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RHODE ISLAND MEDICAL SOCIETY FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND MEDICAL SOCIETY FOUNDATION (EIN 05-0401176)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-04-05
IRS object ID
201720959349300337
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-04-05T12:55:13-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CALIRI MANCINI & BARBIERI PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 Worthington RdAddressLine1Txt
CityCranstonCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02920ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050401176EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RHODE ISLAND MEDICAL SOCIETY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRHODBusinessNameControlTxt
Phone4013313207PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1405 PROMENADE STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNEWELL E WARDE PHDPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4013313207PhoneNum
Signature2017-04-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNANCY L MANCINIPreparerPersonNm
Phone4012706136PhoneNum
Preparation2017-04-05PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address72.87.95.29IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-04-05IPDt
IP Tm12:55:07IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6C9B1A35775087DBDB8A6D25ECA509C7F6C27838AtSubmissionCreationDeviceId
At Submission Filing Device Id6C9B1A35775087DBDB8A6D25ECA509C7F6C27838AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1NEWELL E WARDE PhDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1405 PROMENADE ST STE AAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$500,180GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.rimed.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionPromote the betterment of public health by engaging in educational and charitable activities related to the field of medicine, and to support peer review activities relating to health care services in the State of Rhode Island.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$183,130PYContributionsGrantsAmt
CY Contributions Grants$274,985CYContributionsGrantsAmt
CY Program Service Revenue$10,600CYProgramServiceRevenueAmt
PY Investment Income$12,575PYInvestmentIncomeAmt
CY Investment Income-$3,022CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$195,705PYTotalRevenueAmt
CY Total Revenue$282,563CYTotalRevenueAmt
CY Grants And Similar Paid$12,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$200,258PYOtherExpensesAmt
CY Other Expenses$201,361CYOtherExpensesAmt
PY Total Expenses$200,258PYTotalExpensesAmt
CY Total Expenses$213,361CYTotalExpensesAmt
PY Revenues Less Expenses-$4,553PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$69,202CYRevenuesLessExpensesAmt
Total Assets BOY$527,850TotalAssetsBOYAmt
Total Assets EOY$613,689TotalAssetsEOYAmt
Total Liabilities BOY$58,222TotalLiabilitiesBOYAmt
Total Liabilities EOY$58,376TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$469,628NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$555,313NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPromote the betterment of publicMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$188,159ExpenseAmt
Revenue$10,600RevenueAmt
DescPHYSICIANS HEALTH PROGRAM ESTABLISHED TO SUPPORT THE COST OF EMPLOYING PROFESSIONALS WHO PROVIDE SERVICES PERTAINING TO THE HEALTH OF PHYSICIANS AND CERTAIN OTHER MEDICAL PROFESSIONALS. IN 2016, A CONFERENCE WAS HELD WITH THE TITLE "SENIOR PHYSICIANS: ADDRESSING AGE, ABILITY AND ACUMEN."Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,891ExpenseAmt
Grant$12,000GrantAmt
DescBENEVOLENCE FUND - ASSISTANCE TO PHYSICIANS AND THEIR FAMILIES IN FINANCIAL NEED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,000ExpenseAmt
DescHOLLMANN FUND - TO IMPROVE THE QUALITY OF PATIENT CARE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$286ExpenseAmt
DescRHODE ISLAND CHRONIC CARE COLLABORATIVE FUND - TO PROVIDE TEAMS OF HEALTHCARE PROVIDERS THE TOOLS THEY NEED TO TEAMS OF HEALTHCARE PROVIDERS THE TOOLS THEY NEED TO TEAMS OF HEALTHCARE PROVIDERS THE TOOLS THEY NEED TO TEAMS OF HEALTHCARE PROVIDERS THE TOOLS THEY NEED TO TEAMS OF HEALTHCARE PROVIDERS THE TOOLS THEY NEED TODesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$286TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$206,336TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNEWELL E WARDE PHDPersonNm
Phone4013313207PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1405 PROMENADE ST SUITE AAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ALYN ADRAIN MD
TRUSTEE0.02Yes (X)$0$0$0
ELAINE C JONES MD
TRUSTEE0.02Yes (X)$0$0$0
RUSSELL A SETTIPANE MD
TRUSTEE; PRESIDENT start 9/160.02Yes (X)$0$9,000$0
PETER KARCZMAR MD
TRUSTEE; PRESIDENT through 9/160.10Yes (X)$0$0$0Yes (X)
JOSE R POLANCO MD
SECRETARY/TREASURER0.10Yes (X)$0$0$0Yes (X)
NEWELL E WARDE PHD
EXECUTIVE DIRECTOR8.00$0$133,515$10,326Yes (X)
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$142,515TotReportableCompRltdOrgAmt
Total Other Compensation$10,326TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Related Organizations$1,250RelatedOrganizationsAmt
All Other Contributions$273,735AllOtherContributionsAmt
Total Contributions$274,985TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSENIOR PHYSICIANS CONFERENCE FEESDesc
