BROWN EMERGENCY MEDICINE: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- BROWN EMERGENCY MEDICINE (EIN 05-0486254)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-10-11
- IRS object ID
- 201732849349301003
- Schema version
- 2015v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-11T08:56:31-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 050353162 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PICCERELLI GILSTEIN & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 WESTMINSTER STREET | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 029032282 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050486254 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY EMERGENCY MEDICINE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIV | BusinessNameControlTxt |
| Phone | 4015191602 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 593 EDDY STREET NO 2ND FL | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRIAN ZINK | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4015191602 | PhoneNum |
| Signature | 2017-08-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHARON KENNEDY | PreparerPersonNm |
| PTIN | P00218909 | PTIN |
| Phone | 4018310200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | BRIAN ZINK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 593 EDDY STREET NO 2ND FL | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $53,310,234 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UEMF.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | EXCEPTIONAL EMERGENCY MEDICAL CARE, EDUCATION, RESEARCH, AND SERVICE TO THE PEOPLE OF RHODE ISLAND AND BEYOND. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 355 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $49,004 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $51,689,572 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $53,068,329 | CYProgramServiceRevenueAmt |
| PY Investment Income | $140,635 | PYInvestmentIncomeAmt |
| CY Investment Income | $143,897 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $51,830,207 | PYTotalRevenueAmt |
| CY Total Revenue | $53,261,230 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $130,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $192,405 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $47,455,868 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $49,211,448 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,280,496 | PYOtherExpensesAmt |
| CY Other Expenses | $4,660,089 | CYOtherExpensesAmt |
| PY Total Expenses | $51,866,864 | PYTotalExpensesAmt |
| CY Total Expenses | $54,063,942 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$36,657 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$802,712 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,323,759 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,312,564 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,588,285 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,926,456 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,735,474 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,386,108 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE EXCEPTIONAL EMERGENCY MEDICAL CARE, EDUCATION, RESEARCH, AND SERVICE TO THE PEOPLE OF RHODE ISLAND AND BEYOND. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $51,325,574 | ExpenseAmt |
| Grant | $192,405 | GrantAmt |
| Revenue | $53,068,329 | RevenueAmt |
