/documents/lifespan-main/RIH-CHNA-Impl X true 22 true https://www.brownhealth.org/sites/default/files/lifespan-files/documents/lifespan-main/RIH-CHNA-Impl false true X 200.0 300.0 X X X X X X true true X X X X true X www.brownhealth.org/site-search?query=financial%20assistance%20policy X www.brownhealth.org/site-search?query=financial%20assistance%20policy X www.brownhealth.org/site-search?query=financial%20assistance%20policy X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 1 - Rhode Island Hospital. The Miriam Hospital Emma Pendleton Bradley Hospital Newport Hospital Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 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 , 2 Facility , 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 , 1 Facility , 1 - Rhode Island Hospital. An abbreviated version of RIH's Financial Assistance Policy is posted in various admitting and outpatient areas of RIH. Additionally, registration personnel refer uninsured and/or low-income patients to Patient Financial Counselors to discuss the policy and/or answer any questions they might have. 33 Brown University Health Cancer Institute Prgm of RIH at 164 Summit Avenue Providence RI 02906 Comprehensive Cancer Center Physician Visits, Infusion Therapy Brown University Health Cancer Institute Prgm of RIH 1454 South County Trail East Greenwich RI 02818 Comprehensive Cancer Center Physician Visits, Infusion Therapy Brown University Health Cancer Institute 701 George Washington Highway Ste 1 01 Lincoln RI 02865 Comprehensive Cancer Center Physician Visits, Infusion Therapy Brown Health Cancer Institute Prgm of RIH at Newport Ho 11 Friendship Street Newport RI 02840 Comprehensive Cancer Center Physician Visits, Infusion Therapy RIH Rheumatology Infusion Center 407 East Avenue Suite 250 Pawtucket RI 02860 Infusion Services East Providence Infusion Center 375 Wampanoag Trail Suite 101A East Providence RI 02915 Infusion Services Dialysis Center of RIH 22 Baker Street Providence RI 02905 Hemodialysis, Home Peritoneal Dialysis, Home Hemodialysis RIH Norman Prince Spine Institute 690 Eddy Street Providence RI 02903 Comprehensive, multidisciplinary care for spine patients RIH Center for Wound Care and Hyperbaric Medicine 950 Warren Avenue Suite 103 East Providence RI 02914 Wound Care and Hyperbaric Medicine Dialysis Center of RIH 950 Warren Avenue East Providence RI 02914 Hemodialysis RIH Hasbro Children's Outpatient Rehab Center 765 Allens Avenue 2nd Floor Suite 2 00 Providence RI 02905 Children's Physical and Occupational Therapy RIH Center for Primary Care and Specialty Medicine 245 Chapman Street Suite 300 Providence RI 02905 Primary Care and Specialty Medical Services Radiosurgery Center of RI LLC 593 Eddy Street Providence RI 02903 Radiosurgery Services RIH Pediatric Heart Center 1 Hoppin Street Providence RI 02903 Outpatient Pediatric Cardiology Services RIH Outpatient Rehabilitation Services 765 Allens Avenue 1st Floor Suite 1 02 Providence RI 02905 Adult Physical and Occupational Therapy Children's Neurology & Development Clinic 335R Prairie Avenue Suite 2B Providence RI 02905 Pediatric Services Medicine Pediatrics 245 Chapman Street Suite 100 Providence RI 02905 Primary Care Medicine Brown University Health Research Center 1 Hoppin Street CORO Building Providence RI 02903 Study, Design, Analysis, Medical & Regulatory Oversight Research RIH Pediatric and Adolescent Health Care Center 1 Hoppin Street Suite 3055 Providence RI 02903 Outpatient Adolescent Services RIH Sleep Disorders Center 70 Catamore Boulevard East Providence RI 02914 Outpatient Professional and Technical Evaluation of Sleep Disorders RIH Outpatient Specialty Svcs Pedi Endocrinology 111 Plain Street 3rd Floor Providence RI 02903 Pediatric Endocrinology Services Brown University Health Recovery Center 200 Corliss Street Suite 1 Providence RI 02904 Treatment of Opioid and Related Drug Addictions Pediatric Multi-Discipline Clinic & Rehab Satellite 1454 South County Trail 1st Floor East Greenwich RI 02818 Pediatric Specialties & Physical Therapy inclusive of Psychiatry Rhode Island Hospital East Greenwich Lab 1454 South County Trail East Greenwich RI 02818 Clinical Core Laboratory Testing Ctr Innovative Neurotechnology for Neural Repair 117 Chapman Street Suite 100 Providence RI 02905 Physical Therapy General Internal Medicine Research Group 111 Plain Street Providence RI 02903 Behavioral Research Studies Pediatric and Adult Medicine 900 Warren Avenue 2nd floor East Providence RI 02914 Pediatric and Adult Specialty Services RIH Molecular Laboratory 167 Point Street CORO East 3rd Floo r Providence RI 02903 Clinical Laboratory Testing - Molecular Diagnostics RIH Rehabilitation Services Hand Therapy 235 Plain Street Suite 203 Providence RI 02903 Occupational Therapy Audiology and Speech-Language Pathology Services 115 Georgia Avenue Providence RI 02905 Speech-Language Pathology and Audiology Services RI Dept of Human Genetics and Genetics Clinic 111 Plain Street 2nd Floor Providence RI 02903 Human Genetics Brown University Health Sleep Disorders Ctr-East Greenwi 1407 South County Trail Suite 430 East Greenwich RI 02818 Outpatient Professional and Technical Evaluation of Sleep Disorders West River Infusion 148 West River Street Suite 2B Providence RI 