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        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS TAX-EXEMPT STATUS AT BOTH THE STATE AND FEDERAL LEVEL. THE ORGANIZATION HAS BEEN CLASSIFIED AS AN ORGANIZATON THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(3). THE ORGANIZATION ANNUALLY FILES IRS FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX-EXEMPT ENTITIES. THESE TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES, AND THE FEDERAL INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE ORGANIZATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS.</ExplanationTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MADELINE CANCIAN MD</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SIMONE THAVASEELAN MD</PersonNm>
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        <PersonNm>LIZA AQUIAR MD</PersonNm>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS CLASS A MEMBER PHYSICIANS AND ITS SOLE CORPORATE CLASS B MEMBER BROWN PHYSICIANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CLASS A MEMBERS ELECT 4 OF THE 5 BOARD MEMBERS OF WHICH THEN 80% MUST BE APPROVED BY THE CLASS B MEMBER BPI RESERVES THE RIGHT TO REMOVE ANY DIRECTOR, EXCEPT AN EX-OFFICIO DIRECTORS, WITH OR WITHOUT CAUSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNANCE AND OPERATIONS OF THE CORPORATION SHALL BE SUBJECT IN ALL RESPECTS TO THE CLASS B MEMBER'S RIGHT TO EXERCISE THE RESERVED POWERS SET FORTH IN THIS SECTION (THE "RESERVED POWERS") WITH RESPECT TO THE CORPORATION AND ORGANIZATIONS OF WHICH THE CORPORATION IS EITHER, DIRECTLY OR INDIRECTLY, A CONTROLLING MEMBER, A CONTROLLING SHAREHOLDER, OR A CONTROLLING (THE "AFFILIATES"). THE CLASS B MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO EXERCISE THE RESERVED POWERS, AND THE BOARD OF DIRECTORS AND CLASS A MEMBERS OF THE CORPORATION SHALL HAVE NO POWER OR AUTHORITY OVER THE CORPORATION WHICH WOULD IN ANY WAY CONFLICT WITH THE CLASS B MEMBER'S EXCLUSIVE RIGHT TO EXERCISE THE RESERVED POWERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY THE EXTERNAL AUDITORS AND REVIEWED BY MANAGEMENT. ONCE ALL ARE SATISFIED WITH THE FORM, IT IS FINALIZED AND A COPY IS SENT TO ALL BOARD EXECUTIVE COMMITTEE MEMBERS. AT THE SUBSEQUENT BOARD EXECUTIVE COMMITTEE MEETING, THE MEMBERS ARE ASKED IF THEY HAVE ANY QUESTIONS OR COMMENTS AND A GENERAL REVIEW OF THE FORM IS CONDUCTED BY MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY AND DISCUSSED WITH THE PRESIDENT, MEMBERS OF THE BOARD OF TRUSTEES, AND SENIOR MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD REVIEW. ORGANIATION FOLLOWS THE NATIONAL GUIDELINES SET BY AAMC AND USED BY BROWN PHYSICIANS INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BY-LAWS), ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ORGANIZATION PROVIDE COPIES TO THOSE WHO COME TO THE ADMINISTRATIVE OFFICES DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BROWN DERMATOLOGY</BusinessNameLine1Txt>
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          <AddressLine1Txt>593 EDDY STREET APC-10</AddressLine1Txt>
          <CityNm>PROVIDENCE</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
        </USAddress>
        <EIN>812847155</EIN>
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        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BROWN EMERGENCY MEDICINE</BusinessNameLine1Txt>
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          <AddressLine1Txt>125 WHIPPLE ST 3RD FLOOR</AddressLine1Txt>
          <CityNm>PROVIDENCE</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02908</ZIPCd>
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          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02903</ZIPCd>
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        <PrimaryActivitiesTxt>MEDICAL TRAINING/ CLINICAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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        <EIN>050389803</EIN>
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        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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        </DisregardedEntityName>
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          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02912</ZIPCd>
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        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
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      <TransactionsRelatedOrgGrp>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>