| Desc | THE UNIVERSITY EMERGENCY MEDICINE FOUNDATION PROVIDES EMERGENCY MEDICAL SERVICES, CONDUCTS MEDICAL RESEARCH, AND EDUCATES MEDICAL RESIDENTS, FELLOWS, MEDICAL STUDENTS AND OTHERS. THE FOUNDATION PROVIDES THESE SERVICES THROUGH AFFILIATIONS WITH RHODE ISLAND HOSPITAL (RIH), HASBRO CHILDREN'S HOSPITAL (HASBRO), THE MIRIAM HOSPITAL (TMH), AND NEWPORT HOSPITAL. UNIVERSITY EMERGENCY MEDICINE FOUNDATION (UEMF) IS THE ACADEMIC EMERGENCY MEDICINE PHYSICIAN PRACTICE PLAN OF THE DEPARTMENT OF EMERGENCY MEDICINE AT THE ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, LIFESPAN'S RHODE ISLAND HOSPITAL, AND THE MIRIAM HOSPITAL. WITH MORE THAN 100 FULL TIME PHYSICIANS AND 34 MID-LEVEL PROVIDERS, UEMF PROVIDES EMERGENCY DEPARTMENT STAFFING FOR RHODE ISLAND HOSPITAL, THE REGION'S ONLY LEVEL 1 TRAUMA CENTER, HASBRO CHILDREN'S HOSPITAL, THE STATE'S ONLY CHILDREN'S SPECIALITY HOSPITAL, THE MIRIAM HOSPITAL, WHICH IS A LEADING COMMUNITY TEACHING HOSPITAL, AND NEWPORT HOSPITAL. ALL UEMF MEMBER PHYSICIANS ARE BOARD CERTIFIED IN EMERGENCY MEDICINE OR PEDIATRIC EMERGENCY MEDICINE. DURING FISCAL YEAR 2016, UEMF PROVIDED EMERGENCY MEDICAL CARE TO 259,099 PATIENTS. IN ADDITION, 111 RESIDENTS AND FELLOWS RECEIVED TEACHING, 4,049 INDIVIDUALS RECEIVED TRAINING IN A SIMULATION CENTER, AND 57 RESIDENTS AND 73 MEDICAL STUDENTS FROM OTHER DEPARTMENTS ROTATED THROUGH THE EMERGENCY DEPARTMENT TO RECEIVE EDUCATION SERVICES. | Desc |
| Total Program Service Expenses | $51,325,574 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 355 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEITH NEAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4015191602 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 WHIPPLE STREET 3RD FLOOR | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02908 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| BRAIN ZINK | ||||||||
| CHAIRMAN | 40.00 | Yes (X) | Yes (X) | $609,901 | $0 | $66,114 | ||
| ANTHONY NAPOLI | ||||||||
| TREASURER | 40.00 | Yes (X) | Yes (X) | $344,537 | $0 | $61,217 | ||
| JAMES MONTI | ||||||||
| SECRETARY | 40.00 | Yes (X) | Yes (X) | $336,252 | $0 | $62,156 | ||
| FRANK OVERLY | ||||||||
| PEDI EM MEMBER AT LARGE | 40.00 | Yes (X) | $284,708 | $0 | $66,200 | |||
| CATHERINE CUMMINGS | ||||||||
| DIRECTOR | 40.00 | Yes (X) | $294,441 | $0 | $62,895 | |||
| ACHYUT MIHIR KAMAT | ||||||||
| DIRECTOR | 40.00 | Yes (X) | $315,109 | $0 | $63,178 | |||
| GARY BUBLY | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $360,445 | $0 | $64,617 | |||
| JAMIESON COHN | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $276,226 | $0 | $60,901 | |||
| JOHN MURPHY | ||||||||
| DIRECTOR, EX-OFFICIO | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GLENN TUNG | ||||||||
| DIRECTOR, EX-OFFICIO | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GREGORY JAY | ||||||||
| PHYSICIAN | 40.00 | $398,147 | $0 | $64,158 | Yes (X) | |||
| FRANCIS SULLIVAN | ||||||||
| PHYSICIAN | 40.00 | $378,623 | $0 | $48,840 | Yes (X) | |||
| DANIEL SAVITT | ||||||||
| PHYSICIAN | 40.00 | $358,364 | $0 | $60,591 | Yes (X) | |||
| BRIAN CLYNE | ||||||||
| PHYSICIAN | 40.00 | $357,356 | $0 | $61,843 | Yes (X) | |||
| MICHAEL MELLO | ||||||||
| PHYSICIAN | 40.00 | $354,078 | $0 | $63,778 | Yes (X) | |||
| MATTHEW KOPP | ||||||||
| FORMER DIRECTOR | 40.00 | $285,957 | $0 | $63,711 | Yes (X) | |||
| MICHELLE DANIEL | ||||||||
| FORMER PHYSICIAN | 40.00 | $195,801 | $0 | $30,445 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,149,945 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $900,644 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 133 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $49,004 | AllOtherContributionsAmt |
| Noncash Contributions | $49,004 | NoncashContributionsAmt |
| Total Contributions | $49,004 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 621400 | $46,404,919 | $46,404,919 |
| RESEARCH GRANTS | 621400 | $3,378,914 | $3,378,914 |
| TEACHING AND ADMIN REV | 621400 | $3,025,515 | $3,025,515 |
| OTHER INCOME | 621400 | $258,981 | $258,981 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $53,068,329 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $144,788 | TotalRevenueColumnAmt |
| Exclusion | $144,788 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $48,113 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $49,004 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$891 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$891 | TotalRevenueColumnAmt |