02904 Infusion Services 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 Report The 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 Expense The calculation of percentages disclosed for Schedule H, Part I, Line 7, column (f) "percent of total expense", does not include bad debt expense. Form 990, Part IX, Line 25 includes provision for bad debts of $54,523,569. Schedule H, Part VI During 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 assistance RIH's costing methodology used to calculate the amounts reported in Part I, Line 7 is as follows: a) Financial assistance at cost- involves utilization of a ratio derived from dividing patient costs, as defined, by patient charges, as defined, and applying that percentage to total charity care charges. Patient costs reported in the cost accounting system are calculated based on Medicare principles of reimbursement by reducing total operating expenses (as calculated by Form 990 requirements) by items such as bad debt expense, the cost of medical education, internally funded research, subsidized health services, community services, charitable contributions, and other operating revenue. Patient costs are then divided by patient charges to determine a ratio of cost to charges (RCC). This RCC is applied as the costing methodology for determining charity care expense. b) Medicaid- Medicaid expense is determined at cost as calculated by RIH's cost accounting system. The system uses historical costing methods applied to all patient segments based on various patient demographics and utilizations. These costing standards exclude bad debt, charity care, and the Medicaid portion of costs of health professions education, which are reported on other areas of Line 7. These expenses include Medicaid provider taxes. Direct offsetting revenue is reported as amounts received from Medicaid, as well as other payments which include reimbursement under Federal "Upper Payment Limit" (UPL) and "Disproportionate Share Hospital" (DSH) programs. e) Community health improvement services and community benefit operations- Community benefit operations expense is recorded as direct expenses incurred as reported by RIH's Community Health Services Department. Revenue received for these services is reported as direct offsetting revenue. f) Health professions education- Health professions education expenses represent direct costs related to amounts associated with resident and intern programs utilized at RIH. These costs are determined by reporting actual direct costs taken from the Medicare cost report. Direct offsetting revenue is reported as any direct Medicare reimbursements received for such services provided, as reported in the RIH's Medicare cost report. g) Subsidized health services- Subsidized health services' community benefit expense is determined by RIH's cost accounting system. These subsidized health services are recorded at cost in RIH's cost accounting system for all qualified subsidized health service divisions. This expense is adjusted to remove all related Graduate Medical Education (GME) expenses, as well as bad debt, Medicaid, and charity costs already reported in the applicable sections of Line 7. Net patient service revenue is recorded as amounts received from various payer types related to these services. Revenue associated with Medicare GME and Medicaid is excluded from the amount disclosed for subsidized health services. h) Research- RIH conducts extensive medical research focused on the prevention and treatment of HIV/AIDS, obesity, cancer, diabetes, cardiac disease, neurological problems, orthopedic advancements, and mental health concerns. For all internal and external research conducted, the costs associated with these activities are calculated by combining the direct and indirect costs as reported within RIH's cost accounting system. Revenue received for these services is reported as direct offsetting revenue. i) Cash and in-kind contributions for community benefit- Expenses for cash and in-kind community benefit contributions are incurred by RIH, including an allocation of contributions made by Brown Health on RIH's behalf. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The amount reported as bad debt expense is determined by applying the ratio of cost to charges (RCC) to the total charges written off to bad debt. The RCC rate is determined using data from the Hospital's cost accounting system and is adjusted for medical education, internally funded research, subsidized health services, community services, and charitable contributions. Discounts and payments are applied to patient accounts before such account balances are transferred to bad debt. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Accounts pending transfer to bad debt are reviewed by RIH's Patient Financial Advocate staff to determine qualification for financial assistance under RIH's policy. Accounts with insufficient information to determine eligibility are assigned a separate identifying code. These accounts are ultimately transferred to bad debt if the appropriate qualifying documentation is not received. The amount reported on Schedule H, Part III, Section A, Line 3 represents the account balances at charge written off to bad debt from the pending code, which are in turn converted to cost by applying the RCC rate as identified in Schedule H, Part III, Section A, Line 2. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Due to the adoption of ASU No. 2014-09 in 2019 - Revenue From Contracts With Customers (Topic 606), bad debt expense is no longer reported in the audited financial statements as a separate line item, but rather is treated as a price concession. RIH's adoption of the ASU did not materially change the timing or amount of revenue recognized. However, the ASU requires that patient service revenue be presented in the statement of operations and changes in net assets at the transaction price, i.e., net of any provision for bad debts. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance RIH 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 assessment Brown Health's Office of Strategic Planning and Analysis performs population-based studies for RIH regarding the need for inpatient medical and surgical services for both adults and children and a wide range of outpatient services including: primary care office visits, specialty care, emergency services, imaging, ambulatory surgery, and specific high technology services such as radiation therapy and bone marrow transplantation. A population-based study examines the growth and changes in the population, the resources in the community, and the changing prevalence of diseases. In addition to this approach, Brown Health Strategic Planning also examines experience with wait times, the level of staffing, and the changing standards of care. All of this information is used to assess the demand for additional services to provide access to high quality care. In addition to population approaches to assessing and estimating need, all specialties and services monitor demand at the service-specific level by considering changing patterns of care and methods of treatment for the specific medical problem, wait times for visits/queues, and community resources. The service leadership then goes through a review process to add staff, expanded hours, and/or new subcomponents to round out core services on an as-needed basis. At times, expansion requires more space, equipment, and staff, but often accommodation of community demand is achieved through expanded hours. Facilities are added as needed to accommodate these expansions, but most often minor renovations of existing locations with better, more modern layouts and equipment allow for greater patient access. The Rhode Island State Certificate of Need program requires a focused study of need for all projects over $5.25 million, which is an important part of the program development process across Brown Health. Based on a broad understanding of community health needs, RIH provides a wide range of services to both its primary and secondary areas. Brown Health and its hospital affiliates monitor health trends in Rhode Island in an effort to identify areas of unmet demands regarding clinical services. Previous examples of addressing this unmet demand include RIH adding a biplane neurointerventional radiology suite, equipped with the latest technology and staff 24/7 and located less than 100 steps from the ambulance bays of RIH's Andrew F. Anderson Emergency Center. No other emergency department in the world has this stroke surgery suite within it. Two new minimally invasive treatments are offered at RIH's Comprehensive Spine Center: balloon kyphoplasty, for treatment of vertebral compression fractures, and indirect spinal decompression with an interspinous spacer device, to decompress spinal stenosis and relieve symptoms of neurogenic claudication, including pain or pressure when standing or walking. Additionally, RIH's pediatric division, Hasbro Children's, is the State's only facility dedicated to pediatric care. RIH has continued its pioneering work on treatments for inoperable tumors as well as radiofrequency ablation. Also of note is Hasbro's Medical/Psychiatric Program. This program is expressly designed for children and adolescents with challenging mental health and medical conditions who require hospitalization. A collaboration with Emma Pendleton Bradley Hospital, it is the only program in the region created to meet the complex needs of these children. 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 assistance RIH has multilingual signage in its main lobby and waiting areas which provides information on financial aid contacts. The Registration Department meets with patients at the outset of care to discuss eligibility for assistance. The Registration staff provides interested patients with a "Welcome" booklet which includes information on patient rights and responsibilities. The signage and booklets contain a telephone number which connects patients with Registration staff who can answer any additional questions that may arise after the patient has left RIH. Assistance eligibility is also summarized on RIH's website. As part of RIH's inpatient intake process, RIH provides a summary of its financial assistance policy, along with all assistance applications and the Patient Financial Services contact number, to all self-pay patients. The same process is also used for patients seen during the outpatient discharge process. Attempts are made to contact