2015-08-05T10:46:49-05:00 2014-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2013-10-01 050450410 UNIVERSITY MEDICINE FOUNDATION UNIV 4014445135 593 EDDY STREET PROVIDENCE RI 02903 LOUIS RICE MD PRESIDENT 4014445135 2015-08-05 1 DEBORAH A HOPKINS P00167843 4012742001 2013 2016-02-25 16:41:14Z LOUIS RICE MD 593 EDDY STREET PROVIDENCE RI 02903 72291948 0 X WWW.UMF.BROWNMEDICINE.ORG X 2000 RI TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. 12 3 383 0 0 0 0 0 61952328 71006873 342872 458435 0 0 62295200 71465308 316576 287500 0 0 50592271 57468928 0 0 0 9098074 10711560 60006921 68467988 2288279 2997320 28141395 32447728 5377070 5959331 22764325 26488397 X UMF IS A NON-PROFIT, ACADEMIC, MULTI-SPECIALTY MEDICAL GROUP WITH PRACTICES IN PROVIDENCE, RI AND ITS SURROUNDING COMMUNITIES. OUR MISSION IS TO PROVIDE HIGH-LEVEL PATIENT CARE, ADVANCE MEDICAL KNOWLEDGE AND SCIENCE AND DEVELOP CURES. OUR CULTURE PROMOTES CONSTANT LEARNING, WHICH TRANSFERS ACROSS ALL STAFF MEMBERS AND TO THE PHYSICIANS WE TRAIN. TO REINFORCE THIS, UMF ALLOCATES 10% OF ITS REVENUE INTO THE ACADEMIC PURSUITS OF OUR PHYSICIANS WHO HAVE FACULTY APPOINTMENTS WITH BROWN UNIVERSITY'S WARREN ALPERT MEDICAL SCHOOL.WE CONTRIBUTE TIME, ENERGY AND FUNDS TO NON-PROFIT HEALTHCARE ENDEAVORS LOCALLY AND GLOBALLY. WE PROVIDE OVER $1 MILLION DOLLARS OF FREE CARE TO PEOPLE IN THE STATE OF RHODE ISLAND. OUR INTERNATIONAL REACH PROVIDES FINANCIAL AND MEDICAL RESOURCES TO THE UNDER SERVED THROUGHOUT THE WORLD. 0 0 49731871 287500 71006873 UMF PROVIDED PRIMARY 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. UMF ALSO PROVIDED ENDOCRINOLOGY SERVICES THROUGH THE HALLET CENTER FOR DIABETES AND ENDOCRINOLOGY AT RHODE ISLAND HOSPITAL. UMF PHYSICIANS RAN THE HOSPITALISTS PROGRAMS AT BOTH THE RHODE ISLAND AND MIRIAM HOSPITALS. IN ADDITION, UMF OFFERED MEDICAL CARE AT ALL SEVEN OF RHODE ISLAND'S INPATIENT KIDNEY DIALYSIS CENTERS AND TWO STAND ALONE OUTPATIENT DIALYSIS CENTERS, AND UMF OFFERED A TRAVEL CLINIC AT MIRIAM HOSPITAL. 49731871 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 59 0 383 1 0 0 0 0 0 0 0 0 0 0 X 12 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 17 VIRGINIA AVENUE SUITE 107 PROVIDENCE RI 02905 LOUIS RICE MD PRESIDENT 40.00 X X 0 0 0 ALICE BONITATI MD DIRECTOR (AS OF 1/14) 40.00 X 177039 0 34798 JOHN O'BELL DIRECTOR 40.00 X 161708 0 33943 GEETHA GOPALAKRISHNAN MD DIRECTOR 40.00 X 274105 0 35032 HARLAN RICH MD DIRECTOR (10/13-1/14) 40.00 X 299378 0 44657 KELLY MCGARRY MD DIRECTOR 40.00 X 185748 0 36783 JEROME LARKIN MD DIRECTOR (10/13-1/14) 40.00 X 186110 0 36612 JENNIFER SALM MD DIRECTOR (AS OF 1/14) 40.00 X 0 0 0 EDWARD STULIK MD DIRECTOR 40.00 X 143335 0 31108 CURT BECKWITH MD DIRECTOR 40.00 X 159708 0 33984 KIM BASU MD DIRECTOR 40.00 X 233442 0 38307 SYBIL CINEAS MD