| Exclusion | -$891 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,261,230 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,068,329 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $143,897 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,405 | TotalAmt |
| Program Services | $192,405 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,823,106 | TotalAmt |
| Program Services | $5,741,682 | ProgramServicesAmt |
| Management And General | $81,424 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,609,686 | TotalAmt |
| Program Services | $33,212,691 | ProgramServicesAmt |
| Management And General | $1,396,995 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,923,412 | TotalAmt |
| Program Services | $3,731,122 | ProgramServicesAmt |
| Management And General | $192,290 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,983,944 | TotalAmt |
| Program Services | $2,689,253 | ProgramServicesAmt |
| Management And General | $294,691 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,871,300 | TotalAmt |
| Program Services | $1,745,551 | ProgramServicesAmt |
| Management And General | $125,749 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,025 | TotalAmt |
| Management And General | $21,025 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,165 | TotalAmt |
| Management And General | $44,165 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,000 | TotalAmt |
| Management And General | $25,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,033 | TotalAmt |
| Program Services | $107,703 | ProgramServicesAmt |
| Management And General | $15,330 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,575 | TotalAmt |
| Program Services | $66,900 | ProgramServicesAmt |
| Management And General | $36,675 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,404 | TotalAmt |
| Program Services | $17,314 | ProgramServicesAmt |
| Management And General | $35,090 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,455 | TotalAmt |
| Program Services | $152,345 | ProgramServicesAmt |
| Management And General | $63,110 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186 | TotalAmt |
| Management And General | $186 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,344 | TotalAmt |
| Program Services | $2,210 | ProgramServicesAmt |
| Management And General | $5,134 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,147 | TotalAmt |
| Program Services | $59,602 | ProgramServicesAmt |
| Management And General | $55,545 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,314 | TotalAmt |
| Program Services | $90,009 | ProgramServicesAmt |
| Management And General | $46,305 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MALPRACTICE INSURANCE | $1,415,969 | $1,415,969 | |
| EDUCATIONAL PROGRAM EXP | $653,631 | $647,631 | $6,000 |
| OUTSIDE SERVICES | $607,416 | $343,594 | $263,822 |
| EXPENSES ASSOCIATED WIT | $551,622 | $551,622 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $587,803 | TotalAmt |
| Program Services | $557,971 | ProgramServicesAmt |
| Management And General | $29,832 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,063,942 | TotalAmt |
| Program Services | $51,325,574 | ProgramServicesAmt |
| Management And General | $2,738,368 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,593 | BOYAmt |
| EOY | $3,214,585 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $523,130 | BOYAmt |
| EOY | $834,308 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,475 | BOYAmt |
| EOY | $299,720 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,049,765 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $499,055 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,404 | BOYAmt |
| EOY | $550,710 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,361,606 | BOYAmt |