patients prior to their visit to screen for financial assistance and to inform them what documents are required for their financial assistance determination or to set up an appointment to see a "Patient Financial Advocate" (PFA) prior to service. PFAs discuss with patients the various government programs that might be available to them for financial assistance. PFAs also offer assistance with the financial application process and/or understanding the qualification factors for Medicaid, the Affordable Care Act, Medicare, Social Security Disability, the Supplemental Nutrition Assistance Program (SNAP), and Rhode Island Temporary Disability Insurance and Unemployment. This is done for both inpatient and outpatient services. Schedule H, Part VI, Line 4 Community information Rhode Island Hospital, located in Providence, Rhode Island, is a 719-bed nonprofit general acute care teaching hospital with university affiliation providing a comprehensive range of diagnostic and therapeutic services for the acute care of patients principally from Rhode Island and southeastern Massachusetts. As a complement to its role in service and education, RIH actively supports research. 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 health RIH is governed by a Board of Trustees, which is composed of leaders of the local community elected by Brown University Health. RIH's purpose is to be staffed, equipped, and ready to serve the hospital needs of the community and its people from all walks of life. RIH works collaboratively with physicians, its employees, other health care organizations, and the community to create a measurably healthier community through the provision of high quality, cost-effective, customer-focused health care services in an environment that promotes patient safety. RIH monitors the healthcare needs of its service area to ensure alignment of its resources with its mission. RIH measures the results of the programs and services it provides based on the value added to the community as well as the financial health of each program and its impact on RIH. RIH is organized and operated for the benefit of the community it serves. Schedule H, Part VI, Line 6 Affiliated health care system Brown Health's mission is delivering health with care. Brown Health is an academically based healthcare system at the forefront of medical care, continually engaging in research that will lead to medical breakthroughs. Brown Health affiliates provide comprehensive inpatient and outpatient medical, surgical, and psychiatric services for adults and children. Brown Health and its affiliates employ approximately 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 report RI true Brown University 45 Prospect Street Providence RI 02912 050258809 501(c)(3) 1132873 0 General Support 1 0 Educational Assistance 10 35000 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Rhode 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. X true true X X X X X true true false false false false false true false John Fernandez CEO 0 1208249 0 858333 0 82164 0 280199 0 27177 0 2456122 0 0 Ziya L Gokaslan MD Trustee 0 1511075 0 138000 0 7524 0 19800 0 32886 0 1709285 0 0 Timothy J Babineau Fmr. Trustee 0 0 0 0 0 2343283 0 1336393 0 0 0 3679676 0 2343283 Saul N Weingart MD Fmr. President 0 385768 0 0 0 551961 0 333093 0 26467 0 1297289 0 0 G Alan Kurose MD Fmr. Trustee 0 426299 0 0 0 167048 0 1065 0 10351 0 604763 0 0 Todd A Conklin CPA Fmr. Key Employee 0 0 0 0 116826 0 0 0 3532 0 120358 0 0 0 Peter K Markell EVP & CFO 0 883350 0 186333 0 123959 0 0 0 18928 0 1212570 0 0 Paul J Adler Secretary 0 641242 0 158116 0 127498 0 121810 0 29275 0 1077941 0 86031 G Dean Roye MD Interim Pres.11/23-6/24 590477 0 155455 0 104517 0 114934 0 32957 0 998340 0 72959 0 Eva Greenwood Treasurer 0 450817 0 165150 0 33218 0 66165 0 21726 0 737076 0 0 Nicholas P Dominick SVP of Service Lines 0 378195 0 66240 0 78799 0 78416 0 21472 0 623122 0 0 Cynthia H Danner Chief Nursing Officer 374561 0 62612 0 83288 0 17304 0 2170 0 539935 0 0 0 Michael Dawson VP of Finance 280128 0 38038 0 27007 0 44761 0 21039 0 410973 0 0 0 Sean Deoni Physician 0 0 0 0 885000 0 0 0 0 0 885000 0 0 0 Christine Collins SVP Pharmacy 300594 0 51770 0 59555 0 61664 0 30499 0 504082 0 0 0 Eric Klein Phd Physician 378354 0 15380 0 5743 0 17746 0 25267 0 442490 0 0 0 Tracey L Wallace SVP Clinical Svcs 286441 0 38929 0 41521 0 46208 0 21085 0 434184 0 0 0 Jessica L Smith MD Physician 374428 0 22500 0 1410 0 5279 0 16529 0 420146 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Tax Indemnification and Grossed Up Payments: The Brown Health Executive Long Term Disability program provides financial protection to designated Brown Health physicians and executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after-tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed up to cover the total cost of the benefit as provided in the Brown Health Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii). Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Compensation of the RIH President is determined by the Compensation Committee of Brown University Health. This committee's determination process utilizes a combination of an independent compensation consultant, written employment contracts, and compensation studies/surveys, along with approval by the Brown Health Board of Directors. Schedule J, Part I, Line 4a Severance or change-of-control payment Line 4a: The following individuals received severance and/or change of control payments during the calendar year ending December 31, 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 plan Line 4b: Brown Health offers a non-qualified supplemental employee retirement plan (SERP) to certain executives. The following individuals were credited with the non-vested amounts indicated during calendar year 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 payments Certain physicians and executives participate in incentive compensation plans arranged through individual contractual agreements which stipulate non-fixed payments based on meeting criteria comprised of various quality and productivity markers. A RIHEBC Series 2016 521300173 762244FP1 2016-08-11 227078594 Refund 1996, 2006, 2009 Bonds false false true B RIHEBC Series 2024 521300173 762244MJ7 2024-02-14 209673418 Capital Improvements false false true A 84452830 227078594 1671247 225407347 2016 true true true true B 211642843 1682287 23629371 186331185 false false false true A false false true true true true 0.0 false false true B false false false false true 0.0 false false true A false true false false false false false true B false true false false false false false true true A true B true Schedule K, Part I, Column (f) Column A The bond proceeds listed in line 3A & 3B differ from the bond issue price disclosed per IRS Form 8038 due to the fact that RIH is part of the 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 B THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. Schedule K, Part III, Line 3d COLUMN A BOND 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 A RIHEBC SERIES 2016 bonds met a spending exception to the rebate requirement. X Toy donation 1 33537 Cost X Furniture and decor 1 25970 Cost 0 false true false Schedule M, Part I Schedule M, Part I, Column (b): RIH records non-cash contributions based on the number of individual contributions made during the tax year rather than the number of items received. Form 990, Part I, Line 6 Volunteers support and contribute to the mission of RIH and HCH every day, giving their time, energy, and enthusiasm. They are able to learn, meet other dedicated volunteers, better understand the healthcare environment, and gain personal satisfaction knowing they are making a difference to patients, families, and visitors alike. Volunteer opportunities are available to both teens and adults in a wide variety of areas including: ambassadors, art activities, book cart, canine assisted therapy, comfort cart for families, diagnostic imaging, emergency department, employee snack cart, endoscopy, food pantry, geriatric champions, hand massage, infection control, music activities, office support, oncology, outpatient clinics, patient and guest services, pediatric partial day program, pediatric pre-op and post-op, pediatric playrooms, PICU, PT/OT, and recovery room. Volunteers include college and high school students, retirees, working professionals, individuals considering a career change or returning to the work force, and individuals with a special skill or talent. Form 990, Part III, Line 4a RIH is a 719-bed, nonprofit general acute care teaching hospital with university affiliation, the largest hospital in the State of Rhode Island (the State) providing a comprehensive range of diagnostic and therapeutic services to patients. 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 4a RIH 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 4b Under an affiliation agreement with The Warren Alpert Medical School of Brown University (Brown), RIH participates jointly in various clinical training programs and research activities. In 2010, Brown named RIH its Principal Teaching Hospital. 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 4c RIH 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 stockholders Brown University Health is the sole member of RIH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The 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 stockholders The 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 body The 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 policy Brown 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 official The following applies to Brown Health and all of its affiliates, including RIH: EXECUTIVE COMPENSATION Brown Health's executive compensation philosophy balances appropriate stewardship of resources and the need to be competitive in recruiting and retaining talented individuals. It incorporates market-competitive and performance-related principles, and covers the President and CEO of Brown Health as well as other officers, senior management, and key employees. Brown Health's executive compensation program complies both with law and with contemporary ethical norms, and is administered consistent with the organization's tax-exempt status under Section 501(c)(3) of the Internal Revenue Code (IRC) and the avoidance of transactions subject to intermediate sanctions under Section 4958 of the IRC. Executive compensation is also administered consistent with Brown Health's Corporate