Business611710BusinessCd
Total Revenue Column$10,600TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,600TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$877TotalRevenueColumnAmt
Exclusion$877ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$213,718SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$217,617SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$3,899SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,899TotalRevenueColumnAmt
Exclusion-$3,899ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$282,563TotalRevenueColumnAmt
Related Or Exempt Func Income$10,600RelatedOrExemptFuncIncomeAmt
Exclusion-$3,022ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$12,000TotalAmt
Program Services$12,000ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,013TotalAmt
Program Services$2,013ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$5,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,971TotalAmt
Program Services$2,971ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,605TotalAmt
Program Services$3,605ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,540TotalAmt
Program Services$15,540ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,061TotalAmt
Program Services$3,061ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,071TotalAmt
Program Services$2,071ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,174TotalAmt
Program Services$7,174ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,999TotalAmt
Program Services$4,999ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SHARED PERSONNEL COSTS$116,819$116,819$0$0
RIMS MANAGEMENT FEE$17,000$15,000$2,000$0
CONFERENCE EXPENSES$14,510$14,510$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,598TotalAmt
Program Services$6,573ProgramServicesAmt
Management And General$25ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$213,361TotalAmt
Program Services$206,336ProgramServicesAmt
Management And General$7,025ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$46,175BOYAmt
EOY$152,005EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$170,201BOYAmt
EOY$170,235EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,500BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,891BOYAmt
EOY$6,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$2,504EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,622LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$31,997LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,799BOYAmt
EOY$2,625EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$287,784BOYAmt
EOY$280,320EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$527,850BOYAmt
EOY$613,689EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,297BOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$5,176BOYAmt
EOY$5,176EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,749BOYAmt
EOY$53,200EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,222BOYAmt
EOY$58,376EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$83,417BOYAmt
EOY$93,727EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$386,211BOYAmt
EOY$461,586EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$469,628BOYAmt
EOY$555,313EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$527,850BOYAmt
EOY$613,689EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$69,202ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$16,483NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$148,015CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$205,426CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$168,853CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$183,130CurrentTaxYearMinus1YearAmt
Current Tax Year$274,985CurrentTaxYearAmt
Total$980,409TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$148,015CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$205,426CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$168,853CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$183,130CurrentTaxYearMinus1YearAmt
Current Tax Year$274,985CurrentTaxYearAmt
Total$980,409TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$286,549SubstantialContributorsTotAmt
Public Support Total170$693,860PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,686CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,504CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,258CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,802CurrentTaxYearMinus1YearAmt
Current Tax Year$877CurrentTaxYearAmt
Total$35,127TotalAmt
FieldValueIRS element (for citing)
Total Support$1,015,536TotalSupportAmt
Gross Receipts Rltd Activities$10,600GrossReceiptsRltdActivitiesAmt
Public Support CY1700.68320PublicSupportCY170Pct
Public Support PY1700.70490PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtcInd
Beginning Balance$5,176BeginningBalanceAmt
Ending Balance$5,176EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,622OtherCostOrOtherBasisAmt
Depreciation$31,997DepreciationAmt
Book Value$2,625BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,625TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RHODE ISLAND MEDICAL SOCIETYDesc
Amt$53,200Amt
FieldValueIRS element (for citing)
Total Liability$53,200TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt IV, Line 2bFUNDS ARE BEING HELD ON BEHALF OF THE WASHINGTON COUNTY MEDICAL SOCIETY UNTIL THIS ENTITY BECOMES ACTIVE AGAIN.