DIRECTOR 40.00 X 145472 0 22266 GLENN A TUNG MD DIRECTOR 1.00 X 0 0 0 JOHN MURPHY MD DIRECTOR 1.00 X 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 40.00 X 411634 0 13962 RICHARD MILLMAN MD TREASURER/SECRETARY 40.00 X 299458 0 42064 RICHARD BORSCHUK CFO 40.00 X 141708 0 13643 MARY JANE ANDERSON COO 40.00 X 214434 0 25174 LANCE DWORKIN MD PHYSICIAN 40.00 X 421618 0 42388 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 40.00 X 552697 0 45283 PETER QUESENBERRY MD PHYSICIAN 40.00 X 385918 0 35977 JACK WANDS MD PHYSICIAN 40.00 X 365859 0 30370 MITCHELL LEVY MD PHYSICIAN 40.00 X 378415 0 38316 5137786 0 634667 187 0 1 0 OPTUM 360 LLC 3436 MOMENTUM PLACE CHICAGO IL 60689 MEDICAL BILLING 1187237 RHODE ISLAND HOSPITAL PO BOX H PROVIDENCE RI 02901 PHYSICIAN SERVICES, STAFFING 962979 CASE CONSTRUCTION 225 WAMPANOAG TRAIL EAST PROVIDENCE RI 02915 CONSTRUCTION 486398 LIFESPAN PO BOX 414546 BOSTON MA 02241 PHYSICIAN SERVICES, STAFFING 428580 PROVIDENCE VA MEDICAL CENTER 860 CHALKSTONE AVENUE PROVIDENCE RI 02908 PHYSICIAN SERVICES 212752 7 MEDICAL SERVICE FEES 900099 54318645 54318645 SUPPORT FROM RIH, TMH 900099 9554930 9554930 CONTRACT SERVICE REV. 900099 6833320 6833320 MISCELLANEOUS 900099 299978 299978 71006873 305805 305805 956335 22935 798001 28639 158334 -5704 152630 152630 71465308 71006873 0 458435 287500 287500 3855633 3213209 642424 41921498 33114694 8806804 3587861 2978174 609687 7645460 6837653 807807 458476 260552 197924 141070 141070 76345 76345 7275 7275 3192045 464582 2727463 67462 67462 1746418 294 1746124 273268 273268 1833728 1833728 50094 10527 39567 195896 195896 22439 22439 283032 283032 1263836 1187490 76346 CARDIOLOGY EXPENSES-AEF 804080 635443 168637 SUBSCRIPTIONS/LICENSES 501173 474285 26888 OTHER EXPENSES 88483 88483 EDUCATION AND TRAINING 71572 71572 93344 93344 68467988 49731871 18736117 0 4037422 4961544 6878327 7198103 1673273 2280392 944078 942838 4496808 3192443 645985 1304365 10195060 12141222 3767250 3619264 28141395 32447728 3911198 4425588 1465872 1533743 5377070 5959331 X 22720782 26440612 43543 47785 22764325 26488397 28141395 32447728 2997320 726752 0 X 0 1 X 1 0 X RHODE ISLAND HOSPITAL PROVIDENCE RI MIRIAM HOSPITAL PROVIDENCE RI HASBRO CHILDREN'S HOSPITAL PROVIDENCE RI WOMEN AND INFANTS HOSPITAL PROVIDENCE RI PROVIDENCE VETERANS ADMINISTRATION HOSPITAL PROVIDENCE RI 886703 235369 651334 3610105 2957074 653031 1304365 OTHER RECEIVABLES 3482221 CONSTRUCTION IN PROGRESS 137043 3619264 PLEDGES PAYABLE 112500 DEFERRED COMPENSATION PLAN 1421243 1533743 X 72192060 726752 726752 71465308 0 71465308 68467988 0 68467988 0 68467988 PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE FOUNDATION OPERATES IN A MANNER CONSISTENT WITH THEIR TAX-EXEMPT STATUS AT BOTH THE STATE AND FEDERAL LEVEL. THE FOUNDATION 