Compliance Policy on Excess Benefit Transactions. The Compensation Committee of the Brown University Health Board of Directors (the Committee), comprised of disinterested Brown Health Board members, is responsible for diligent oversight of executive compensation to ensure compliance with IRC requirements. Its duties include: * Approving eligibility for participation in the executive compensation program * Approving changes in compensation for existing executive participants * Approving guidelines, such as salary ranges and contract terms, on appropriate levels of compensation for other key employees * Approving new, and modifying or terminating existing, executive compensation plans including, but not limited to, annual incentive and executive benefit plans * Approving performance objectives associated with Brown Health's annual incentive plan, including measuring points, and using verified actual performance relative to these objectives as a precondition to approving the payment of any awards under the plan * Authorizing periodic performance benchmark studies to be conducted for purposes of assessing Brown Health's performance within the healthcare industry and the degree to which total remuneration levels at Brown Health are generally commensurate with Brown Health performance relative to healthcare industry performance * Conducting an annual performance review of Brown Health's Chief Executive Officer. The Chair of the Committee conducts and documents this review, based on his/her observations and interpretation of feedback from members of the Board of Directors. * Selecting and engaging qualified, independent, third-party compensation valuation consultants that the Committee charges with rendering opinions with respect to the reasonableness and comparability of compensation as well as the comparative organizations against which compensation is assessed, in accordance with relevant sections of the IRC and Brown Health's executive compensation philosophy. Brown Health's Chief Executive Officer works closely with the Committee to make recommendations on the above topics and keep the Committee informed about contemplated compensation changes for executives and other key employees, as well as candidates for these roles. The CEO also provides periodic updates to the Committee regarding Brown Health's performance relative to compensation-related performance objectives. The Committee's deliberations and actions are documented in minutes prepared for each meeting. PROCESS FOR DETERMINING COMPENSATION Valuation of Total Cash and Total Remuneration: No less frequently than annually, the Committee receives and reviews a total cash compensation valuation of all existing executive compensation program participants prepared by its independent compensation consultant. Annually, the Committee also receives and reviews a total remuneration valuation of all existing executive compensation participants. Base Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her assessment of individual performance or other pertinent information, for the Committee's consideration. New Participants in Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, certain members of the Brown Health CEO's leadership team work with the Committee's independent compensation consultant or rely on information previously provided by the consultant to establish a range of reasonable cash compensation within which recruitment is expected to conclude with acceptance of a reasonable compensation offer. Form 990, Part VI, Line 19 Required documents available to the public Brown Health and the Brown Health Obligated Group, which consists of RIH, The Miriam Hospital, Emma Pendleton Bradley Hospital, Rhode Island Hospital Foundation, and The Miriam Hospital Foundation, currently make their annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification, LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Brown Health's financial information to repositories and investors alike. In addition, copies of RIH's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Brown Health EVP/CFO, either in person or by mail. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - 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 balances Change 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 process RIH 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 Explanation Paul 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. Brown University Health Pharmacy LLC 593 Eddy Street Providence RI 02903 461697290 Pharmaceutical Sales RI 116421670 31942886 Rhode Island Hospital Radiosurgery Center of Rhode Island LLC 593 Eddy Street Providence RI 02903 262171671 Radiosurgery RI 6562395 3408566 Rhode Island Hospital ALC dba HSR 1 Virginia Avenue Suite 200 Providence RI 02905 050442015 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Bayberry Courts Inc 1 Virginia Avenue Suite 200 Providence RI 02905 204590384 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Bradley Hospital Foundation 167 Point Street Providence RI 02903 050500688 Philanthropic Activities RI 501(c)(3) 7 Brown University Health false Brown Neurology Inc 593 Eddy Street APC5 Providence RI 02903 050448314 Medical Care RI 501(c)(3) Type II NA false Capital City Community