Pt X, Line 2THE FOUNDATION EVALUATES ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. AS OF YEAR-END, THE FOUNDATION DOES NOT BELIEVE IT HAS ANY TAX POSITIONS THAT WOULD REQUIRE THE RECOGNITION OF A TAX LIABILITY OR ANY UNREALIZED TAX BENEFIT THAT WOULD EITHER INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. TAX YEARS THAT ARE OPEN FOR EXAMINATION BY TAXING AUTHORITIES ARE GENERALLY THE LAST FOUR TAX YEAR-ENDS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEXPENSE REIMBURSEMENT FOR PHYSICIAN RELOCATIONGrantTypeTxt
Recipient1RecipientCnt
Cash Grant$12,000CashGrantAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonNEWELL E WARDE PHDPersonNm
Compensation Based On Rltd Orgs$133,515CompensationBasedOnRltdOrgsAmt
Deferred Comp Rltd Orgs$6,676DeferredCompRltdOrgsAmt
Nontaxable Benefits Rltd Orgs$3,650NontaxableBenefitsRltdOrgsAmt
Total Compensation Rltd Orgs$143,841TotalCompensationRltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bA COPY OF THE FORM 990 IS PROVIDED TO THE PRESIDENT AND THE TREASURER FOR THEIR REVIEW PRIOR TO THE EXECUTIVE DIRECTOR'S SIGNATURE AND APPROVAL TO FILE.
Pt VI, Line 15bAT THE PRESENT TIME, NONE OF THE TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY THE FOUNDATION.
Pt VI, Line 19GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
Form 990EZ, Part I, Line 16SHARED PERSONNEL COSTS
Form 990EZ, Part I, Line 16TAR WARS CAMPAIGN
Form 990EZ, Part I, Line 16BIKE HELMET EXPENSE
Form 990EZ, Part I, Line 16CONFERENCES & MEETINGS
Form 990EZ, Part I, Line 16OFFICE EXPENSES
Form 990EZ, Part I, Line 16INFORMATION TECHNOLOGY
Form 990EZ, Part I, Line 16TRAVEL & ENTERTAINMENT
Form 990EZ, Part I, Line 16DUES
Form 990EZ, Part I, Line 16MISCELLANEOUS
Form 990EZ, Part I, Line 16CONTRIBUTIONS
Form 990EZ, Part II, Line 24PREPAID EXPENSES
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE & ACCRUED EXPENSES
Form 990EZ, Part II, Line 26FUNDS HELD ON BEHALF OF OTHERS
Form 990EZ, Part II, Line 26DUE TO RHODE ISLAND MEDICAL SOCIETY
Form 990, Part III, Line 4dRHODE ISLAND CHRONIC CARE COLLABORATIVE FUND - TO PROVIDE 286. 0. 0.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
RHODE ISLAND MEDICAL SOCIETY
405 PROMENADE STREET SUITE APROVIDENCERI02908050250010MEMBERSHIP SOCIETYRI501(c)(6)NAfalse
RI MEDICAL POLITICAL ACTION COMMITTEE
405 PROMENADE STREET SUITE APROVIDENCERI02908050250010POLITICAL ACTION COMMITTEERI527NAfalse
PROVIDENCE MEDICAL ASSOCIATION
405 PROMENADE STREET SUITE APROVIDENCERI02908050203944MEMBERSHIP ASSOC.RI501(c)(6)NAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RIMS INSURANCE BROKERAGE CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1405 PROMENADE STREET SUITE BAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd
FieldValueIRS element (for citing)
EIN050391461EIN
Primary ActivitiesINSURANCE BROKERAGEPrimaryActivitiesTxt
Legal Domicile StateRILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Ownership0.00000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RHODE ISLAND MEDICAL SOCIETYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeoTransactionTypeTxt
Involved$116,819InvolvedAmt
Method Of Amount DeterminationAllocated TimeMethodOfAmountDeterminationTxt