2020-08-10T11:02:15-05:00 2019-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2018-10-01 050450410 BROWN MEDICINE BROW 4014445135 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 ANN KASHMANIAN CHIEF EXECUTIVE OFFICER 4014445135 2020-08-10 1 SANDY ROSS P01399337 4012742001 38.111.239.2 2020-08-10 10:11:19 ED P 0DE9224A7ECA9E89698B996EC4621D764FA0EBF9 F28E2B4EAD4C8CD2ABB1BD5859C0E522F0D5B131 2018 2020-09-23 17:36:50Z LOUIS RICE MD 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 87730656 0 X HTTP://WWW.BROWNMED.ORG/ X 2000 RI TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. 13 3 505 0 0 0 0 0 85274605 85878287 447250 799097 143683 285002 85865538 86962386 22500 27780 0 0 68837280 70348717 0 0 0 14787596 15196263 83647376 85572760 2218162 1389626 71273542 71121299 32994101 31440954 38279441 39680345 X BROWN MEDICINE IS A NON-PROFIT, ACADEMIC, MULTI-SPECIALTY MEDICAL GROUP WITH PRACTICE LOCATIONS IN PROVIDENCE, RI AND SURROUNDING COMMUNITIES. OUR THREE-PART MISSION COMBINES PATIENT CARE, TEACHING, AND RESEARCH, ENABLING US TO PROVIDE EXCEPTIONAL CARE LOCALLY, NATIONALLY, AND GLOBALLY. 0 0 75581098 27780 85878287 BROWN MEDICINE PROVIDED PRIMARY CARE AND SPECIALTY CARE AT NUMEROUS SITES THROUGHOUT RHODE ISLAND AS WELL AS OUTPATIENT AND INPATIENT CARE THROUGH NINE SUBSPECIALTY DIVISIONS AT RHODE ISLAND HOSPITAL, MIRIAM HOSPITAL AND THE PROVIDENCE VETERAN'S ADMINISTRATION HOSPITAL. BROWN MEDICINE PHYSICIANS RAN THE HOSPITALISTS PROGRAMS AT BOTH THE RHODE ISLAND AND MIRIAM HOSPITALS. IN ADDITION, BROWN MEDICINE OFFERED MEDICAL CARE AT ALL SEVEN OF RHODE ISLAND'S INPATIENT KIDNEY DIALYSIS CENTERS AND TWO STAND ALONE OUTPATIENT DIALYSIS CENTERS, AND BROWN MEDICINE OFFERED A TRAVEL CLINIC AT MIRIAM HOSPITAL. 75581098 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 69 0 505 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 3 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 RI X HERMINEH OHARONIAN 4017844909 110 ELM STREET 2ND FLOOR PROVIDENCE RI 02903 LOUIS RICE MD PRESIDENT 1.00 X X 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 40.00 X X 541336 0 44784 PETER HOLLMANN MD CMO/TREASURER/SECRETARY 40.00 X X 224796 0 37039 THOMAS BLEDSOE MD DIRECTOR 40.00 X 230486 0 44339 MICHAEL BLUNDIN MD DIRECTOR 40.00 X 242356 0 48712 DEEPAN DALAL MD DIRECTOR (AS OF 1/19) 40.00 X 146076 0 38186 SUSIE HU MD DIRECTOR 40.00 X 197313 0 28659 KELLY MCGARRY MD DIRECTOR 40.00 X 202293 0 43226 LYNN MCNICOLL MD DIRECTOR 40.00 X 57695 0 29083 JOHN O'BELL DIRECTOR (UP TO 1/19) 40.00 X 193017 0 42686 HARLAN RICH MD DIRECTOR 40.00 X 348177 0 49674 SHARON ROUNDS MD DIRECTOR 1.00 X 0 0 0 ANGELA TABER MD DIRECTOR 40.00 X 283646 0 36117 MARGARET VAN BREE DIRECTOR 1.00 X 0 0 0 COREY VENTETUOLO MD DIRECTOR 40.00 X 242892 0 45924 TAMMY LEDERER CHIEF HUMAN RESOURCES OFFI 40.00 X 181249 0 26481 ANN KASHMANIAN CHIEF EXECUTIVE OFFICER 40.00 X 333771 0 44115 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 40.00 X 522800 0 50689 HOWARD P SAFRAN PHYSICIAN 40.00 X 491965 0 53100 MITCHELL LEVY MD PHYSICIAN 40.00 X 398201 0 45008 ANTHONY MEGA MD PHYSICIAN 40.00 X 405661 0 36326 BENEDITO CARNEIRO FILHO MD PHYSICIAN 40.00 X 401982 0 35520 MARY JANE ZIMMER FORMER