Centers Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050259090 Daycare Services RI 501(c)(3) 7 Gateway Healthcare Inc false Brown Health Medical Group Primary Care 10 Davol Square Providence RI 02903 844944884 Physician Health Care Services RI 501(c)(3) 10 Brown University Health false Emma Pendleton Bradley Hospital 1011 Veterans Memorial Parkway East Providence RI 02914 050258806 Pediatric Psychiatric Health Care Svcs RI 501(c)(3) 3 Brown University Health false Families Reaching Into Each New Day 1 Virginia Avenue Suite 200 Providence RI 02905 050504841 Bereavement Services for Children RI 501(c)(3) 7 Gateway Healthcare Inc false Gateway Healthcare Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050309043 Substance Abuse & Psych Health Care Svcs RI 501(c)(3) 10 Brown University Health false Hospital Properties 167 Point Street Providence RI 02903 222869743 Property Management RI 501(c)(4) Brown University Health false JM Apartments Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050435537 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Brown University Health 167 Point Street Providence RI 02903 222861978 Holding Company/Mgmnt Services RI 501(c)(3) Type II NA false Brown University Health Foundation 167 Point Street Providence RI 02903 050493219 Philanthropic Activities RI 501(c)(3) 7 Brown University Health false Brown Health of Massachusetts Inc 45 Baker Street 2nd Floor Providence RI 02905 043408517 Holding Company MA 501(c)(3) Type I Brown University Health false Brown Health Medical Group 167 Point Street Providence RI 02903 050389801 Physician Health Care Services RI 501(c)(3) 10 Brown University Health false The Bradley Schools 140 Broadway Providence RI 02903 464910847 Educational Services RI 501(c)(3) 2 Emma Pendleton Bradley Hospital false LJR Corporation 1 Virginia Avenue Suite 200 Providence RI 02905 030508346 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Mill River Community Housing Corporation 1 Virginia Avenue Suite 200 Providence RI 02905 050427152 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Newport Health Care Corporation 11 Friendship Street Newport RI 02840 222535537 Holding Company/Mgmnt Services RI 501(c)(3) 7 Brown University Health false Newport Health Property Management 11 Friendship Street Newport RI 02840 222335539 Property Management RI 501(c)(3) Type I Newport Health Care Corporation false Newport Hospital 11 Friendship Street Newport RI 02840 050258914 Health Care Services RI 501(c)(3) 3 Brown University Health false Newport Hospital Foundation Inc 11 Friendship Street Newport RI 02840 222535533 Philanthropic Activities RI 501(c)(3) 7 Brown University Health false NHCC Medical Associates Inc 11 Friendship Street Newport RI 02840 050472268 Health Care Services RI 501(c)(3) 10 Brown University Health false Obed Apartments inc 1 Virginia Avenue Suite 200 Providence RI 02905 050422771 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Pathways Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050393004 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Rhode Island Hospital Foundation 167 Point Street Providence RI 02903 050468736 Philanthropic Activities RI 501(c)(3) 7 Brown University Health false RIH Ventures 593 Eddy Street Providence RI 02903 050448686 Parking Facilities/Phleb otomy Services RI 501(c)(3) 10 Brown University Health false RI Sound Enterprises Insurance Co 65 Front Street Hamilton BD HM12 980130364 Offshore Insurance Captive BD Brown University Health false Shore Courts Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050504003 Housing for Elderly and Mentall Ill RI 501(c)(3) 10 Gateway Healthcare Inc false The Autism Project 1516 Atwood Avenue Johnston RI 02919 050512037 Services for Children with Autism RI 501(c)(3) 9 Gateway Healthcare Inc false The Miriam Hospital 164 Summit Avenue Providence RI 02906 050258905 Health Care Services RI 501(c)(3) 3 Brown University Health false The Miriam Hospital Foundation 167 Point Street Providence RI 02903 050377502 Philanthropic Activities RI 501(c)(3) 7 Brown University Health false TLR Realty 1 Virginia Avenue Suite 200 Providence RI 02905 043742771 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Wentworth Corporation 1 Virginia Avenue Suite 200 Providence RI 02905 050488520 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Westerly Courts Inc 1 Virginia Avenue Suite 200 Providence RI 02905 611439766 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc false Brown University Health Alliance LLC 167 Point Street Providence RI 02903 812732225 Account. Care Org. RI NA N/A false false CHARITABLE REMINDER TRUST (1) PO Box 830269 Dallas TX 75283 Philanthropy RI NA false Brown University Health MSO I 167 Point Street Providence RI 02903 050508717 Mgmnt Svcs RI Brown Univ Health C Corporation 0 0 false Brown University Health Risk S 167 Point Street Providence RI 02903 050459767 Risk Mgmnt RI Brown Univ Health C Corporation 0 0 false VNA Technicare Inc (dba Brown University Health Home Medical) 200 Corliss Street Providence RI 02904 050472710 DME Sales RI The Miriam Hospital C Corporation 0 0 false false true false false false false false false false true true true true true true true true true true Hospital Properties S 63811 accrual Hospital Properties K 821250 accrual