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 FOR YEARS ENDED SEPTEMBER 30, 2011, 2012, AND 2013 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE FOUNDATION 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 10460 0 0 0 0 0 0 10460 0 10460 0 0 0 0 0 0 0 BROWN UNIVERSITY CONTROLLERS OFFICE BOX J PROVIDENCE RI 02912 050258809 501(C)(3) 100000 TO SUPPORT THE NEW BUILDING AT THE MEDICAL SCHOOL OCEAN STATE RESEARCH INSTITUTE 830 CHALKSTONE AVENUE PROVIDENCE RI 02908 050440574 501(C)(3) 12500 TO SUPPORT VASCULAR RESEARCH LAB RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)(3) 47500 TO SUPPORT MEDICAL INFRASTRUCTURE, CARDIOVASCULAR RESEARCH, AND SPONSOR PRESIDENT'S PURSUIT OF EXCELLENCE THE MIRIAM HOSPITAL 164 SUMMIT AVENUE PROVIDENCE RI 02906 050258905 501(C)(3) 117500 TO SUPPORT ID PILOT PROGRAMS, MEDICAL INFRASTRUCTURE, SPONSOR THE ANNUAL GALA, AND SUPPORT THE CAMPAIGN FOR EXCELLENCE IN ER AND CARDIAC CARE HASBRO CHILDREN HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)(3) 10000 TO SPONSOR ANNUAL BALL 4 X 0 0 0 0 0 0 0 0 0 ALICE BONITATI MD DIRECTOR (AS OF 1/14) 171555 0 0 0 5484 0 17450 0 17348 0 211837 0 0 0 JOHN O'BELL DIRECTOR 157607 0 0 0 4101 0 15839 0 18104 0 195651 0 0 0 GEETHA GOPALAKRISHNAN MD DIRECTOR 269843 0 0 0 4262 0 25500 0 9532 0 309137 0 0 0 HARLAN RICH MD DIRECTOR (10/13-1/14) 296959 0 0 0 2419 0 25500 0 19157 0 344035 0 0 0 KELLY MCGARRY MD DIRECTOR 182895 0 0 0 2853 0 18403 0 18380 0 222531 0 0 0 JEROME LARKIN MD DIRECTOR (10/13-1/14) 185393 0 0 0 717 0 18731 0 17881 0 222722 0 0 0 EDWARD STULIK MD DIRECTOR 140063 0 0 0 3272 0 14088 0 17020 0 174443 0 0 0 CURT BECKWITH MD DIRECTOR 156422 0 0 0 3286 0 15674 0 18310 0 193692 0 0 0 KIM BASU MD DIRECTOR 230325 0 0 0 3117 0 23077 0 15230 0 271749 0 0 0 SYBIL CINEAS MD DIRECTOR 140975 0 0 0 4497 0 14125 0 8141 0 167738 0 0 0 ANGELA CALIENDO MD VICE PRESIDENT 405802 0 0 0 5832 0 0 0 13962 0 425596 0 0 0 RICHARD MILLMAN MD TREASURER/SECRETARY 290381 0 0 0 9077 0 25500 0 16564 0 341522 0 0 0 RICHARD BORSCHUK CFO 139612 0 0 0 2096 0 2702 0 10941 0 155351 0 0 0 MARY JANE ANDERSON COO 212180 0 0 0 2254 0 21472 0 3702 0 239608 0 0 0 LANCE DWORKIN MD PHYSICIAN 413957 0 0 0 7661 0 25500 0 16888 0 464006 0 0 0 KWAME DAPAAH-AFRIYIE MD PHYSICIAN 549687 0 0 0 3010 0 25500 0 19783 0 597980 0 0 0 PETER QUESENBERRY MD PHYSICIAN 378219 0 0 0 7699 0 25500 0 10477 0 421895 0 0 0 JACK WANDS MD PHYSICIAN 359046 0 0 0 6813 0 25500 0 4870 0 396229 0 0 0 MITCHELL LEVY MD PHYSICIAN 371564 0 0 0 6851 0 25500 0 12816 0 416731 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 ALL PHYSICIANS ARE MEMBERS UPON JOINING THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE MEMBERS, EXCEPT THE THREE 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 11 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.