COO (UP TO 8/18) 40.00 X 227376 0 14305 5873088 0 793973 202 1 1 0 ECLINICALWORKS PO BOX 847950 BOSTON MA 02284 ELECTRONIC MEDICAL RECORDS 932750 RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 PHYSICIAN SERVICES, STAFFING 713904 OPTUM 360 LLC 3436 MOMENTUM PLACE CHICAGO IL 60689 MEDICAL BILLING 456806 LIFESPAN PO BOX 414546 BOSTON MA 02241 PHYSICIAN SERVICES, STAFFING 392507 NAVICURE INC 1311 SOLUTIONS CENTER CHICAGO IL 60677 MEDICAL BILLING 389392 8 MEDICAL SERVICE FEES 621491 66331874 66331874 CONTRACT SERVICE REV. 621491 9788725 9788725 SUPPORT FROM RIH, TMH 621491 8505313 8505313 MISCELLANEOUS 621491 1252375 1252375 85878287 484234 484234 1083133 762056 6214 321077 -6214 314863 314863 OTHER REVENUE 621491 285002 285002 285002 86962386 85878287 0 1084099 27780 27780 3856256 3274187 582069 53658336 49364869 4293467 4282863 3977607 305256 5025460 4114593 910867 3525802 3235601 290201 127474 62430 65044 84000 84000 28330 28330 3646127 1518009 2128118 513494 356242 157252 402203 171496 230707 3035393 2816770 218623 206010 206010 1309044 1055511 253533 1728752 1630969 97783 MEDICAL SUPPLIES 1268399 1265943 2456 CARDIOLOGY EXPENSES-AEF 1134276 1134276 ASSESSMENT EXPENSE 503936 503936 OTHER EXPENSES 473047 335101 137946 735778 735778 85572760 75581098 9991662 0 9453895 7767514 6602495 9160123 4356966 3582979 1609012 2192440 13315255 5348586 8547097 7966669 15759972 16394281 24944105 24057293 71273542 71121299 6113974 6550476 4472222 4138889 22407905 20751589 32994101 31440954 X 38243129 39680345 36312 0 38279441 39680345 71273542 71121299 1389626 11278 0 X 0 1 X 1 0 X RHODE ISLAND HOSPITAL PROVIDENCE RI MIRIAM HOSPITAL PROVIDENCE RI NEWPORT HOSPITAL NEWPORT RI WOMEN AND INFANTS HOSPITAL PROVIDENCE RI PROVIDENCE VETERANS ADMINISTRATION HOSPITAL PROVIDENCE RI 7117606 1128829 5988777 6197649 4219757 1977892 7966669 OTHER RECEIVABLES 6240251 CONSTRUCTION IN PROGRESS 217626 RIGHT-OF-USE ASSETS - OPERATING LEASES 17067183 RIGHT-OF-USE ASSETS - FINANCING LEASES 471001 INTEREST RATE CAP 4159 DEFERRED FINANCING COSTS 57073 24057293 DEFERRED COMPENSATION PLAN 2210309 OPERATING LEASES PAYABLE 18058497 FINANCING LEASES PAYABLE 482783 20751589 X 86945334 11278 11278 86934056 28330 28330 86962386 85544430 0 85544430 28330 28330 85572760 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS TAX-EXEMPT STATUS AT BOTH THE STATE AND FEDERAL LEVEL. THE ORGANIZATION 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. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 DOCTORS TRAVEL TO DOMINICAN REPUBLIC FOR A FEW WEEKS TO TRAIN RESIDENT MDS INTERNATIONAL HEALTH PROGRAM 18270 0 0 0 0 0 0 18270 0 18270 0 0 0 0 0 0 0 HOPE HEALTH 1085 NORTH MAIN STREET PROVIDENCE RI 02904 510192422 501(C)(3) 4000 TO SPONSOR GOLF INVITATIONAL TOURNAMENT EAST PROVIDENCE ROTARY PO BOX 14303 EAST PROVIDENCE RI 02914 056015710 501(C)(3) 1280 TO SPONSOR GOLF INVITATIONAL TOURNAMENT RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)(3) 6000 TO SPONSOR GOLF INVITATIONAL TOURNAMENT RI MS FOUNDATION 405 PROMENADE STREET SUITE A PROVIDENCE RI 02908 050401176 501(C)(3) 5000 PHYSICIANS HEALTH FUND GLAD RI 18 TREMONT STREET STE 800 BOSTON MA 02108 042660498 501(C)(3) 2000 TO SPONSOR ANNUAL