| EOY | $4,901,438 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,703,551 | BOYAmt |
| EOY | $3,511,803 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,323,759 | BOYAmt |
| EOY | $13,312,564 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,588,285 | BOYAmt |
| EOY | $4,926,456 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,588,285 | BOYAmt |
| EOY | $4,926,456 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,735,474 | BOYAmt |
| EOY | $8,386,108 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,735,474 | BOYAmt |
| EOY | $8,386,108 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,323,759 | BOYAmt |
| EOY | $13,312,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$802,712 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $355,184 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $1,098,162 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $25,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $25,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | OUTSIDE CONSULTING RELATED TO LOBBYING ACTIVITES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $112,617 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $53,824 | DepreciationAmt |
| Book Value | $58,793 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $914,719 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $445,231 | DepreciationAmt |
| Book Value | $469,488 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $22,429 | InvestmentCostOrOtherBasisAmt |
| Book Value | $22,429 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $550,710 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MONEY MARKET | Desc |
| Book Value | $3,511,803 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $3,511,803 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $53,567,410 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $355,184 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $355,184 | RevenueNotReportedAmt |
| Revenue Subtotal | $53,212,226 | RevenueSubtotalAmt |
| Other Revenues Not Included | $49,004 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $49,004 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $53,261,230 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $54,014,938 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $54,014,938 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $49,004 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $49,004 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $54,063,942 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE FOUNDATION IS A SUPPORTING ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. THE FOUNDATION INTERNALLY MONITORS ITS TAX POSITIONS TO DETERMINE WHETHER ANY ARE UNCERTAIN. A TAX POSITION IS TAKEN IF IT IS DETERMINED THAT THE POSITION WILL "MORE-LIKELY-THAN-NOT" BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FOUNDATION AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2016, THERE WERE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE THE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FOUNDATION IS NOT CURRENTLY SUBJECT TO AUDITS FOR ANY TAX PERIODS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | SHARES OF PUBLICLY TRADED STOCK RECEIVED 49,004. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTION MADE TO RHODE ISLAND HOSPITAL 49,004. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| BROWN UNIVERSITY OFFICE OF BIOMEDICAL ADVANCEMENT | ||||||||
| PO BOX G-ADV | PROVIDENCE | RI | 02912 | 050258937 | 501(C)(3) | $60,000 | SUPPORT FOR THE CONSTRUCTION OF THE NEW BROWN MEDICAL SCHOOL BUILDING | |
| THE MIRIAM HOPSITAL FOUNDATION | ||||||||
| LIFESPAN DEVELOPMENT OFFICE PO BOX | PROVIDENCE | RI | 02901 | 050377502 | 501(C)(3) | $55,000 | $5,000 - SILVER SPONSOR OF THE 2016 GALA $50,000 - ADVANCING EMERGENCY AND CARDIAC CARE: TMH CAMPAIGN FOR EXCELLENCE | H |
| RHODE ISLAND HOSPITAL | ||||||||
| 593 EDDY STREET | PROVIDENCE | RI | 02903 | 050258954 | 501(C)(3) | $49,004 | TO FUND RESEARCH ACTIVITIES OF DR. ADAM CHODOBSKI AND DR. JOANNA SZMYDYNGER- CHODOBSKA. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRAIN ZINK | ||||||||||||||
| CHAIRMAN | $606,289 | $0 | $0 | $0 | $3,612 | $0 | $35,000 | $0 | $31,114 | $0 | $676,015 | $0 | $0 | $0 |
| ANTHONY NAPOLI | ||||||||||||||
| TREASURER | $344,321 | $0 | $0 | $0 | $216 | $0 | $35,000 | $0 | $26,217 | $0 | $405,754 | $0 | $0 | $0 |
| JAMES MONTI | ||||||||||||||
| SECRETARY | $334,992 | $0 | $0 | $0 | $1,260 | $0 | $35,000 | $0 | $27,156 | $0 | $398,408 | $0 | $0 | $0 |
| FRANK OVERLY | ||||||||||||||
| PEDI EM MEMBER AT LARGE | $283,448 | $0 | $0 | $0 | $1,260 | $0 | $35,000 | $0 | $31,200 | $0 | $350,908 | $0 | $0 | $0 |
| CATHERINE CUMMINGS | ||||||||||||||
| DIRECTOR | $292,509 | $0 | $0 | $0 | $1,932 | $0 | $35,000 | $0 | $27,895 | $0 | $357,336 | $0 | $0 | $0 |
| ACHYUT MIHIR KAMAT | ||||||||||||||
| DIRECTOR | $314,269 | $0 | $0 | $0 | $840 | $0 | $35,000 | $0 | $28,178 | $0 | $378,287 | $0 | $0 | $0 |
| GARY BUBLY | ||||||||||||||
| PHYSICIAN | $356,833 | $0 | $0 | $0 | $3,612 | $0 | $35,000 | $0 | $29,617 | $0 | $425,062 | $0 | $0 | $0 |
| JAMIESON COHN | ||||||||||||||
| PHYSICIAN | $275,470 | $0 | $0 | $0 | $756 | $0 | $35,000 | $0 | $25,901 | $0 | $337,127 | $0 | $0 | $0 |
| GREGORY JAY | ||||||||||||||
| PHYSICIAN | $396,215 | $0 | $0 | $0 | $1,932 | $0 | $35,000 | $0 | $29,158 | $0 | $462,305 | $0 | $0 | $0 |
| FRANCIS SULLIVAN | ||||||||||||||
| PHYSICIAN | $367,955 | $0 | $0 | $0 | $10,668 | $0 | $35,000 | $0 | $13,840 | $0 | $427,463 | $0 | $0 | $0 |
| DANIEL SAVITT | ||||||||||||||
| PHYSICIAN | $357,332 | $0 | $0 | $0 | $1,032 | $0 | $35,000 | $0 | $25,591 | $0 | $418,955 | $0 | $0 | $0 |
| BRIAN CLYNE | ||||||||||||||
| PHYSICIAN | $356,096 | $0 | $0 | $0 | $1,260 | $0 | $35,000 | $0 | $26,843 | $0 | $419,199 | $0 | $0 | $0 |
| MICHAEL MELLO | ||||||||||||||
| PHYSICIAN | $350,466 | $0 | $0 | $0 | $3,612 | $0 | $35,000 | $0 | $28,778 | $0 | $417,856 | $0 | $0 | $0 |
| MATTHEW KOPP | ||||||||||||||
| FORMER DIRECTOR | $284,697 | $0 | $0 | $0 | $1,260 | $0 | $35,000 | $0 | $28,711 | $0 | $349,668 | $0 | $0 | $0 |
| MICHELLE DANIEL | ||||||||||||||
| FORMER PHYSICIAN | $195,311 | $0 | $0 | $0 | $490 | $0 | $12,794 | $0 | $17,651 | $0 | $226,246 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $49,004 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE FOLLOWING PHYSICIANS ARE ELIGIBLE TO JOIN THE FOUNDATION AS MEMBERS, THOSE WHO: ARE MEMBERS OF THE STAFF ASSOCIATION OF RHODE ISLAND HOSPITAL (RIH) AND THE MIRIAM HOSPITAL (TMH), AND HOLD PROFESSIONAL STAFF APPOINTMENTS WITHIN THE DEPARTMENT OF EMERGENCY MEDICINE AT RIH OR THE DIVISION OF EMERGENCY MEDICINE AT TMH, AND EITHER HOLD A FACULTY APPOINTMENT IN THE BROWN UNIVERSITY MEDICAL SCHOOL (BROWN) OR HAVE BEEN EMPLOYEES BY THE FOUNDATION FOR LESS THAN ONE YEAR AND HAVE AGREED TO APPLY FOR A BROWN FACULTY APPOINTMENT, AND ARE APPROVED BY THE RIH CHIEF OF THE DEPARTMENT OF EMERGENCY MEDICINE AND THE FOUNDATION'S BOARD OF DIRECTORS, AND WILL BE EMPLOYED BY THE FOUNDATION TO CONDUCT THEIR PRACTICE OF MEDICINE EXCLUSIVELY ON BEHALF OF THE FOUNDATION, UNLESS OTHERWISE RECOMMENDED BY THE PRESIDENT AND APPROVED BY THE BOARD, AND WILL BE BOARD CERTIFIED OR BOARD ELIGIBLE IN EMERGENCY MEDICINE OR PEDIATRIC EMERGENCY MEDICINE, UNLESS OTHERWISE RECOMMENDED BY THE PRESIDENT AND APPROVED BY THE BOARD. EACH SUCH ELIGIBLE PHYSICIAN WHO HAS IN EFFECT AN EMPLOYMENT AGREEMENT WITH THE FOUNDATION SHALL BE A MEMBER OF THE FOUNDATION AS LONG AS THE EMPLOYMENT AGREEMENT IS IN A FORM APPROVED BY THE BOARD AND THE CHIEF OF EMERGENCY MEDICINE (RIH). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS SHALL BE COMPRISED OF: THE CHIEF OF EMERGENCY MEDICINE, EX OFFICIO, WITH VOTING RIGHTS; THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF LIFESPAN CORPORATION, A RI NON-PROFIT CORPORATION, WHICH IS THE SOLE MEMBER OF RHODE ISLAND HOSPITAL, THE MIRIAM HOPSITAL, AND OTHER NON-PROFIT HEALTH CARE PROVIDERS, OR HIS/HER DESIGNEE, EX OFFICIO, WITH VOTING RIGHTS; THE DEAN OF MEDICINE OF BROWN UNIVERSITY MEDICAL SCHOOL OR HIS/HER DESIGNEE, EX OFFICIO, WITH VOTING RIGHTS; UP TO 8 MEMBERS ELECTED BY THE MEMBERS AT AN ANNUAL MEETING OR ANY SPECIAL MEETING HELD IN LIEU THEREOF BASED ON NOMINATIONS MADE BY THE NOMINATING COMMITTEE (EACH AN AT- LARGE DIRECTOR); AND UP TO 2 INDIVIDUALS ELECTED BY THE BOARD WHO ARE NOT EMPLOYED BY THE ORGANIZATION AND ARE NOT NECESSARILY PHYSICIANS, BASED ON NOMINATIONS FOR THE NOMINATING COMMITTEE (EACH AN "OUTSIDE DIRECTOR"). EACH MEMBER SHALL BE ENTITLED TO ONE VOTE AT ANNUAL AND SPECIAL MEETINGS OF THE MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THERE WILL BE AN ANNUAL MEETING OF THE MEMBERS HELD IN THE MONTH OF DECEMBER EACH YEAR. THERE MAY ALSO BE SPECIAL MEETINGS OF THE MEMBERS, WHICH CAN BE CALLED BY THE PRESIDENT, BY THE BOARD, OR BY 2/3 VOTE OF THE MEMBERS ENTITLED TO VOTE. THERE ARE REQUIREMENTS FOR PROVIDING NOTICE OF THE MEETINGS TO THE MEMBERS. EACH MEMBER SHALL BE ENTITLED TO ONE VOTE. VACANCIES IN THE BOARD OR IN ANY CORPORATE OFFICE MAY BE FILLED BY ELECTION BY THE REMAINING DIRECTORS AT ANY REGULAR OR SPECIAL MEETING, BUT IF A VACANCY EXISTS AT THE TIME OF ANY MEMBERS MEETING, IT SHALL BE FILLED BY ELECTION AT SAID MEETING. AN AT-LARGE DIRECTOR MAY BE REMOVED FROM OFFICE WITH OR WITHOUT CAUSE AT ANY ANNUAL, REGULAR, OR SPECIAL MEETING OF MEMBERS BY VOTE OF AT LEAST 2/3 OF THE MEMBERS ENTITLED TO VOTE IN THE ELECTION OF SUCH DIRECTORS AND PRESENT IN PERSON OR BY PROXY AT A MEETING IN WHICH A QUORUM (MAJORITY) IS PRESENT, OR FOR CAUSE BY A VOTE OF A MAJORITY OF THE DIRECTORS THEN IN OFFICE AND PRESENT AT A MEETING IN WHICH A QUORUM IS PRESENT; PROVIDED, HOWEVER THAT A DIRECTOR MAY BE REMOVED FOR CAUSE ONLY AFTER REASONABLE NOTICE AND OPPORTUNITY TO BE HEARD BEFORE THE BODY PROPOSING TO REMOVE HIM/HER. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY THE EXTERNAL AUDITORS AND REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES. THESE PEOPLE ARE ASKED TO REVIEW THE POLICY AND SIGN A STATEMENT INDICATING THAT THEY UNDERSTAND THE POLICY, HAVE REPORTED ALL POTENTIAL CONFLICTS DURING THE PAST YEAR IN ACCORDANCE WITH THE POLICY AND WILL REPORT ALL POTENTIAL CONFLICTS DURING THE COMING YEAR. ALL POTENTIAL CONFLICTS ARE EVALUATED BY THE BOARD TO DETERMINE IF A CONFLICT ACUTALLY EXISTS (AN ATTORNEY IS PRESENT AT EACH BOARD MEETING). IN THOSE INSTANCES WHERE THE POTENTIAL TRANSACTION IS A CONFLICT, THE BOARD EXAMINES THE TRANSACTION AND A VOTE IS TAKEN (WITH THOSE INVOLVED RECUSING THEMSELVES) AS TO WHETHER THE ORGANIZATION WILL ENTER INTO THE TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | AN INDEPENDENT COMPENSATION COMMITTEE CONDUCTS A PERFORMANCE REVIEW AND EVALUATION OF ALL MEMBER COMPENSATION, INCLUDING THE PRESIDENT. THIS PROCESS INVOLVES THE EVALUATION OF THE INDIVIDUAL AND A REVIEW OF COMPENSATION OF COMPARABLE POSITIONS OBTAINED FROM PUBLISHED SURVEYS OF INDUSTRY DATA. THE COMMITTEE'S DELIBERATION AND DECISION IS NOTED IN THE MINUTES OF THE MEETING. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BY-LAWS, INCLUDING ITS CONFLICT OF INTEREST POLICY) AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ORGANIZATION WILL MAIL COPIES UPON REQUEST OR PROVIDE COPIES TO THOSE WHO COME TO THE ADMINISTRATIVE OFFICE DURING NORMAL BUSINESS HOURS. THE ORGANIZATION CHARGES FOR THE COPIES IN ACCORDANCE WITH IRS REGULATIONS. |
| FORM 990, PART IX, LINE 24C COLUMN C | AN AMENDED RETURN IS BEING FILED TO CORRECT THE AMOUNT OF TOTAL GENERAL AND ADMINISTRATIVE OUTSIDE SERVICES THAT WERE OVERSTATED BY $50,000 DUE TO A CLERICAL ERROR ON LINE 24B OF FORM 990 PAGE 10 AND THE RELATED EXPENSE LINES ON THE FORM 990. |