FUNDRAISER EVENT LIFESPAN CANCER INSTITUTE 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)(3) 5000 TO SPONSOR GOLF INVITATIONAL TOURNAMENT RHODE ISLAND FREE CLINIC 655 BROAD STREET STE 301 PROVIDENCE RI 029071444 050501276 501(C)(3) 1500 TO SPONSOR ANNUAL FUNDRAISER EVENT TOMORROW FUND 593 EDDY STREET PROVIDENCE RI 02903 050450569 501(C)(3) 3000 TO SUPPORT ANNUAL BALL 7 0 X 0 0 0 0 0 0 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 536980 0 0 0 4356 0 27500 0 17284 0 586120 0 0 0 PETER HOLLMANN MD CMO/TREASURER/SECRETARY 221509 0 0 0 3287 0 23053 0 13986 0 261835 0 0 0 THOMAS BLEDSOE MD DIRECTOR 228226 0 0 0 2260 0 23262 0 21077 0 274825 0 0 0 MICHAEL BLUNDIN MD DIRECTOR 241891 0 0 0 465 0 24837 0 23875 0 291068 0 0 0 DEEPAN DALAL MD DIRECTOR (AS OF 1/19) 145794 0 0 0 282 0 15500 0 22686 0 184262 0 0 0 SUSIE HU MD DIRECTOR 196698 0 0 0 615 0 19475 0 9184 0 225972 0 0 0 KELLY MCGARRY MD DIRECTOR 201225 0 0 0 1068 0 20803 0 22423 0 245519 0 0 0 JOHN O'BELL DIRECTOR (UP TO 1/19) 192417 0 0 0 600 0 20000 0 22686 0 235703 0 0 0 HARLAN RICH MD DIRECTOR 345339 0 0 0 2838 0 27500 0 22174 0 397851 0 0 0 ANGELA TABER MD DIRECTOR 283027 0 0 0 619 0 27500 0 8617 0 319763 0 0 0 COREY VENTETUOLO MD DIRECTOR 242428 0 0 0 464 0 25088 0 20836 0 288816 0 0 0 TAMMY LEDERER CHIEF HUMAN RESOURCES OFFI 178851 0 0 0 2398 0 18302 0 8179 0 207730 0 0 0 ANN KASHMANIAN CHIEF EXECUTIVE OFFICER 331191 0 0 0 2580 0 27500 0 16615 0 377886 0 0 0 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 521282 0 0 0 1518 0 27500 0 23189 0 573489 0 0 0 HOWARD P SAFRAN PHYSICIAN 489127 0 0 0 2838 0 27500 0 25600 0 545065 0 0 0 MITCHELL LEVY MD PHYSICIAN 393019 0 0 0 5182 0 27500 0 17508 0 443209 0 0 0 ANTHONY MEGA MD PHYSICIAN 402823 0 0 0 2838 0 27500 0 8826 0 441987 0 0 0 BENEDITO CARNEIRO FILHO MD PHYSICIAN 401322 0 0 0 660 0 10533 0 24987 0 437502 0 0 0 MARY JANE ZIMMER FORMER COO (UP TO 8/18) 225069 0 0 0 2307 0 14305 0 0 0 241681 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 ALL PHYSICIANS ARE MEMBERS UPON JOINING THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE MEMBERS, EXCEPT THE FOUR WHO SERVE AS EX OFFICIO. FORM 990, PART VI, SECTION A, LINE 7B THE PRESIDENT'S VETO OF ANY ACTION CAN BE OVERRIDDEN BY A MEMBERSHIP VOTE OF 75%. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS NOT PROVIDED TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS BEFORE IT IS FILED. THE 990 IS REVIEWED BY THE FINANCE OFFICE AND THE PRESIDENT. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST FORMS ARE REQUIRED TO BE FILLED OUT ANNUALLY. THE RESPONSES ARE COMPILED BY THE CEO'S OFFICE AND FOLLOWED UP IF THE FORMS INDICATE POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE BOARD MEMBERS THAT ARE EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY THE DIVISION DIRECTOR. THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES IS DETERMINED BY THE PRESIDENT OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE AT THE SECRETARY OF STATE'S OFFICE AND ON THE RELATED WEBSITE. THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, BY-LAWS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC AS IT DOES NOT BELIEVE THAT A PUBLIC PURPOSE WOULD BE SERVED BY DOING SO.